ArticleInternational journal of environmental research and public health2020
Can Health Disparity Be Eliminated? The Role of Family Doctor Played in Shanghai, China.
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 5 papers.
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Who cites it
5 citing papers in PubMed.
- Impact of family doctor contracted services on the health of migrants: a cross-sectional study in China.Scientific reports · 2024Article
- Does a GP service package matter in addressing the absence of health management by the occupational population? A modelling study.BMC health services research · 2024Article
- Can family doctor system improve health service utilization for patients with hypertension and diabetes in China? A difference-in-differences study.BMC health services research · 2024Article
- A spatial feature analysis of primary health care utilization in a large city in China and its implications for family doctor contract service policy.BMC health services research · 2024Article
- Effects of Healthcare Policies and Reforms at the Primary Level in China: From the Evidence of Shenzhen Primary Care Reforms from 2018 to 2019.International journal of environmental research and public health · 2022Article
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Authors and funding
3 authors.
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Abstract
methodsSystem dynamics modeling was performed to construct and simulate a system of health disparity formation (business-as-usual (BAU) scenario, without any interventions), a system with FD intervention (FD scenario), and three other systems with supporting policies (Policy 1/Policy 2/Policy hybrid scenario) from 2013 to 2050. Health disparities were simulated in different scenarios, making it possible to compare the BAU results with those of FD intervention and with other policy interventions.
findingsSystem dynamics models showed that the FD policy would play a positive role in reducing health disparities in the initial stage, and medical price control-rather than health management-was the dominant mechanism. However, in this model, the health gap was projected to expand again around 2039. The model examined the introduction of two intervention policies, with findings showing that the policy focused on socioeconomic status improvement would be more effective in reducing health disparities, suggesting that socioeconomic status is the fundamental cause of these disparities.
conclusionsThe results indicate that health disparities could be optimized, but not eliminated, as long as differences in socioeconomic status persists.
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