ArticleInternational journal of environmental research and public health2019
Concentration of Healthcare Resources in China: The Spatial-Temporal Evolution and Its Spatial Drivers.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Successful Implementation and Development of a Phase II Cardiac Rehabilitation Program: A China-Wide Cross-Sectional Study Tracking In-service Training Clinical Staff.Frontiers in public health · 2021Trial
- China's new quality productive forces in healthcare: spatial disparities, dynamic evolution, and convergence.BMC health services research · 2026Article
- Spatial disparities and dynamic evolution of health human resources in primary healthcare institutions in China: a study from the perspective of aggregation degree.BMC health services research · 2026Article
- Informing equitable urban health policy: a multi-source geospatial assessment of spatial mismatch in medical facility distribution across Chinese cities.Frontiers in public health · 2026Article
- Health Care-Seeking Behaviors, Disease Progression, Medications, Knowledge of, and Attitudes Toward Systemic Lupus Erythematosus in China: Cross-sectional Survey Study.JMIR public health and surveillance · 2023Article
- A study of primary health care service efficiency and its spatial correlation in China.BMC health services research · 2023Article
- Sustainability-oriented innovation system and economic stability of the innovative countries.Frontiers in public health · 2023Article
- Geographical Pattern Evolution of Health Resources in China: Spatio-Temporal Dynamics and Spatial Mismatch.Tropical medicine and infectious disease · 2022Article
- Finding flaws in the spatial distribution of health workforce and its influential factors: An empirical analysis based on Chinese provincial panel data, 2010-2019.Frontiers in public health · 2022Article
- Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta.Frontiers in public health · 2022Article
- The Spatial Correlations of Health Resource Agglomeration Capacities and Their Influencing Factors: Evidence from China.International journal of environmental research and public health · 2020Article
- Spatial and Temporal Impacts of Socioeconomic and Environmental Factors on Healthcare Resources: A County-Level Bayesian Local Spatiotemporal Regression Modeling Study of Hospital Beds in Southwest China.International journal of environmental research and public health · 2020Article
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2 authors.
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Abstract
This paper estimated and evaluated the spatial-temporal evolution of the concentration of healthcare resources (HCRs), in 31 provinces in China between 2004 and 2017, by using the entropy method. The spatial Durbin model (SDM) was used to further analyze the mechanisms behind the spatial driving forces at the national and regional levels. The findings revealed that: (i) The concentration of HCRs differed significantly among eastern, central, and western regions. The eastern, followed by the central region, had the highest concentration. Going east to west, the concentration of HCRs in the first echelon decreased, while it increased in the second and third echelons; (ii) places with higher concentrations clustered, while those with lower concentrations agglomerated; and (iii) economic development, population size, and urbanization promoted concentration. Education facilitated HCR concentration in the eastern and central regions, income stimulated HCR concentration in the eastern and western regions, and fiscal expenditure on healthcare promoted HCR concentration in the eastern region. Economic development inhibited HCR concentration in neighboring regions, population size restrained HCR concentration in neighboring areas in the western region, urbanization and income curbed HCR concentration in neighboring areas in the eastern and western regions, and fiscal expenditure on healthcare hindered HCR concentration in neighboring areas in the eastern region. Policy recommendations were proposed toward optimizing allocation of healthcare resources, increasing support for healthcare and education, and accelerating urbanization.
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