Suggestions to ameliorate the inequity in urban/rural allocation of healthcare resources in China.
Suggestions to ameliorate the inequity in urban/rural allocation of healthcare resources in China.
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DOI：
10.1186/1475-9276-13-34
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发表时间：
2014-05-01
影响因子：
4.8
通讯作者：
Xie Q
中科院分区：
文献类型：
--
作者：
Chen Y;Yin Z;Xie Q
城乡医疗资源配置的不平衡已成为中国近期医疗改革的主要焦点。然而，系统分析发现，城乡之间的医疗资源配置存在很大差异，包括医疗支出和医疗机构数量、可用床位和人员。因此，本报告的目的是确定当前政府政策中的伦理考虑因素，以纠正医疗资源分配中存在的问题。我们的研究结果表明，在医疗资源分配的不平等不遵守道德标准和政策是有缺陷的，因为他们引起的差异，在医疗服务的可获得性，以城市和农村社区。为优化医疗卫生资源配置，提出了制定政策，促进公共卫生资源向农村流动，强化政府和公共财政投入责任，加大农村公共卫生设施建设力度，提高卫生资源质量，调整农村公共卫生设施资源配置，建立双向转诊机制，提高资源利用效率。
The imbalance in the allocation in healthcare resources between urban and rural areas has become a main focus of the recent medical reforms adopted in China. However, systematic analysis has identified wide differences in the allocation of healthcare resources between urban and rural areas, including healthcare expenditures and the number of healthcare facilities, available beds, and personnel. Therefore, the aim of this report was to identify ethical considerations in current governmental policies to rectify existing problems in the distribution of healthcare resources. Our findings indicate that the inequality in the distribution of healthcare resources does not adhere to ethical standards and the policies are flawed because they give rise to differences in the availability of medical care to urban and rural communities. To optimize the allocation of medical healthcare resources, countermeasures are proposed to formulate policies to urge the flow of public healthcare resources to rural areas, strengthen the responsibilities of both governmental and public financial investments, increase the construction of public healthcare facilities in rural areas, promote the quality of healthcare resources, adjust resource allocations to rural public healthcare facilities, and improve resource utilization efficiency by establishing two-way referral mechanisms.
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3.8
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