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The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study

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收录情况： ◇ SCIE

作者：
Ma Yuan[1,2] * ; Xiao Pei[3] ; Yu Li[1] ; Ni Henfan[4] ; Huang Shiyao[5,6] ; Wang Meixian[7] ; Huang Yuxiang[1] ; Li Li[1] ; Yang Lian[8] ; Tan Chunjian[9] ; Zhong Zhigang[10] ;
机构： [1]Department of Medical Record Management, West China Second University Hospital, Chengdu, Sichuan, China. [2]Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China. [3]Medical Insurance Office, West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, China. [4]Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, Sichuan, China [5]Chinese Evidence‑based Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China [6]NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu, Sichuan, China. [7]National Center for Birth Defects Monitoring, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China. [8]School of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China. [9]Department of Quality Control and Evaluation, Chengdu Third People’s Hospital, Chengdu, Sichuan, China. [10]Department of Prevention, Office of Cancer Prevention and Treatment, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Cancer Hospital Affiliate to University of Electronic Science and Technology of China, 610041, Chengdu, Sichuan, China.
出处：
DOI： 10.1186/s12913-023-09076-5
ISSN：

摘要：
In response to an aging population, the Chinese government implemented the three-child policy in 2021 based on the comprehensive two-child policy. With the implementation of the new birth policy, people's maternal and child health (MCH) needs will also increase. The allocation and fairness of MCH human resources directly affect people's access to MCH services. The purpose of this study is to analyze the allocation of health human resources in Chinese maternal and child health care institutions, evaluate the fairness of the allocation, to provide a reference for the rational allocation of MCH human resources.The data of health technicians, licensed (assistant) physicians, and registered nurses in maternal and child health care institutions nationwide from 2016 to 2020 were included. The health resource density index (HRDI) is used to evaluate the allocation level of MCH human resources. The Gini coefficient (G) and Theil index (T) are used to evaluate the fairness of the allocation of MCH human resources from the perspectives of population and geographic area.From 2016 to 2020, the average annual growth rate of the number of health technicians, licensed (assistant) physicians, and registered nurses in Chinese maternal and child health care institutions was 7.53, 6.88, and 9.12%, respectively. The Gini coefficient (G) of the three types of MCH human resources allocated by population were all below 0.23, and the Gini coefficient (G) allocated by geographical area were all above 0.65. The Theil index (T) of the three types of MCH human resources allocated by population was all lower than 0.06, and the Theil index (T) allocated by geographical area was all higher than 0.53. In addition, the three types of MCH human resources allocated by population and geographic area contributed more than 84% of the Theil index within the group (Tintra) to the Theil index (T).China's MCH human resources were fair in terms of population allocation, but unfair in terms of geographical area allocation. In the future, more attention should be paid to the geographical accessibility of MCH human resources, and the allocation of resources should comprehensively consider the two factors of serving the population and geographical area.© 2023. The Author(s).

基金：
This work was supported by the Sichuan Provincial Administration of Traditional Chinese Medicine Research Project of Traditional Chinese Medicine (No. 2021MS135). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
语种：
外文
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WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 3 区 医学
小类 | 3 区 卫生保健与服务
最新[2023]版：
大类 | 3 区 医学
小类 | 3 区 卫生保健与服务
JCR分区：
出版当年[2023]版：
Q2 HEALTH CARE SCIENCES & SERVICES
最新[2023]版：
Q2 HEALTH CARE SCIENCES & SERVICES

影响因子： 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者：
第一作者机构： [1]Department of Medical Record Management, West China Second University Hospital, Chengdu, Sichuan, China. [2]Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
通讯作者：
推荐引用方式(GB/T 7714)：
Ma Yuan,Xiao Pei,Yu Li,et al.The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study[J].BMC HEALTH SERVICES RESEARCH.2023,23(1):doi:10.1186/s12913-023-09076-5.
APA：
Ma Yuan,Xiao Pei,Yu Li,Ni Henfan,Huang Shiyao...&Zhong Zhigang.(2023).The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study.BMC HEALTH SERVICES RESEARCH,23,(1)
MLA：
Ma Yuan,et al."The allocation and fairness of health human resources in Chinese maternal and child health care institutions: a nationwide longitudinal study".BMC HEALTH SERVICES RESEARCH 23..1(2023)

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