Objective: To provide the basis for optimizing health resources allocation by analyzing the status and equity of Hainan’s health resource allocation in the early 13 th five-year plan period. Methods: The index of health institutions was revised. Descriptive analysis, Gini coefficient and Theil Index were applied to analyze and evaluate the status and equity of health resource allocation in 18 cities and counties of Hainan Province in 2016 from the perspective of population and geography distribution. Results: In 2016, the level of health resource allocation in Hainan Province generally lagged behind the national average, and health resources were concentrated in developed areas. The Gini coefficients of health resources according to the population and geography were 0.107~0.296 and 0.301~0.531. The imbalance between groups of government expenditures was more obvious, while the inequity within the group of health personnel and bed was greater. The northern region had the largest contribution rate to the total Thiel index. Conclusion: The health resource allocation was unbalanced among regions in Hainan Province in the early 13 th Five-Year Plan period. The equity of population was better than the geography distribution. The imbalance in the northern region was the most serious with distinct siphon effect of health resources. It is suggested to adjust the investment of health resources within and among the regions and improve the allocation of health resources in densely populated areas, remote areas and grassroots areas.
Chinese Health Economics