Impact of the new healthcare reform in China on the equity of health resources allocation based on segmented regression model

Stream: Chinese social policy: health policy
Date: Wednesday, 11 September 2019
Time: 10.45 am – 12.25 pm

Abstract

Introduction In 2009, China’s government initiated a new healthcare reform and attempted to solve the entrenched problem of “difficult and costly access to health care services”. Considering the relevance and importance, a series of policies were adopted to redress the balance of health resources between different regions. Research Question If the new healthcare reform improves the equity of health resources allocation (EHRA). And if yes, to what extent? Methods First, four indicators of health resources, i.e., health care institutions, health institution beds, health personnel, and hospital staff were selected according to WHO’s Global Reference List of 100 Core Health Indicators, OECD’s Health Statistics as well as the statistics yearbook of Ministry of Health of China. Second, concentration index was employed to analyze the EHRA from 2002 to 2017. Third, segmented regression models were conducted to evaluate the impact of the new healthcare reform on the changes of level and trend of EHRA. Summary In general, the new healthcare reform has given rise to 72.5% to 174.9% improvement of these four indicators in 2017. However, the uneven distribution of hospital staff and health personnel was the most intractable, which still concentrated on more developed regions relative to the other two indicators. In addition, the effect of the reform varied between different regions. Despite the most prominent changes in provinces among eastern region, its overall inequality was still bigger than central and western regions. More researches need to be done to shed light on more effective strategies of these aspects.

Authors

Chenghong Li (Presenter), School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology
I am a first-year master student and majors in social medicine and public health management. My supervisor is Zhiguo Zhang. My research interest focuses on evaluation of health policies and health economic evaluation.

Zhiguo Zhang (Presenter), School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology
I am an associate professor and my research interests include health economic evaluation and basic medical insurance. I achieved my Ph.D. degree in Huazhong University of Science and Technology in 2008. I have been to the School of Public Health of Harvard University as a visiting scholar in 2013. My home school has already established a coordination relationship with the Centre for Social Research in Health, UNSW.