Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China
In the face of increasingly growing health demands and the impact of various public health emergencies, it is of great significance to study the regional differences in the allocation efficiency of the rural public health resources and its improvement mechanism. In this paper, the game competition r...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/8/3/270 |
| _version_ | 1797558161508401152 |
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| author | Tao Liu Jixia Li Juan Chen Shaolei Yang |
| author_facet | Tao Liu Jixia Li Juan Chen Shaolei Yang |
| author_sort | Tao Liu |
| collection | DOAJ |
| description | In the face of increasingly growing health demands and the impact of various public health emergencies, it is of great significance to study the regional differences in the allocation efficiency of the rural public health resources and its improvement mechanism. In this paper, the game competition relationship is included in the evaluation model, and the game cross-efficiency model is used to measure the allocation efficiency of the rural public health resources in 31 provinces of China from 2008 to 2017. Then, the Theil index model and the Gini index model are applied in exploring the regional differences in the allocation efficiency of rural public health resources and its sources. Finally, the bootstrap truncated regression model is used to analyze the influencing factors of the allocation efficiency of the rural public health resources in China. The results show that, first, the total allocation efficiency level of the rural public health resources in China from 2008 to 2017 is relatively low, and it presents a U-shaped trend, first falling and then rising. Second, the changing trend of the allocation efficiency of the rural public health resources in the eastern, central, and western regions of China is similar to that in the nationwide region, and it shows a gradient trend that “the allocation efficiency in the eastern region is high, the allocation efficiency in the western region is low, and the allocation efficiency in the Central region is at the medium level”. However, the gap among the three regions is continually narrowing. Third, the calculation results of the Theil index and the Gini index show that intra-regional differences are the major source of the regional differences in the allocation efficiency of the rural public health resources in China, and the inter-regional differences demonstrate an expansion trend. Finally, the improvement of the education level and the social support level will generally improve the allocation efficiency of the rural public health resources in China and its three regions. The increased governmental financial support and urbanization level will reduce the allocation efficiency of the rural public health resources in China and its three regions. The economic development level, the living conditions and the population density are the important influencing factors of the allocation efficiency differences of the rural public health resources in the three regions. Therefore, on the basis of ensuring the increase of the total supply of the rural public health resources, more attention should be paid to the improvement of the allocation efficiency. Moreover, on the basis of continually narrowing the inter-regional differences among the eastern, central, and western regions, more attention should be paid to the intra-regional differences of the allocation efficiency of the rural public health resources among the different provinces. The various economic and social policies should be constantly optimized to jointly improve the allocation efficiency of the rural public health resources. |
| first_indexed | 2024-03-10T17:27:36Z |
| format | Article |
| id | doaj.art-9755faa192aa49f2b2e962490cdd87f1 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T17:27:36Z |
| publishDate | 2020-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-9755faa192aa49f2b2e962490cdd87f12023-11-20T10:08:06ZengMDPI AGHealthcare2227-90322020-08-018327010.3390/healthcare8030270Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in ChinaTao Liu0Jixia Li1Juan Chen2Shaolei Yang3School of Finance and Economics, Henan Polytechnic University, Jiaozuo 454000, ChinaSchool of Emergency Management, Henan Polytechnic University, Jiaozuo 454000, ChinaSchool of Economics and Management, Southwest Petroleum University, Chengdu 610500, ChinaChinese Studies Center, Sichuan University, Chengdu 610065, ChinaIn the face of increasingly growing health demands and the impact of various public health emergencies, it is of great significance to study the regional differences in the allocation efficiency of the rural public health resources and its improvement mechanism. In this paper, the game competition relationship is included in the evaluation model, and the game cross-efficiency model is used to measure the allocation efficiency of the rural public health resources in 31 provinces of China from 2008 to 2017. Then, the Theil index model and the Gini index model are applied in exploring the regional differences in the allocation efficiency of rural public health resources and its sources. Finally, the bootstrap truncated regression model is used to analyze the influencing factors of the allocation efficiency of the rural public health resources in China. The results show that, first, the total allocation efficiency level of the rural public health resources in China from 2008 to 2017 is relatively low, and it presents a U-shaped trend, first falling and then rising. Second, the changing trend of the allocation efficiency of the rural public health resources in the eastern, central, and western regions of China is similar to that in the nationwide region, and it shows a gradient trend that “the allocation efficiency in the eastern region is high, the allocation efficiency in the western region is low, and the allocation efficiency in the Central region is at the medium level”. However, the gap among the three regions is continually narrowing. Third, the calculation results of the Theil index and the Gini index show that intra-regional differences are the major source of the regional differences in the allocation efficiency of the rural public health resources in China, and the inter-regional differences demonstrate an expansion trend. Finally, the improvement of the education level and the social support level will generally improve the allocation efficiency of the rural public health resources in China and its three regions. The increased governmental financial support and urbanization level will reduce the allocation efficiency of the rural public health resources in China and its three regions. The economic development level, the living conditions and the population density are the important influencing factors of the allocation efficiency differences of the rural public health resources in the three regions. Therefore, on the basis of ensuring the increase of the total supply of the rural public health resources, more attention should be paid to the improvement of the allocation efficiency. Moreover, on the basis of continually narrowing the inter-regional differences among the eastern, central, and western regions, more attention should be paid to the intra-regional differences of the allocation efficiency of the rural public health resources among the different provinces. The various economic and social policies should be constantly optimized to jointly improve the allocation efficiency of the rural public health resources.https://www.mdpi.com/2227-9032/8/3/270allocation efficiency of rural public health resourcesgame cross-efficiency modeltheil indexgini indexbootstrap truncated regression model |
| spellingShingle | Tao Liu Jixia Li Juan Chen Shaolei Yang Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China Healthcare allocation efficiency of rural public health resources game cross-efficiency model theil index gini index bootstrap truncated regression model |
| title | Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China |
| title_full | Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China |
| title_fullStr | Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China |
| title_full_unstemmed | Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China |
| title_short | Regional Differences and Influencing Factors of Allocation Efficiency of Rural Public Health Resources in China |
| title_sort | regional differences and influencing factors of allocation efficiency of rural public health resources in china |
| topic | allocation efficiency of rural public health resources game cross-efficiency model theil index gini index bootstrap truncated regression model |
| url | https://www.mdpi.com/2227-9032/8/3/270 |
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