Assessing equity in the distribution of high-technology medical equipment in Guangxi: evidence from an ethnic minority region in Southern China

International Journal for Equity in Health

Research

Hai Gu¹  Jian Sun²  Hongye Luo³  Qiulin Wen⁴ 

[1] Research Center of Health Policy and Management, Nanjing University, 163 Xian Lin Avenue, Qi Xia District, 210023, Nanjing, Jiangsu Province, China;School of Humanities and Social Science, Guangxi Medical University, 22 Shuang Yong Road, Qing Xiu District, 530021, Nanning, Guangxi Zhuang Autonomous Region, China;School of Information and Management, Guangxi Medical University, 22 Shuang Yong Road, Qing Xiu District, 530021, Nanning, Guangxi Zhuang Autonomous Region, China;School of Pharmacy, Guangxi Medical University, 22 Shuang Yong Road, Qing Xiu District, 530021, Nanning, Guangxi Zhuang Autonomous Region, China;

关键词: High-technology medical equipment;    Equity;    Distribution;    Concentration index;    Guangxi Zhuang Autonomous Region;   

DOI  :  10.1186/s12939-017-0568-0

 received in 2017-01-07, accepted in 2017-04-26,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundHigh-technology medical equipment (HTME) are important health resources. However, there is unequal distribution of these equipment in favor of metropolis and well equipped health facilities. This study sought to examine the equity gaps in the distribution of HTME in Guangxi. The results of this study could shed light on the future HTME allocation in Guangxi Zhuang Autonomous Region.MethodsData related to HTME was sourced from a general investigation of all the hospitals of Guangxi. Concentration index was used to assess the equity status of HTME in Guangxi.ResultsOver all, the total amount of HTME in Guangxi had been increasing from 2011 to 2015, and the per million population HTME of five kinds were all increased at the same time. Meanwhile, the concentration indices ranged between 0.1020 and 0.4617. The five medical equipment were all concentrated among the rich.ConclusionsThe possession of SPECT per million population in Guangxi is lower than the national average level while it is superior to the national average level for CT, MRI, DSA and LA. The equity status in the distribution of the five medical equipment has deteriorated since 2011. In 2015, the equity status of CT was the best, while the equity status of MRI was the worst. Meanwhile, 45.1% of HTME were concentrated in Nanning, Guilin, and Liuzhou.

【 授权许可】

CC BY   
© The Author(s). 2017