[an error occurred while processing this directive] | [an error occurred while processing this directive]
The allocation and equity of personnel and facilities of radiotherapy in the county hospitals of Chinese mainland in 2019
Xing Yu1, Wang Lyuhua2,3, Zhang Ye2
1Bengbu Medical College, Bengbu 233030, China; 2Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/ Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China; 3National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital&Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen 518116, China
AbstractObjective To examine the status of personnel and facilities of radiotherapy in county hospital of Chinese mainland and to evaluate the equity of allocation. Methods All the county level radiotherapy units were chosen for study, and the data were extracted from the 9th national survey on radiation oncology departments conducted by Chinese Society of Radiation Oncology of Chinese Medical Association from April 10, 2019 to September 20, 2019. Descriptive statistics and statistical analysis were performed. For the further analysis on the equity, the Gini coefficient, Theil index and agglomeration degree were calculated. Results The number of county level radiotherapy units was 191 in the eastern region, 172 in the central region and only 59 in the western region, and there was no radiotherapy unit in the county area of some provinces in the western region. For the counties with larger population (population over 500 thousand) in Chinese mainland, 23.4% of the counties in the western region had radiotherapy units, lower compared to the eastern region (48.9%) and central region (41.8%). The Gini coefficients of all kinds of radiotherapy health resources according to population allocation were in alert states, and in highly unfair states according to geographical allocation. The intra-regional gap in radiotherapy resource allocation was larger than the inter-regional gap, and the intra-regional gap mainly came from the western region. HRADi, HRADi/PADi in the eastern and central regions were all greater than 1, while those in the western region were all less than 1. Conclusions The overall configuration of county level radiotherapy units in Chinese mainland is insufficient, and there is a regional difference. The fairness of geographical allocation of radiotherapy resources is generally poor. Radiotherapy resources should be scientifically configured to improve the fairness of radiotherapy resource distribution.
Corresponding Authors:
Wang Lyuhua, Email:wlhwq@yahoo.com
About author:: Zhang Ye and Xing Yu contributed equally to this article
Cite this article:
Xing Yu,Wang Lyuhua,Zhang Ye. The allocation and equity of personnel and facilities of radiotherapy in the county hospitals of Chinese mainland in 2019[J]. Chinese Journal of Radiation Oncology, 2022, 31(3): 223-228.
Xing Yu,Wang Lyuhua,Zhang Ye. The allocation and equity of personnel and facilities of radiotherapy in the county hospitals of Chinese mainland in 2019[J]. Chinese Journal of Radiation Oncology, 2022, 31(3): 223-228.
[1] 曹荣桂. 积极推动综合改革整体提升县级医院能力和水平[J]. 中国医院,2011,15(7):1-4. DOI:10.3969/j.issn.1671-0592.2011.07.001. Cao RG. We will actively promote the overall comprehensive reform to improve the capacity and level of county-level hospitals[J]. Chin Hospital, 2011, 15(7):1-4. DOI:10.3969/j.issn.1671-0592.2011.07.001. [2] 国家统计局. 中国统计年鉴[M]. 北京:中国统计出版社,2016. [3] Jin J,Wang JX,Ma XY, et al. Equality of medical health resource allocation in China based on the gini coefficient method[J]. Iran JPublic Health,2015,44(4):445-457. [4] He LY,Yu H,Shi LZ, et al. Equity assessment of the distribution of CT and MRI scanners in China:a panel data analysis[J]. Int J Equity Health,2018,17(1):157. DOI:10.1186/s12939-018-0869-y. [5] Khaing M, Saw YM, Than TM, et al. Geographic distribution and utilisation of CT and MRI services at public hospitals in Myanmar[J]. BMC Health Serv Res, 2020, 20(1):742. DOI:10.1186/s12913-020-05610-x. [6] 毛瑛,刘锦林,杨杰,等. 2011年我国卫生人力资源配置公平性分析[J]. 中国卫生经济,2013,32(8):35-38. DOI:10.7664/CHE20130812. Mao Y, Liu JL, Yang J, et al. Analysis on Fairness of China's Human Resource Allocation for Health in 2011[J]. Chin Health Econom, 2013,32(8):35-38. DOI:10.7664/CHE20130812. [7] Yao HH, Zhan CH, Sha XP. Current situation and distribution equality of public health resource in China[J]. Arch Public Health,2020, 78:86. DOI:10.1186/s13690-020-00474-3. [8] Borrell LN, Talih M. A symmetrized Theil index measure of health disparities:an example using dental caries in U. S. children and adolescents[J]. Statist Med,2011, 30(3):277-290. DOI:10.1002/sim.4114. [9] Liu W, Liu Y, Twum P, et al. National equity of health resource allocation in China:data from 2009 to 2013[J]. Int J Equity Health,2016, 15:68. DOI:10.1186/s12939-016-0357-1. [10] 黄文佳. 泰尔指数分析我国卫生资源地区分布公平性[J]. 商场现代化,2010(19):164-165. DOI:10.3969/j.issn.1006-3102.2010.19.110. Huang WJ. Theil index analysis of regional distri bution equity of health resources in China[J]. Mark Mod, 2010(19):164-165. DOI:10.3969/j.issn.1006-3102.2010.19.110. [11] 袁素维,危凤卿,刘雯薇,等. 利用集聚度评价卫生资源配置公平性的方法学探讨[J]. 中国医院管理,2015,35(2):3-5. Yuan SW, Wei FQ, Liu WW, et al. Methodology discussion of health resource allocation equity evaluation based on agglomeration degree[J]. Chin Hosp Manag,2015,35(2):3-5. [12] 刘睿文,封志明,杨艳昭,等. 基于人口集聚度的中国人口集疏格局[J]. 地理科学进展,2010,29(10):1171-1177. DOI:10.11820/dlkxjz.2010.10.003. LIU RW, Feng ZM, Yang YZ, etal. Research on the spatial pattern of po-pulation agglomeration and dispersion in China[J]. Prog Geograp, 2010,29(10):1171-1177. DOI:10.11820/dlkxjz.2010.10.003. [13] 《中国县域统计年鉴(县市卷)-2019》编辑委员会. 中国县域统计年鉴(县市卷)-2019[M]. 北京:中国统计出版社,2019. [14] International Atomic Energy Agency. Setting up a radiotherapy programme:clinical, medical physics, radiation protection and safety aspects[M]. Geneva:Atomic Energy Agency, 2008. [15] 中华人民共和国国务院办公厅. 全国医疗卫生服务体系规划纲要(2015—2020年)[J]. 中国实用乡村医生杂志,2015,22(9):1-11. DOI:10.3969/j.issn.1672-7185.2015.09.002. General Office of the State Council of the People's Republic of China. Outline of the plan for the National Medical and Health Service System (2015-2020)[J]. Chin Pract J Rural Doct, 2015,22(9):1-11. DOI:10.3969/j.issn.1672-7185.2015.09.002. [16] Zhu B, Fu Y, Liu JL, et al. Detecting the priority areas for health workforce allocation with LISA functions:an empirical analysis for China[J]. BMC Health Serv Res,2018, 18(1):957. DOI:10.1186/s12913-018-3737-y. [17] 唐龙妹,高霞,闫丽娜,等. 河北省医疗卫生资源配置地理公平性分析[J]. 中国卫生经济,2017, 36(5):48-51. DOI:10.7664/CHE20170514. Tang LM, Gao X, Yan LN, et al. Analysis on the geographic equality of health resources allocation in Hebei[J]. Chinese Health Economics, 2017, 36(5):48-51. DOI:10.7664/CHE20170514.
2022, Vol. 31 
