ArticleInternational journal of environmental research and public health2021
Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
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- Factors influencing residents' willingness to choose medical institutions first for treatment in the highland agricultural and pastoral areas of Qinghai province: a study based on the Anderson model.Frontiers in health services · 2026Article
- Costs and cost-effectiveness of the Safer Births Bundle of Care intervention in Tanzania health facilities.PloS one · 2026Article
- Disability-Free Life Expectancy and Its Drivers Among Adults Aged 60 and Above - China, 2018 and 2023.China CDC weekly · 2025Article
- Equity of total health expenditure in China, 2015-2021.Scientific reports · 2025Article
- Can supplementary private health insurance reduce poverty vulnerability? Evidence from Shandong Province.BMC public health · 2025Article
- Exploring spatial-temporal heterogeneity in new-type urbanization's impact on health expenditure: a GTWR analysis.International journal of health geographics · 2025Article
- The Association Between Internet Use and Co-occurring Health Care Needs: Cross-Sectional Study in China.Journal of medical Internet research · 2025Article
- Migrant-Local Differences in the Relationship Between Oral Health, Social Support, and Loneliness Among Older Adults in Weifang, China: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
- The longitudinal association between multiple cardiometabolic diseases, socioeconomic status, and depressive symptoms in China.Scientific reports · 2025Article
- The effect of an innovative payment method on inpatient volume and bed resources and their regional distribution: the case of a central province in China.International journal for equity in health · 2024Article
- Urban-rural disparities in the association of nitrogen dioxide exposure with cardiovascular disease risk in China: effect size and economic burden.International journal for equity in health · 2024Article
- The action logic of the older adults about health-seeking in South Rural China.BMC public health · 2023Article
- Successes and challenges of China's health care reform: a four-decade perspective spanning 1985-2023.Cost effectiveness and resource allocation : C/E · 2023Review
- Horizontal inequity trends of health care utilization in rural China after the medicine and healthcare system reform: based on longitudinal data from 2010 to 2018.International journal for equity in health · 2023Article
- The trend in quality of life of Chinese population: analysis based on population health surveys from 2008 to 2020.BMC public health · 2023Article
- How to Make Primary Healthcare More Popular: Evidence from the Middle-Aged and Elderly in China.Healthcare (Basel, Switzerland) · 2022Article
- Influencing factors of multiple adverse outcomes among schizophrenia patients using count regression models: a cross-sectional study.BMC psychiatry · 2022Article
- 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
- The relationship between oral health status, loneliness, and sleep quality among the migrant elderly following children in Weifang, Shandong Province, China: A comparative analysis on different migration types.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Worldwide countries are recognising the need for and significance of universal health coverage (UHC); however, health inequality continues to persist. This study evaluates the status and equity of residents' demand for and utilisation of health services and expenditure by considering the three components of universal health coverage, urban-rural differences, and different income groups. Sample data from China's Fifth Health Service Survey were analysed and the 'five levels of income classification' were used to classify people into income groups. This study used descriptive analysis and concentration index and concentration curve for equity evaluation. Statistically significant differences were found in the demand and utilisation of health services between urban and rural residents. Rural residents' demand and utilisation of health services decreased with an increase in income and their health expenditure was higher than that of urban residents. Compared with middle- and high-income rural residents, middle- and lower-income rural residents faced higher hospitalisation expenses; and, compared with urban residents, equity in rural residents' demand and utilisation of health services, and annual health and hospitalisation expenditures, were poorer. Thus, equity of health service utilisation and expenditure for urban and rural residents with different incomes remain problematic, requiring improved access and health policies.
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