Evidence map›Paper›PMID 30585243›Full record

ArticleInternational journal of environmental research and public health2018

Increased Inequalities in Health Resource and Access to Health Care in Rural China.

Suhang Song, Beibei Yuan, Luyu Zhang, Gang Cheng, Weiming Zhu, Zhiyuan Hou, Li He, Xiaochen Ma, Qingyue Meng

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Interdependence, marginalisation, and self-acceptance: lived experiences of cancer patients in rural China.International journal of qualitative studies on health and well-being · 2025
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Suhang SongSchool of Public Health, Peking University, Beijing 100191, China. suhangsong@126.com.ORCID 0000-0003-1934-632X
Beibei YuanChina Center for Health Development Studies, Peking University, Beijing 100191, China. beibeiyuan@bjmu.edu.cn.
Luyu ZhangSchool of Public Health, Peking University, Beijing 100191, China. lulilu@sina.com.ORCID 0000-0003-1051-6177
Gang ChengChina Center for Health Development Studies, Peking University, Beijing 100191, China. maxdeapro@gmail.com.
Weiming ZhuChina Center for Health Development Studies, Peking University, Beijing 100191, China. epizhu@gmail.com.ORCID 0000-0002-9042-6202
Zhiyuan HouSchool of Public Health, Fudan University, Shanghai 200032, China. zyhou@fudan.edu.cn.
Li HeCollege of Physical Education and Sports, Beijing Normal University, Beijing 100875, China. aprilhelly@bjmu.edu.cn.
Xiaochen MaChina Center for Health Development Studies, Peking University, Beijing 100191, China. xma@hsc.pku.edu.cn.
Qingyue MengSchool of Public Health, Peking University, Beijing 100191, China. qmeng@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Both health resources and access to these resources increased after China's health care reform launched in 2009. However, it is not clear if the inequalities were reduced within rural China, which was one of the main targets in the reform. This study aims to examine the changes in inequalities in health resources and access following the reform. Data came from the routine report of rural counties in every other year from 2008 to 2014. Health professionals and hospital beds per 1000 population were used for measuring health resources, and the hospitalization rate was used for access. Descriptive analysis and the fixed effect model were used in this study. Health resources and access increased by about 50% between 2008 and 2014 in rural China. The counties in richer quintiles got more health resources and hospitalizations. As for health professionals, the absolute differences between the richer and the poorest quintile were significantly enlarging in 2014 when compared to 2008. Regarding the hospitalization rate, the differences between the richest and the poorest quintile showed no significant change after 2012. In sum, absolute inequalities of health resources were increased, while that of health utilization kept constant following China's health care reform. The reform needs to continually recruit qualified health workers and appropriately allocate health infrastructures to strengthen the capacity of the health care system in the impoverished areas.

Indexed as

Health Services AccessibilityRural PopulationSocioeconomic FactorsChinaHealth Care ReformHealth ResourcesHospitalizationHumansPovertyaccessChinahealth care reformhealth resourceinequality

Identifiers

PMID30585243
PMCPMC6338945

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.