Research on Equity and Utilization Efficiency of Health Resource Allocation in Anhui Province

Research on Equity and Utilization Efficiency of Health Resource Allocation in Anhui Province | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Research on Equity and Utilization Efficiency of Health Resource Allocation in Anhui Province Haili Li, Yujing Shu, Jiegen Yu, Hairong Liu, Penghui Xu This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8420561/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 12 You are reading this latest preprint version Abstract ‌Objective: ‌ To analyze the equity and utilization efficiency of health resource allocation in Anhui Province, providing methods for rational resource layout. ‌ Methods: ‌ The entropy-weighted TOPSIS method and rank-sum ratio (RSR) method were adopted to conduct comprehensive evaluation and grading analysis of health resource allocation in Southern, Central, and Northern Anhui from 2019 to 2023. ‌ Results: ‌ The entropy-weighted TOPSIS analysis indicated that since 2021, the comprehensive evaluation index (C-value) of Central Anhui surpassed that of Southern Anhui, reaching 0.745 in 2023, while Northern Anhui consistently exhibited low C-values. RSR grading results classified Southern Anhui as "excellent," Central Anhui as "moderate," and Northern Anhui as "poor." ‌Conclusion: ‌ Significant disparities exist in health resource allocation across Anhui Province. Southern Anhui boasts abundant resources but faces weaker grassroots service capacity; Central Anhui shows rapid growth yet poor alignment between resources and population density; Northern Anhui suffers from inadequate infrastructure and high equipment idle rates. Recommendations include:strengthening mobile medical services and resource allocation to grassroots in Southern Anhui; implementing hierarchical diagnosis and treatment coupled with medical consortium collaboration in Central Anhui; enhancing grassroots talent and equipment management in Northern Anhui through targeted training programs and incentive policies. Anhui Province Health resource allocation Equity Utilization efficiency Full Text Additional Declarations No competing interests reported. Tables 1 to 7 are available in the Supplementary Files section. Supplementary Files Tables.docx Cite Share Download PDF Status: Under Review Version 1 posted Editorial decision: Revision requested 26 Mar, 2026 Reviews received at journal 26 Mar, 2026 Reviews received at journal 16 Mar, 2026 Reviewers agreed at journal 15 Mar, 2026 Reviews received at journal 12 Mar, 2026 Reviewers agreed at journal 09 Mar, 2026 Reviewers agreed at journal 06 Mar, 2026 Reviewers invited by journal 05 Mar, 2026 Editor invited by journal 29 Dec, 2025 Editor assigned by journal 29 Dec, 2025 Submission checks completed at journal 29 Dec, 2025 First submitted to journal 21 Dec, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8420561","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":602980097,"identity":"60809599-c69c-437f-a869-648b5d4fdb07","order_by":0,"name":"Haili Li","email":"","orcid":"","institution":"Wannan Medical College","correspondingAuthor":false,"prefix":"","firstName":"Haili","middleName":"","lastName":"Li","suffix":""},{"id":602980098,"identity":"0a83d003-0dad-4009-8b61-eaa9c8bcda0d","order_by":1,"name":"Yujing Shu","email":"","orcid":"","institution":"Wannan Medical 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Anhui Province","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC 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\u003cstrong\u003e‌\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e‌ The entropy-weighted TOPSIS analysis indicated that since 2021, the comprehensive evaluation index (C-value) of Central Anhui surpassed that of Southern Anhui, reaching 0.745 in 2023, while Northern Anhui consistently exhibited low C-values. RSR grading results classified Southern Anhui as \"excellent,\" Central Anhui as \"moderate,\" and Northern Anhui as \"poor.\"\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e‌Conclusion:\u003c/strong\u003e‌ Significant disparities exist in health resource allocation across Anhui Province. Southern Anhui boasts abundant resources but faces weaker grassroots service capacity; Central Anhui shows rapid growth yet poor alignment between resources and population density; Northern Anhui suffers from inadequate infrastructure and high equipment idle rates. Recommendations include:strengthening mobile medical services and resource allocation to grassroots in Southern Anhui; implementing hierarchical diagnosis and treatment coupled with medical consortium collaboration in Central Anhui; enhancing grassroots talent and equipment management in Northern Anhui through targeted training programs and incentive policies.\u003c/p\u003e","manuscriptTitle":"Research on Equity and Utilization Efficiency of Health Resource Allocation in Anhui Province","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-03-10 15:25:32","doi":"10.21203/rs.3.rs-8420561/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2026-03-26T12:29:54+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-03-26T09:02:24+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-03-16T13:34:52+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"289990106446796083676911776804012083044","date":"2026-03-16T01:26:20+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-03-12T16:24:07+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"59806239823274770415016175709686807447","date":"2026-03-09T09:11:08+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"282913227369126675948168181618930418697","date":"2026-03-06T11:43:04+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-03-05T11:06:33+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-12-29T13:35:31+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-12-29T11:11:57+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-12-29T11:09:42+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Health Services Research","date":"2025-12-22T03:24:27+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-health-services-research","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"bhsr","sideBox":"Learn more about [BMC Health Services Research](http://bmchealthservres.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/BHSR/default.aspx","title":"BMC Health Services Research","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"fbbee17f-8d93-4dac-b950-9b99241b63b1","owner":[],"postedDate":"March 10th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-05-12T12:10:05+00:00","versionOfRecord":[],"versionCreatedAt":"2026-03-10 15:25:32","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8420561","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8420561","identity":"rs-8420561","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}