Trend in distribution of primary health care professionals in Jiangsu province of eastern China

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• 作者：Kang Xu (1)
  Kaijin Zhang (2)
  Dan Wang (3)
  Ling Zhou (3)
  
  1. Department of Medical Administration ; Huai鈥檃n First People鈥檚 Hospital ; Nanjing Medical University ; 6 Beijing West Road ; Huai鈥檃n ; Jiangsu ; 223300 ; China
  2. School of Public Health ; Southeast University ; 87 Dingjia Bridge ; Nanjing ; Jiangsu ; 210009 ; China
  3. Department of Epidemiology and Biostatistics ; School of Public Health ; Nanjing Medical University ; 818 Tianyuan East Road ; Nanjing ; Jiangsu ; 211166 ; China
  
• 关键词：Primary health care ; Health workforce ; Inequality ; People鈥檚 Republic of China
• 刊名：International Journal for Equity in Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：13
• 期：1
• 全文大小：925 KB
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• 刊物主题：Public Health; Development Economics; Quality of Life Research; Social Policy;
• 出版者：BioMed Central
• ISSN：1475-9276

文摘

Introduction Since the late 1990s, the Chinese government has carried out several reforms on the primary health care, which is greatly improved but still left much to be desired, especially for the health workforces. The aim of this study was to analyze the number of health workforces and the trends in distribution of health workforces in Jiangsu province of eastern China from 2008 to 2012. Methods The time trends in number and distribution of health professionals were compared in study period. Lorenz curves were plotted and Gini coefficient, Atkinson index and Theil index were calculated for inequalities in the distribution of health workforces to population and area. Results The number of health workforces increased every year and the inequality in the distribution of health workforces showed a decline trend from 2008 to 2012. After 2009, these trends changed more rapidly. There was the disproportionality between physicians and nurses. The values of three inequality indicators based on area were larger than those based on population. Conclusion The health reform in 2009 might play an important role in increasing the number of health workforces and improving the distribution of health workforces in primary health care facilities. The disproportionality between physicians and nurses was related to the shortage of number of nurses.