Chronic Obstructive Pulmonary Diseases Related Health Resources Allocation in Hunan Province of China

摘要

BackgroundInformation about Chronic obstructive pulmonary diseases (COPD)-related health resources allocation in China is very limited. The aim of the study was to explore the distribution of COPD-related health resources allocation among different levels public hospitals (PHs) in Hunan Province of central south China.Methods:We randomly collected data from 57 Public Hospitals (PHs) at 3 different levels in Hunan province as well as 893 pulmonary physicians (PPs) who worked there in 2009. Questionnaires based on the recommendations of COPD guideline were designed, including availability of spirometers, inhaled agents for COPD and COPD-related health education for local residents, as well as PPs’ educational levels.Results:Spirometers equipped ratio in 3rd level PHs was much higher than 1st, 2nd PHs. The disparity varied vastly form 0% to 100%. The inhaled agents equipped ratio was 5.56%, 70.85% and 100% respectively for the 1st, 2nd and 3rd levels PHs. No 1st level PHs launched COPD-related healthcare education for local residents, only 10 of 24 for the 2nd level PHs and 10 of 15 for the 3rd level PHs. PPs of high educational levels concentrate in 3rd levels PHs, however, PPs working in 1st levels PHs and 2nd levels PHs were mainly low and median educational levels PPs’ knowledge of COPD of 3rd levels PHs was much better than of 1st levels PHs and 2nd levels PHs.Conclusion:The extreme imbalance and disparity existed in COPD-related health resources allocation at three levels PHs in central south China. Inequity and insufficient in COPD-related health resources in 1st and 2nd levels PHs should be improved.