ArticleJournal of global health2021
Measuring and evaluating progress towards Universal Health Coverage in China.
Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health and health system impacts of China's comprehensive primary healthcare reforms: a systematic review.Health policy and planning · 2023Pooled it
- Beyond global comparability: why universal health coverage indicators must reflect national contexts.Journal of global health · 2026Article
- The discrepancy between objective and subjective assessments of catastrophic health expenditure: evidence from China.Health policy and planning · 2025Article
- Factors influencing national public health governance capacity: based on NCA and fsQCA.Frontiers in public health · 2025Article
- Universal health coverage-Exploring the what, how, and why using realist review.PLOS global public health · 2025Article
- Does contracting family doctor promote primary healthcare utilization among older adults? - evidence from a difference-in-differences analysis.BMC geriatrics · 2024Article
- Efficiency evaluation and promoter identification of primary health care system in China: an enhanced DEA-Tobit approach.BMC health services research · 2024Article
- Provincial inequality of China's progress towards universal health coverage: An empirical analysis in 2016-21.Journal of global health · 2024Observational
- Immunosuppressant nonadherence profile in kidney transplant recipients and the impact of medication adherence on transplant outcomes.Frontiers in pharmacology · 2024Article
- Digital economy and the medical and health service supply in China.Frontiers in public health · 2024Article
- Understanding financial risk protection in China's health system: a descriptive analysis using data from multiple national household surveys.BMC public health · 2023Article
- Trends and projections of universal health coverage indicators in China, 1993-2030: An analysis of data from four nationwide household surveys.The Lancet regional health. Western Pacific · 2023Article
- Experiences and Challenges of Implementing Universal Health Coverage With China's National Basic Public Health Service Program: Literature Review, Regression Analysis, and Insider Interviews.JMIR public health and surveillance · 2022Review
- Horizontal Integration and Financing Reform of Rural Primary Care in China: A Model for Low-Resource and Remote Settings.International journal of environmental research and public health · 2022Article
- Spatial distribution, regional differences, and dynamic evolution of the medical and health services supply in China.Frontiers in public health · 2022Article
- Universality of universal health coverage: A scoping review.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper aims to develop a Chinese version of Universal Health Coverage (UHC) indices and to measure China's progress towards UHC.
methodsNineteen indicators were selected based on expert consultations to construct indices of accessibility and affordability to measure UHC. Data were drawn from health statistics yearbooks, nationally representative surveys, and health system reform surveillance. The index of accessibility includes absolute accessibility (to essential health services), relative accessibility (to hospital care) and people's subjective perceptions. The index of affordability includes absolute affordability (the incidence of catastrophic health expenditure, CHE), relative affordability (the composition of health expenditure), and people's subjective perceptions.
resultsThe indices of accessibility and affordability both showed steady increases over the 17 years considered. Absolute accessibility had the most significant improvement (from 23.6 in 2002 to 73.8 in 2018), while the index of relative accessibility decreased from 81.4 in 2002 to 67.3 in 2018. The index of absolute affordability decreased significantly from 46.6 in 2002 to 30.5 in 2010 and then exhibited an increasing trend afterwards, reaching 52.1 in 2018. The index of relative affordability continuously increased during the observation period, from 35.3 to 75.4.
conclusionsChina has made great progress in increasing the accessibility and affordability of health services since the health system reforms in 2009. However, integrating primary health care and hospital care and containing escalating medical expenditure to further reduce patients' financial burdens are key challenges for strengthening the Chinese health system.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.