Analysis of government investment in primary healthcare institutions to promote equity during the three-year health reform program in China.
Analysis of government investment in primary healthcare institutions to promote equity during the three-year health reform program in China.
复制标题
中国医改三年期间政府对基层医疗机构投资促进公平的分析
DOI：
10.1186/1472-6963-13-114
复制
发表时间：
2013-03-25
影响因子：
2.8
通讯作者：
Zhang X
中科院分区：
文献类型：
--
作者：
Zhang X;Xiong Y;Ye J;Deng Z;Zhang X
《 2000年世界卫生报告》指出，增加医疗保健的融资是2009年获得公平努力的组成部分。提出。
这项研究的样本用于该研究的样本。 2010年是从中国的健康统计年鉴中获得的。
通过使用政府投资，政府财务比例和人均收入等指标，使用了配对和独立样本的T检验来分析政府投资的变化。
政府向2008年的主要医疗机构投入大量资金。 2011年的差异是CHSC收入的6.9％，而CHSC的人均收入更高。胎牛（28.79元） 2011年的数据从2008年到2010年，2011年的差距显然缩小了。
在三年的卫生改革计划中，中国政府对PHIS的投资逐渐促进了公平和普遍的覆盖率，但政府投资的增加源于政治愿望，并且由于缺乏实践和经验的制度化，因此必须促进三年医疗改革后的政府投入。
The World Health Report 2000 stated that increased public financing for healthcare was an integral part of the efforts to achieve equity of access. In 2009, the Chinese government launched a three-year health reform program to achieve equity of access. Through this reform program, the government intended to increase its investment in primary healthcare institutions (PHIs). However, reports about the outcome and the improvement of the equity of access have yet to be presented. Stratified sampling was employed in this research. The samples used for the study comprised 34 community health service centers (CHSCs) and 92 township hospitals (THs) from six provinces of China. Collected data, which were publicly available, consisted of the total revenue, financial revenue, and the number of people for the periods covering January 2010 to September 2010 and January 2011 to September 2011. Revenue information for 2009 and 2010 was obtained from China’s Health Statistics Yearbook. By using indicators such as government investment, government finance proportion and per capita revenue, t-tests for paired and independent samples were used to analyze the changes in government investment. Government invest large amount of money to the primary healthcare institutions. Government finance proportion in 2008 was 18.2%. This percentage increased to 38.84% in 2011, indicating statistical significance (p = 0.000) between 2010 and 2011. The per capita financial input was 20.92 yuan in 2010 and 31.10 yuan in 2011. Compared with the figures from 2008 to 2010, the gap in different health sectors narrowed in 2011, and differences emerged. The government finance proportion in CHSCs revenue was 6.9% higher than that of THs, while the per capita revenue of CHSCs was higher. In 2011, the highest and lowest government finance proportions were 48.80% (Shaanxi) and 19.36% (Shandong), respectively. In that same year, the per capita revenue of Shaanxi (40.69 Yuan) was higher than that of Liaoning (28.79 Yuan). Comparing the 2011 figures with those from 2008 to 2010, the gap in 2011 clearly narrowed. In the three-year health reform program, the Chinese government increased its investment to PHIs gradually and significantly. Thus promote equity to access and universal coverage. However, the increase in government investment stemmed from political desire and from the lack of institutionalization of practice and experience. Hence, a mode of financial allocation must be formulated to promote consistency in government input after the three-year health reform program.
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DOI：
10.2471/blt.08.053413
发表时间：
2008-11-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
McIntyre, Diane;Garshong, Bertha;Goudge, Jane
通讯作者：
Goudge, Jane
影响因子：
2.8
作者：
Rhys, Gwion;Beerstecher, Hendrik J.;Morgan, Claire L.
通讯作者：
Morgan, Claire L.
影响因子：
168.9
作者：
Travis, P;Bennett, S;Evans, T
通讯作者：
Evans, T
影响因子：
2.8
作者：
Onwujekwe, Obinna E.;Uzochukwu, Benjamin S. C.;Okoli, Chijioke
通讯作者：
Okoli, Chijioke
影响因子：
3.8
作者：
Guan, Xiaodong;Liang, Huigang;Shi, Luwen
通讯作者：
Shi, Luwen