Subjects: Digital Publishing >> New Media submitted time 2023-10-08 Cooperative journals: 《中国传媒科技》
Abstract：电视技术的发展使媒体融合成为备受关注的话题。在媒体融合之下,对电视节目的生存与发展提出了新的要求。就当前媒体与媒介融合的环境下,电视节目的发展与创新密不可分。适应新形势,抓住创新点,是推动媒体融合背景下电视节目变革和发展的重要所在。
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-04-19 Cooperative journals: 《中国全科医学》
KOU, Ruxin
MEI, Kangni
BI, Yuqing
CHEN, Tong
DENG, Shengen
XING, Jiarun
WANG, Qianqian
WANG, Mengxue
LI, Wei
Abstract： Background In recent years，China has attached great importance to strengthening the development of general practitioner（GP）workforce and primary care service system. To innovate the incentive mechanism for GP training and employment and improve the training system for GPs，the government has also promulgated a series of policies and put forward major reform measures involving many aspects. Objective To analyze and evaluate the fairness of distribution of general practitioner（GP）resources in China，and to provide theoretical support for scientific and equitable allocation of GP resources. Methods Data were sourced from five volumes of China Health and Family Planning Statistical Yearbook（2017—2021），China Health Statistical Yearbook（2017—2021），and China Statistical Yearbook（2017—2021）in June 2022，including the number of GPs，the number of people registered as general medicine professionals，the number of people who obtained the General Practitioner Certificate after training，the number of GPs per 10 000 population，and the number of practicing（assistant）physicians in China，in each geographical division（eastern，central or western），and in each regionin，and the annual gross domestic product（GDP），gross regional product（GRP），and the year-end total population data of each region during 2016 and 2020. Additionally，the total land area of each region was extracted from the China ABC column on the website www.gov.cn.The Lorenz curve and the Gini coefficient were used to analyze the fairness in the distribution of GP resources. The Theil index was used to analyze differences in the distribution of GP resources in eastern，central and western China. Results The number of GPs in China increased from 209 083 in 2016 to 408 820 in 2020，showing a growth rate 95.53%. In 2020，the proportion of GPs among all practicing（assistant）physicians reached 10.01%（408 820/4 085 689），and the number of GPs per 10 000 population was 2.9. The Gini coefficients measuring demographic，economic，and geographical distribution inequalities of GP resources were 0.235，0.178，0.722，respectively for 2016，0.231，0.170 and 0.726，respectively for 2017，0.225，0.161 and 0.729，respectively for 2018，0.177，0.147 and 0.714，respectively for 2019，and 0.157，0.136，and 0.707，respectively，for 2020.Overall，the Lorenz curve measuring the inequality in the distribution of GP resources by demographics or economy had lower degree of curvature than that by geography. A reduction was found in Theil index measuring unequal demographic, economic or geographical distribution of GP resources in 2020 compared with that in 2016（from 0.047 to 0.020；from 0.022 to 0.013；from 0.482 to 0.428）. Conclusion During the five years，the distribution of GP resources in China presented the following features：the number of GPs increased rapidly and became an important part of the workforce of practicing（assistant）physicians，the registration rate of GPs gradually increased，and the total GP resources showed a continuous growth，but the ratio of GPs per 10 000 population was still unsatisfactory，great inter-region differences existed in the distribution of GP resources，and the equity of the distribution of GP resources by geography was more unsatisfactory than by demographics or economy.
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