ArticleInternational journal of environmental research and public health2020
Comparing Regional Distribution Equity among Doctors in China before and after the 2009 Medical Reform Policy: A Data Analysis from 2002 to 2017.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed.
- The Design and Evaluation of an Online Continuing Medical Education App for Medical Professionals in China: Quantitative Study.JMIR medical education · 2026Article
- Equity in the allocation of oncology bed resources in China: Longitudinal data from 2008 to 2022.PloS one · 2026Article
- Are Doctors Equally Distributed Throughout the World?Iranian journal of public health · 2024Article
- Dynamic distribution, regional differences and convergence of health workforce allocation in township health centers in China.Heliyon · 2024Article
- Digital economy and the medical and health service supply in China.Frontiers in public health · 2024Article
- Inequality in benefit distribution of reducing the outpatient cost-sharing: evidence from the outpatient pooling scheme in China.Frontiers in public health · 2024Article
- Effect of doctor allocation policies on the equitable distribution of doctors in Thailand.Human resources for health · 2023Article
- Regional disparities and influencing factors of high quality medical resources distribution in China.International journal for equity in health · 2023Article
- Application of deep learning algorithms for diabetic retinopathy screening.Annals of translational medicine · 2022Article
- Equity assessment of the distribution of mental health beds in China: based on longitudinal data from 2011 to 2020.BMC health services research · 2022Article
- Measuring the Inequalities in the Distribution of Public Healthcare Resources by the HRDI (Health Resources Density Index): Data Analysis from 2010 to 2019.Healthcare (Basel, Switzerland) · 2022Article
- A critical review of definitions of rural areas in Indonesia and implications for health workforce policy and research.Health research policy and systems · 2022Review
- Spatial distribution, regional differences, and dynamic evolution of the medical and health services supply in China.Frontiers in public health · 2022Article
- An equity evaluation in stroke inpatients in regard to medical costs in China: a nationwide study.BMC health services research · 2021Article
- Knowledge, Attitudes, and Social Responsiveness Toward Corona Virus Disease 2019 (COVID-19) Among Chinese Medical Students-Thoughts on Medical Education.Frontiers in medicine · 2021Article
- Regional Disparities of Rehabilitation Resources for Persons with Disabilities in China: Data from 2014 to 2019.International journal of environmental research and public health · 2020Article
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7 authors.
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Abstract
backgroundAlthough China began implementing medical reforms in 2009 aimed at fair allocation of the regional distribution of doctors, little is known of their impact. This study analyzed the geographic distribution of doctors from 2002 to 2017.
methodsThis study calculated the Gini coefficient and Theil index among doctors in the eastern, central, and western regions (Category 1) of China, and in urban and rural areas (Category 2). The statistical significance of fairness changes was analyzed using the Mann-Whitney U test.
resultsThe annual growth rates of the number of doctors for the periods from 2002 to 2009 and 2010 to 2017 were 2.38% and 4.44%. The Gini coefficients among Category 1 were lower than those in Category 2, and statistically decreased after the medical reforms (P < 0.01) but continued to increase in Category 2 (P = 0.463). In 2017, the Theil decomposition result of Category 1 was 74.33% for the between-group, and in Category 2, it was 95.22% for the within-group.
conclusionsThe fairness among the regional distribution of doctors in Category 1 is now at a high level and is better than that before the reforms. While the fairness in Category 2 is worse than that before the reforms, it causes moderate inequality and is continually decreasing. Overall unfairness was found to be derived from the between-group.
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