Research on the equalization of family doctor contract service resource allocation from the perspective of social equity- A case study of Tianjin City

Corresponding author: GONGCHAO, Gongchaohealth@163.com

DOI: 10.12201/bmr.202301.00005

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  Abstract: Abstract: Objective: Based on the perspective of social equity, from the macro-level, meso-level and micro-level of city-region-region, to explore the differences and spatial-temporal evolution trends of human resources and institutional residents of family doctor contract service. Methods: The Wilson coefficient, Theil index and location entropy were comprehensively used to calculate and decompose the equity degree of the number of staff and the number of institutions contracted by family doctors. Results: The degree of fairness of contracted service personnel (0.2531-0.2183) was significantly better than that of contracted service institutions (0.8462-0.9354), and the degree of fairness continued to improve, while the difference of institutional fairness continued to expand. The inter-regional difference and intra-regional difference alternately affected the equity difference of contracted service personnel. The contribution between regions was 63.89%-54.04% from 2017 to 2019, and the contribution between regions was 51.25% in 2020. The inter-regional difference was the main reason for the overall equity difference of contracted service organizations (more than 90%). The regions with locational entropy >1 of contracted service personnel and institutions were mainly concentrated in parts of the six districts of the city, the four districts around the city and Binhai New Area. Conclusion: in recent years the contract service personnel the fairness of the differences from the outer suburbs around four and six in the city area to the central, signing service fairness difference obviously presents the low east west high - trends, such as parts of the six areas inside city, around four area and binhai new area suffer from varying degrees of imbalances problem, its easy to have a signed service supply and demand contradiction. It is necessary to strengthen the government to optimize the planning layout and management of contracted service institutions, expand the source of contracted service teams, and pay attention to the continuous training of contracted service personnel to innovate the medical service model to promote the rationalization and equalization of the allocation of contracted service resources of family doctors.

  Key words: Key words: Tianjin Contract Service Resources equalization Social justice

  Submit time: 12 January 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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