关键词: Gini coefficient Lorenz curve agglomeration analysis equity analysis older adult resource allocation

Mesh : Humans China Aged Resource Allocation Middle Aged Male Health Care Rationing Female

来  源:   DOI:10.3389/fpubh.2024.1411054   PDF(Pubmed)

Abstract:
UNASSIGNED: To evaluate the current status and equity of older adult resource allocation in the 31 provinces (autonomous regions and municipalities) of mainland China, and to offer recommendations for the optimization of these allocations.
UNASSIGNED: Four key indicators, namely, the number of older adult institutions, employees, professionals, and beds in mainland China in the year 2020, were used and analyzed using various methods and tools, including agglomeration analysis, the Gini coefficient, and the Lorenz Curve. These methods were applied to evaluate the equity of older adult resource allocation across the different provinces (autonomous regions and municipalities) and regions of China, using two dimensions, namely, the geographical area and the older adult population.
UNASSIGNED: Overall, the number of older adult resource allocations was found to be increasing in China, while the number of employees with educational levels of junior college or above was relatively low and the population structure was aging. In terms of the equity of older adult resource allocation, the results showed that this was good according to the dimensions of the older adult population but was on the low side based on the dimension of geographical area, and the Gini coefficient of the western region, in particular, was in an alarming state. Different provinces (autonomous regions and municipalities) were found to have an uneven allocation of resources for older adults, with large differences, with some areas having a serious under-allocation of resources, while others showed resource over-allocation.
UNASSIGNED: While China\'s allocation of older adult resources is relatively equitable, there is nevertheless a need to take into account recent changes in the older adult population and strengthen the construction of a reasonably structured, high-quality team of professionals and technicians, as well as consider factors such as geographical area and the older adult population, and rationally allocate older adult resources in the eastern, middle, and western regions, to achieve a balanced allocation in terms of equity and efficiency and enhance social capital, to better satisfy the demands for older adult services in older adults at multiple levels.
摘要:
评估中国大陆31个省(区、市)老年人资源配置的现状和公平性,并为优化这些分配提供建议。
四个关键指标,即,老年成人机构的数量,雇员,专业人士,和中国大陆在2020年的床位,使用各种方法和工具进行了分析,包括团聚分析,基尼系数,和洛伦兹曲线。这些方法被应用于评估中国不同省(自治区、直辖市)和地区老年人资源配置的公平性,使用两个维度,即,地理区域和老年人口。
总的来说,发现中国老年人资源配置的数量在增加,而大专以上文化程度的从业人员相对较少,人口结构呈老龄化趋势。就老年人资源配置的公平性而言,结果表明,根据老年人口的维度,这是良好的,但根据地理区域的维度,这是偏低的,和西部地区的基尼系数,特别是,处于令人震惊的状态。发现不同省(区,市)老年人资源配置不均衡,有很大的差异,一些地区资源分配严重不足,而其他人则显示资源过度分配。
虽然中国老年人资源的分配相对公平,然而,有必要考虑到老年人口的最新变化,加强结构合理的建设,高素质的专业技术人员队伍,以及考虑地理区域和老年人口等因素,合理分配东部的老年人资源,中间,和西部地区,实现公平和效率的均衡配置,增强社会资本,以更好地满足多层次老年人对老年人服务的需求。
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