Abstract
Objective: To explore the distribution and difference of medical
resources among 31 provinces (municipalities) in China. Methods and
process: According to the health resource indicators of 31 provinces in
China Health Statistical Yearbook and China Statistical Yearbook, we
described and analyzed the total amount of medical and health resources,
per capita medical and health resources and high-quality medical
resources. By using cluster analysis and RSR (Rank-sum ratio)
comprehensive evaluation method, the difference of medical resources
among 31 provinces in China in 2020 was calculated, and the medical
resources of each province were classified, compared and analyzed to
describe the difference. Results and conclusions:(1) From the
perspective of total medical resources, the total medical resources in
the western region are far less than those in the eastern region,
showing a situation of “more in the east and less in the west”.
Provinces with large populations have large medical resources. Developed
cities such as Beijing and Shanghai have great advantages in medical and
health financial resources, while provinces in remote areas are
extremely backward in human, material and financial
resources.(2)Unbalanced distribution of high-quality medical resources:
tertiary hospitals are mainly concentrated in eastern and central China.
The number and scale of tertiary hospitals in western China are
obviously backward. China’s top 100 hospitals are mainly distributed in
the first tier and economically developed cities. Beijing, Shanghai and
Guangzhou accounted for half of the top 100 hospitals. Nearly half of
China’s provinces have no hospitals on the “Top 100” list. (3) Per
capita medical resources vary greatly. The per capita level of medical
resources in the three northeastern provinces (Inner Mongolia, Qinghai,
Sichuan, Beijing and Shanghai) is relatively high. The per capita level
of medical resources in Anhui, Jiangxi, Guangdong, Ningxia and other
provinces is low.