Abstract:

Objective  To empirically analyze the equity of the allocation of the public health resources in Chongqing from 2009 to 2012 according to the scale and direction of rural-urban migration. Methods  The Gini coefficient and scale variance were used to evaluate and analyze the equity of the allocation of the public health resources in Chongqing area since healthcare reform from the perspectives of registered population and permanent population. Results   The mean Gini coefficients of public health technical personnel for registered population and permanent population were 0.212 2 and 0.177 1 and the difference was statistically significant (P<0.05). The mean Gini coefficients of public health expenditure for registered population and permanent population were 0.480 0 and 0.413 3 and the difference was statistically significant (P<0.05). The mean Gini coefficients of public health work area for registered population and permanent population were 0.357 5 and 0.251 1 and the difference was statistically significant (P<0.05). The contributions of county scale variance of public health technical personnel, public health expenditure, and public health work area of registered population were 63.35%, 57.37%, and 79.39%. The contributions of county scale variance of public health technical personnel, public health expenditure, and public health work area of permanent population were 85.48%, 47.18%, and 78.11%. Conclusion  The equity of public health resources allocation of urban and rural areas is different. The difference among counties is the main cause of the difference of public health resource allocation in Chongqing. Location of public health resources based on scale and direction of rural-urban migration can promote the equity of regional public health resources allocation.

Key words: migration, public health resources, fairness, Gini coefficient, scale variance