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. 2023 Sep 2;22(1):177.
doi: 10.1186/s12939-023-01986-4.

Efficiency and equity of bed utilization in China's health institutions: based on the rank-sum ratio method

Affiliations

Efficiency and equity of bed utilization in China's health institutions: based on the rank-sum ratio method

Hang Zhang et al. Int J Equity Health. .

Abstract

Objective: The study aimed to analyze the efficiency and equity of bed utilization in Please check if the section headings are assigned to appropriate levels.China's healthcare institutions and to compare and analyze the overall health resource utilization efficiency in recent years and some specific utilization conditions in 2021, to provide empirical experience for the allocation of health care resources in epidemic China.

Methods: To compare and analyze the overall health resource utilization efficiency of the whole country with that of the East, middle, and West in 2021, and to analyze the bed utilization efficiency of different types of healthcare institutions in China and the bed utilization efficiency of various types of specialist hospitals in the country in 2021 by using the rank-sum ratio method.

Results: In 2021, the bed utilization rate of China's health institutions was 69.82%, and the number of bed turnover times was 27.65 times; the bed utilization rate of hospitals was 74.6%, and the number of bed turnover times was 26.08 times. The number of hospital bed turnovers was highest in the western region, lowest in the central region, and close to the national average in the eastern region. The average length of stay for discharged patients was the highest in the central region, the lowest in the eastern region, and the same as the national average in the western region. The analysis of rank-sum ratio method shows that among different types of health institutions' bed utilization efficiency (r = 0.935, P = 0.000), general hospitals and traditional Chinese medicine hospitals have the best bed utilization rate, and the bed utilization rate of community health service centers (stations) needs to be improved; while among various types of specialized hospitals' bed utilization efficiency (r = 0.959, P = 0.000), oncology hospitals, thoracic hospitals, and hematology hospitals, children's hospitals have high bed utilization efficiency; leprosy hospitals, cosmetic hospitals, and stomatology hospitals have low bed utilization efficiency. Health technicians per 1,000 population are highest in the western region, lowest in the central region, and lower in the eastern region than in the western region but slightly higher than the national average. The number of beds in health institutions per 1,000 population is the highest in the central region, the lowest in the eastern region, and slightly lower in the northwest than in the central region but higher than the national average.

Conclusion: China's investment in health funding in the field of health care has been on the rise in recent years. However, there still exists the situation of uneven investment in health expenses and inconsistent medical efficiency among regions. And change such a status quo can be further improved in terms of government, capital, human resources, technology, information system, and so on.

Keywords: China's health institutions; Efficiency and equity of bed utilization; Rank-sum ratio method.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
National comparison of health technicians and beds per 1,000 population, 2017–2021
Fig. 2
Fig. 2
Comparison of national total health costs per capita and per bed, 2017–2021
Fig. 3
Fig. 3
Comparison of the number of bed turnovers and utilization rates by region, 2021
Fig. 4
Fig. 4
Comparison of health technicians and beds per 1,000 population and the average number of consultations and bed days carried out by physicians per day, nationally and in the eastern, central, and western regions, 2021
Fig. 5
Fig. 5
Comparison of the number of bed turnovers and utilization rates of different types of healthcare facilities nationwide, 2021
Fig. 6
Fig. 6
Comparison of bed turnover times and utilization rates of various types of specialized hospitals nationwide in 2021

References

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