ArticleBMC public health2025
Equity and efficiency of public health resource allocation in China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Geographical disparities and spatial non-stationarity in stroke prevalence across China: a Bayesian analysis.BMC neurology · 2026Article
- Quantitative evaluation of the medical resource allocation policy in China: a PMC-index model approach.Cost effectiveness and resource allocation : C/E · 2026Article
- The effect of maternal and child health resource allocation on efficiency in China.Scientific reports · 2026Article
- A study on the efficiency and spatial correlation of health resource allocation in Chinese hospitals.PloS one · 2026Article
- Spatiotemporal evolution and spatial benefit analysis of the coupling coordination of China's three medical systems.Frontiers in public health · 2026Article
- The spatial effects and influencing factors of inter-provincial health resource allocation efficiency in China.BMC health services research · 2025Article
- Spatiotemporal evolution and determinants analysis of health resource supply-demand coupling coordination in China.International journal for equity in health · 2025Article
- Impact of government-organized screening programs on the economic burden of cervical cancer across five disease courses: a multistage regression and mediation analysis.Cancer biology & medicine · 2025Article
- Evaluation of Health Resource Efficiency and Its Influencing Factors in Ethnic Minority Areas of Guangxi: Data from 2010 to 2022.Risk management and healthcare policy · 2025Article
- How to enhance primary healthcare capacity? Evidence from Chinese provinces through a configurational lens.Frontiers in public health · 2025Article
- Trends and inequality of human resource in centers for disease control and prevention in China from 2019 to 2023.Frontiers in public health · 2025Article
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Abstract
objectiveTo analyze the equity and efficiency of public health resource allocation in China from 2018 to 2022, and to provide a scientific basis for promoting the development of public health resources in China.
methodsData on public health resources of 31 provincial-level administrative regions in mainland China were extracted from 2018 to 2022, and descriptive analysis, Theil index, and health resource agglomeration degree (HRAD) were used to analyze the equity, and data envelopment analysis (DEA) was used to analyze the efficiency.
resultsThe Theil index of public health resource allocation by population in China ranges from 0.006 to 0.049, and the Theil index contribution rate of the number of beds, health technicians, licensed (assistant) physicians, and registered nurses within region is less than 28.76%. The Theil index of public health resource allocation by geography in China ranges from 0.274 to 0.624, and the Theil index contribution rate of the number of institutions, the number of beds, health technicians, licensed (assistant) physicians, and registered nurses within region is more than 77.05%. The HRAD of public health resources is more than 2.18 in the eastern and central regions, while the HRAD of public health resources is less than 1 in the northeastern and western regions. The overall HRAD/population agglomeration degree (PAD) is less than 1 in the northeastern and eastern regions, and greater than 1 in the central and western regions overall. The scale efficiency and overall efficiency of public health resource allocation in China are not 1, the returns to scale are decreasing, and the DEA is relatively ineffective from 2019 to 2022.
conclusionThe equity by geography is slightly worse than the equity by population, and the inequity by population mainly comes from between regions, while the inequity by geography mainly comes from within regions. There is a contradiction in the equity by population and by geography allocation in the eastern and western regions, and a congruence in the equity by population and by geography allocation in the northeastern and central regions. The DEA of public health resource allocation in China is relatively ineffective in 2019-2022.
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