The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China

Hui Tang; Rongjun Ao; Yilei Li

doi:10.3389/fpubh.2024.1376518

The spatio-temporal pattern and its influencing factors of production efficiency of health resources in China

Front Public Health. 2024 Apr 16:12:1376518. doi: 10.3389/fpubh.2024.1376518. eCollection 2024.

Authors

Hui Tang^{1

2

3}, Rongjun Ao², Yilei Li⁴

Affiliations

¹ College of Architecture and Urban Planning, Hunan City University, Yiyang, Hunan, China.
² College of Urban and Environmental Sciences, Central China Normal University, Wuhan, Hubei, China.
³ Key Laboratory of Key Technologies of Digital Urban-Rural Spatial Planning of Hunan Province, Yiyang, Hunan, China.
⁴ College of Urban and Environmental Sciences, Hunan University of Technology, Zhuzhou, China.

Abstract

There is always a contradiction between the limited health resources and the unlimited demand of the population for health services, and only by improving the productivity of health resources can the health level of the population be improved as much as possible. Using prefecture-level administrative regions as spatial units, the paper analyzes the spatial pattern and changes of health productivity of health resources in China from 2000 to 2010, and uses a spatial panel Tobit model to examine the effects of factors such as technical level of health institutions, health service accessibility, public health policies and ecological environment quality on health productivity of health resources. The results show that with the Hu Huanyong line as the dividing line, the spatial heterogeneity of "high in the southeast and low in the northwest" in the health productivity of China's health resources is clear; as the regional differences narrow, the spatial correlation increases, and the spatial pattern of "overall dispersion and partial agglomeration" becomes more obvious. The fitting results of the spatial Durbin model reveal the direction and degree of influence of local and adjacent factors on the production efficiency of health resources. The positive influence of technical level of local health institutions and the accessibility of health services, the literacy level and the ability to pay for health services of residents in adjacent areas, the degree of urbanization of regional health resource allocation, climate suitability and the quality of the atmospheric environment are significant. And the negative influence of local residents' literacy and ability to pay for health services, the technical level of health institutions in adjacent areas and the degree of medicalization of health resource allocation are also significant. The influence of the degree of medicalization of local health resource allocation and the accessibility of health services in adjacent areas are significantly spatial-heterogeneous.

Keywords: China; health productivity of health resources; influencing factors; prefecture-level regions; spatial and temporal patterns.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

China
Health Policy
Health Resources*
Health Services Accessibility / statistics & numerical data
Humans
Spatio-Temporal Analysis

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by Project for Philosophy and Social Science Foundation of Hunan Province (20YBQ024).