卫生资源发展指数构建及其应用研究OA

Objective To construct the China Health Resource Development Index(HRDI),measure the index,and evaluate the current status of health resource development in various provinces(autonomous regions,and municipalities directly under the central government),and provide data support for optimizing health resource allocation and formulating regional health policies.Methods Based on an input-output model,the indicator system was developed through a literature review,focus-group discussions,and Delphi consultation;indicator weights were determined using the analytic hierarchy process.Relevant data were obtained from the China Statistical Yearbook and the China Health Statistics Yearbook,and the HRDI was calculated using the weighted geometric mean.Results An indicator system comprising 2 first-level indicators,4 second-level indicators,and 22 third-level indicators was constructed.The calculated average value of China's HRDI was 84.89.There was no statistically significant difference among the eastern,central,and western regions.The average values of the health human resources development index and the facilities and equipment resources development index were 78.72 and 88.28,respectively.In terms of the facilities and equipment resources input index,the western region had the highest value(84.18±10.00),followed by the central region(81.50±5.06);both were significantly higher than the eastern region(60.34±13.34,P＜0.001).Moreover,the facilities and equipment resources input index was significantly negatively correlated with the output index in the western region(r=-0.640,P=0.025).Conclusions Regional disparities and input-output mismatches exist in China's health resource development.The western region has seen rapid growth in health resource inputs,but its output efficiency needs improvement.