Health resource allocation and quality of care measurement in a social policy framework

1978 ◽  
Vol 9 (1) ◽  
pp. 19-43 ◽  
Author(s):  
Joseph Lipscomb
Keyword(s):  
Resource Allocation ◽  
Quality Of Care ◽  
Social Policy ◽  
Policy Framework ◽  
Health Resource ◽  
Health Resource Allocation

scholarly journals Differences in regional distribution and inequality in health-resource allocation at hospital and primary health centre levels: a longitudinal study in Shanghai, China

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035635
Author(s):  
Enhong Dong ◽  
Shipeng Liu ◽  
Minjie Chen ◽  
Hongmei Wang ◽  
Li-Wu Chen ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Health Centre ◽  
Regional Distribution ◽  
Primary Health Centre ◽  
Theil Index ◽  
Health Resource ◽  
Healthcare Resources ◽  
Health Resource Allocation ◽  
Primary Health ◽  
Inequality In Health

ObjectivesTo analyse differences in regional distribution and inequality in health-resource allocation at the hospital and primary health centre (PHC) levels in Shanghai over 7 years.DesignA longitudinal survey using 2010–2016 data, which were collected for analysis.SettingThe study was conducted at the hospital and PHC levels in Shanghai, China.Outcome measuresTen health-resource indicators were used to measure health-resource distribution at the hospital and PHC levels. In addition, the Theil Index was calculated to measure inequality in health-resource allocation.ResultsAll quantities of healthcare resources per 1000 people in hospitals and PHCs increased across Shanghai districts from 2010 to 2016. Relative to suburban districts, the central districts had higher ratios, both in terms of doctors and equipment, and had faster growth in the doctor indicator and slower growth in the equipment indicator in hospitals and PHCs. The Theil Indices of all health-resource allocation in hospitals had higher values compared with those in PHCs every year from 2010 to 2016; furthermore, the Theil Indices of the indicators, except for technicians and doctors in hospitals, all exhibited downward time trends in hospitals and PHCs.ConclusionsIncreased healthcare resources and reduced inequality of health-resource allocation in Shanghai during the 7 years indicated that measures taken by the Shanghai government to deepen the new round of healthcare reform in China since 2009 had been successful. Meanwhile there still existed regional difference between urban and rural areas and inequality across different medical institutions. To solve these problems, we prescribe increased wages, improved working conditions, and more open access to career development for doctors and nurses; reduced investments in redundant equipment in hospitals; and other incentives for balancing the health workforce between hospitals and PHCs.

scholarly journals Methods to promote equity in health resource allocation in low- and middle-income countries: an overview

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
James Love-Koh ◽  
Susan Griffin ◽  
Edward Kataika ◽  
Paul Revill ◽  
Sibusiso Sibandze ◽  
...  
Keyword(s):  
Resource Allocation ◽  
Health Resource ◽  
Middle Income ◽  
Equity In Health ◽  
Middle Income Countries ◽  
Health Resource Allocation ◽  
Low And Middle Income
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