ArticleInternational journal of environmental research and public health2017
Horizontal Inequity in Health Care Utilization among the Middle-Aged and Elderly in China.
Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of physical activity interventions on physical and mental health of the elderly: a systematic review and meta-analysis.Aging clinical and experimental research · 2025Pooled it
- The poverty prevention effects of health insurance: evidence from China's basic medical insurance program.Frontiers in public health · 2025Article
- Analysis on equity of health service utilization and influencing factors in patients with hypertension in China: a longitudinal study.BMC health services research · 2024Article
- Inequity in the utilization of the home and community integrated healthcare and daily care services in older adults with limited mobility in China.BMC geriatrics · 2024Article
- Article
- Inequalities changes in health services utilization among middle-aged and older adult disabled people in China: based on CHARLS 2011-2018.Frontiers in public health · 2024Article
- Exploring Older Adults' Perceived Affordability and Accessibility of the Healthcare System: Empirical Evidence from the Chinese Social Survey 2021.Healthcare (Basel, Switzerland) · 2023Article
- Income-related equity in inpatient care utilization and unmet needs between 2013 and 2018 in Tibet, China.International journal for equity in health · 2023Article
- Effects of Urban and Rural Resident Basic Medical Insurance on Healthcare Utilization Inequality in China.International journal of public health · 2023Article
- Health Service Utilization and Its Determinants among Senior Citizens in the Semiurban Area of Western Nepal: A Cross-Sectional Study.Journal of aging research · 2023Article
- The Impact of Social Capital on Rural Residents' Medical Service Utilization in China-An Empirical Study Based on CFPS Data.International journal of environmental research and public health · 2022Article
- Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.International journal of environmental research and public health · 2022Article
- Multi-dimensional vulnerability analysis on catastrophic health expenditure among middle-aged and older adults with chronic diseases in China.BMC medical research methodology · 2022Article
- Inequity in Health Services Utilization in Economically Underdeveloped Regions of Northeast China.Frontiers in public health · 2022Article
- Socioeconomic inequality in health care use among cancer patients in China: Evidence from the China health and retirement longitudinal study.Frontiers in public health · 2022Article
- Unmasking unexpected health care inequalities in China using urban big data: Service-rich and service-poor communities.PloS one · 2022Article
- Inequity and benefit incidence analysis in healthcare use among Syrian refugees in Egypt.Conflict and health · 2021Article
- Urban-rural differences in healthcare utilization among beneficiaries in China's new cooperative medical scheme.BMC public health · 2021Article
- Financial protection effects of private health insurance: experimental evidence from Chinese households with resident basic medical insurance.International journal for equity in health · 2021Article
- The changes in socioeconomic inequalities and inequities in health services utilization among patients with hypertension in Pearl River Delta of China, 2015 and 2019.BMC public health · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEquitable utilization of health care is a primary goal of the Chinese health system. This study aimed to examine horizontal inequity in health care utilization and identify the factors resulting in inequity among the middle-aged and elderly in China.
methodsThe data were obtained from the China Health and Retirement Longitudinal Study (CHARLS). We employed the concentration index (CI) and horizontal inequity (HI) to measure inequity in health care utilization. Non-linear regression models were used to decompose the CI into the contribution of each factor.
resultsThe CIs for the probability of and total number of outpatient visits were 0.0642 and 0.0780, respectively, and those for inpatient visits were 0.1418 and 0.1471, respectively. The HIs were also significantly positive. Living standard was the most important contributor. The contribution of health insurance varied between plans.
conclusionsThis study supported the presence of pro-rich inequity in health care utilization for both probability and frequency among the middle-aged and elderly in China. Narrowing the living standard gap and improving the health insurance benefit package for the elderly should help to resolve these inequities.
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