ArticleInternational journal of environmental research and public health2020
Association between Primary Healthcare and Medical Expenditures in a Context of Hospital-Oriented Healthcare System in China: A National Panel Dataset, 2012-2016.
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 14 papers.
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Who cites it
14 citing papers in PubMed.
- Tiered diagnosis and value-based healthcare: can the outpatient reimbursement policy for medical costs in retail pharmacies promote both?BMC health services research · 2026Article
- Community Hypertension Patients' Preferences for Family Doctor Service Packages in China: A Discrete Choice Experiment.Risk management and healthcare policy · 2026Article
- Effects of Primary Healthcare Quality and Effectiveness on Hospitalization Indicators in Brazil.Journal of market access & health policy · 2025Article
- Relationship between patient-perceived quality of primary care and self-reported hospital utilisation in China: A cross-sectional study.The European journal of general practice · 2024Article
- Factors affecting delays in seeking treatment among malaria patients during the pre-certification phase in China.Malaria journal · 2024Article
- Measuring Equality in Primary Health Care Budget Allocation in Iran, Using the Gini Coefficient Method.Medical journal of the Islamic Republic of Iran · 2024Article
- Observational
- Article
- Spatiotemporal Evolution and Drivers of Total Health Expenditure across Mainland China in Recent Years.International journal of environmental research and public health · 2022Article
- Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.International journal of environmental research and public health · 2022Article
- How Jaminan Kesehatan Nasional (JKN) coverage influences out-of-pocket (OOP) payments by vulnerable populations in Indonesia.PLOS global public health · 2022Article
- Utilization and out-of-pocket expenses of primary care among the multimorbid elderly in China: A two-part model with nationally representative data.Frontiers in public health · 2022Article
- Review
- Relationships between Renewable Energy and the Prevalence of Morbidity in the Countries of the European Union: A Panel Regression Approach.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total health expenditure in China has grown considerably since a new round of health system reform was enacted in 2009. Researchers have shown that strengthening primary healthcare may be an option for countries to solve the rapid expansion of their medical expenditures. This study was designed to explore the association between the strength of primary healthcare and medical expenditures, in the context of the hospital-oriented healthcare system in China. A longitudinal ecological study was conducted using a 5-year panel dataset of 27 provinces in mainland China. The linear mixed effects regression model was used to assess the effects of primary healthcare-related metrics on medical expenditures, controlling for the provincial level specialty care physician supply and socio-economic parameters. All of the three primary healthcare-related metrics showed negative associations with the two medical expenditure parameters. Primary care physicians per 10,000 population was significantly associated with the per capita hospital medical expenditures (
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