ArticleInternational journal for equity in health2018
Equity and efficiency of primary health care resource allocation in mainland China.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 1 of them a synthesis that pooled it.
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Who cites it
105 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Approaches to Measure Efficiency in Primary Care: A Systematic Literature Review.Applied health economics and health policy · 2022Pooled it
- Inequality in hospital bed supply and utilization across regions and departments: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Prevalence and risk factors associated with diabetic retinopathy: a cross-sectional study in northern Xinjiang.Scientific reports · 2026Article
- Using tiered accreditation and decentralized governance to achieve population-based equity in pulmonary and critical care medicine in the Chinese mainland.Communications medicine · 2026Article
- Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Equity in the allocation of oncology bed resources in China: Longitudinal data from 2008 to 2022.PloS one · 2026Article
- A study on the efficiency and spatial correlation of health resource allocation in Chinese hospitals.PloS one · 2026Article
- [Regional distribution differences and influencing factors of primary healthcare institutions in China].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Spatial-temporal characteristics and driving factors of the coupling coordination between primary health care and socioeconomic development: a case study of Beijing, China.BMC public health · 2025Article
- Cardiovascular disease-specific and all-cause mortality across socioeconomic status and lifestyles among patients with established cardiovascular disease in communities of China: data from a national population-based cohort.Heart (British Cardiac Society) · 2025Observational
- Measuring the effect of deprivation on primary health care performance using data envelopment analysis and Malmquist Indices.Health care management science · 2025Article
- Does Global Budget promote the construction of integrated healthcare delivery system? Evidence from Sanming, China.BMC public health · 2025Article
- Assessing healthcare efficiency and determinants in China: the perspective of provincial-level social health expenditure.BMC health services research · 2025Article
- Equity in the distribution of health resources and services in the West Bank, Palestine: a focus on hospitals and primary healthcare centers.International journal for equity in health · 2025Article
- A scoping review of Chinese national policies to promote the three-medicals linkage reform since 2014.npj health systems · 2025Article
- Development and validation of the pain management competency scale for nurses and a nationwide survey of Chinese nurses.BMC nursing · 2025Article
- Geographic variations, temporal trends, and equity in healthcare resource allocation in China, 2010-21.Journal of global health · 2025Article
- Evaluating the equity of access to community health service centers in different regions of China based on cyclability and walkability.Frontiers in public health · 2025Article
- How did the urban and rural resident basic medical insurance integration affect medical costs?-Evidence from China.PloS one · 2025Article
- China's coordinated tripartite medical reform: strategic balancing of interests among pharmaceuticals, healthcare, and health insurance.Frontiers in public health · 2025Article
45 more citing papers are in PubMed but not listed here.
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4 authors.
Funding
Abstract
backgroundChina had proposed the unification of equity and efficiency since the launch of the new round of health system reform in 2009. And the central government gave priority to the development of primary health care (PHC) whilst ensuring its availability and improving its efficiency. This study aimed to evaluate the changes of equity and efficiency in PHC resource allocation (PHCRA) and explored ways to improve the current situation.
methodsThe data of this study came from the China Health Statistical Yearbook (2013-2017) and China Statistical Yearbook (2017). Three and five indicators were used to measure equity and efficiency, respectively. The Lorenz curve, Gini coefficient (G), Theil index (T) and health resource density index (HRDI) were used to assess equity in demographic and geographical dimensions. Data envelopment analysis (DEA) and the Malmquist productivity index (MPI) were chosen to measure the efficiency and productivity of PHCRA.
resultsFrom 2012 to 2016, the total amount of PHCR had increased year by year. The Gs by population size were below 0.2 and that by geographical area were between 0.6 and 0.7. T had the same trend with G, and intra-regional contribution rates were higher than inter-regional contribution rates, which were all beyond 60%. From 2012 to 2016, the numbers of provinces that achieved an effective DEA were 4, 3, 4, 5 and 5, respectively. The mean of the total factor productivity index was 0.994.
conclusionThe equity of PHCRA in terms of population size is superior in the geographical area. Intra-regional differences are the main source of inequality. The eastern region has the highest density of PHCR, whereas the western region has the lowest. In addition, PHC institutions in more than 80% of the provinces are inefficient, and the productivity of the institutions decline by 0.6% from 2012 to 2016 because of technological retrogression.
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