The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019
Abstract Background Primary medical and health care facilities are the first lines of defense for the health of population. This study aims to evaluate the current state and trend of equity and coupling coordination degree (CCD) of staff in primary medical and health care institutions (SPMHCI) based...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-021-01572-6 |
| _version_ | 1818897060375560192 |
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| author | Weicun Ren Clifford Silver Tarimo Lei Sun Zihan Mu Qian Ma Jian Wu Yudong Miao |
| author_facet | Weicun Ren Clifford Silver Tarimo Lei Sun Zihan Mu Qian Ma Jian Wu Yudong Miao |
| author_sort | Weicun Ren |
| collection | DOAJ |
| description | Abstract Background Primary medical and health care facilities are the first lines of defense for the health of population. This study aims to evaluate the current state and trend of equity and coupling coordination degree (CCD) of staff in primary medical and health care institutions (SPMHCI) based on the quantity and living standards of citizens in China 2013–2019. The research findings are expected to serve as a guideline for the allocation of SPMHCI. Methods The data used in this study including the quantity and living standards of citizens, as well as the number of SPMHCI in 31 provincial administrative regions of China, were obtained from the China Statistical Yearbook and the China Health Statistics Yearbook. The equity and CCD for SPMHCI were analyzed by using the Gini coefficient and the CCD model, and the Grey forecasting model GM (1, 1) (GM) was used to predict the equity and CCD from 2020 to 2022. Results Between 2013 and 2019, the number of SPMHCI increased from 3.17 million to 3.50 million, and the population-based Gini coefficient declined from 0.0704 to 0.0513. In urban and rural areas, the Gini coefficients decreased from 0.1185 and 0.0737 to 0.1025 and 0.0611, respectively. The CCD between SPMHCI and citizens’ living standards (CLS) changed from 0.5691, 0.5813, 0.5818 to 0.5650, 0.5634, 0.6088 at national, urban, and rural levels, respectively. The forecasting results of GM revealed that at the national, urban and rural levels from 2020 to 2022, the Gini coefficient would rise at a rate of − 13.53, − 5.77%, and − 6.10%, respectively, while the CCD would grow at a rate of - 0.89, 1.06, and 0.87%, respectively. Conclusions In China, the number of SPMHCI has increased significantly, with an equitable allocation based on the population. The interaction between SPMHCI and CLS is sufficient, but the degree of mutual promotion is moderate. The government could optimize SPMHCI and improve the chronic disease management services to improve CLS and to ensure the continued operation of primary medical and health care institutions in urban areas. |
| first_indexed | 2024-12-19T19:10:10Z |
| format | Article |
| id | doaj.art-15958c057d9b4693b0161076e730b78c |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-19T19:10:10Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-15958c057d9b4693b0161076e730b78c2022-12-21T20:09:19ZengBMCInternational Journal for Equity in Health1475-92762021-10-0120111210.1186/s12939-021-01572-6The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019Weicun Ren0Clifford Silver Tarimo1Lei Sun2Zihan Mu3Qian Ma4Jian Wu5Yudong Miao6College of Public Health, Zhengzhou UniversityCollege of Public Health, Zhengzhou UniversityDepartment of Health Management, Sanquan College of Xinxiang Medical UniversityCollege of Public Health, Zhengzhou UniversityDepartment of Health Management, Sanquan College of Xinxiang Medical UniversityCollege of Public Health, Zhengzhou UniversityCollege of Public Health, Zhengzhou UniversityAbstract Background Primary medical and health care facilities are the first lines of defense for the health of population. This study aims to evaluate the current state and trend of equity and coupling coordination degree (CCD) of staff in primary medical and health care institutions (SPMHCI) based on the quantity and living standards of citizens in China 2013–2019. The research findings are expected to serve as a guideline for the allocation of SPMHCI. Methods The data used in this study including the quantity and living standards of citizens, as well as the number of SPMHCI in 31 provincial administrative regions of China, were obtained from the China Statistical Yearbook and the China Health Statistics Yearbook. The equity and CCD for SPMHCI were analyzed by using the Gini coefficient and the CCD model, and the Grey forecasting model GM (1, 1) (GM) was used to predict the equity and CCD from 2020 to 2022. Results Between 2013 and 2019, the number of SPMHCI increased from 3.17 million to 3.50 million, and the population-based Gini coefficient declined from 0.0704 to 0.0513. In urban and rural areas, the Gini coefficients decreased from 0.1185 and 0.0737 to 0.1025 and 0.0611, respectively. The CCD between SPMHCI and citizens’ living standards (CLS) changed from 0.5691, 0.5813, 0.5818 to 0.5650, 0.5634, 0.6088 at national, urban, and rural levels, respectively. The forecasting results of GM revealed that at the national, urban and rural levels from 2020 to 2022, the Gini coefficient would rise at a rate of − 13.53, − 5.77%, and − 6.10%, respectively, while the CCD would grow at a rate of - 0.89, 1.06, and 0.87%, respectively. Conclusions In China, the number of SPMHCI has increased significantly, with an equitable allocation based on the population. The interaction between SPMHCI and CLS is sufficient, but the degree of mutual promotion is moderate. The government could optimize SPMHCI and improve the chronic disease management services to improve CLS and to ensure the continued operation of primary medical and health care institutions in urban areas.https://doi.org/10.1186/s12939-021-01572-6Primary medical and health care institutionsEquityCoupling coordination degreeMedical staffGM (1, 1) |
| spellingShingle | Weicun Ren Clifford Silver Tarimo Lei Sun Zihan Mu Qian Ma Jian Wu Yudong Miao The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 International Journal for Equity in Health Primary medical and health care institutions Equity Coupling coordination degree Medical staff GM (1, 1) |
| title | The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 |
| title_full | The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 |
| title_fullStr | The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 |
| title_full_unstemmed | The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 |
| title_short | The degree of equity and coupling coordination of staff in primary medical and health care institutions in China 2013–2019 |
| title_sort | degree of equity and coupling coordination of staff in primary medical and health care institutions in china 2013 2019 |
| topic | Primary medical and health care institutions Equity Coupling coordination degree Medical staff GM (1, 1) |
| url | https://doi.org/10.1186/s12939-021-01572-6 |
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