Evidence map›Paper›PMID 34001268›Full record

ArticleArchives of public health = Archives belges de sante publique2021

Differences in regional distribution and inequality in health-resource allocation on institutions, beds, and workforce: a longitudinal study in China.

Enhong Dong, Jie Xu, Xiaoting Sun, Ting Xu, Lufa Zhang, Tao Wang

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it.

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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Enhong Dong *School of Nursing and Health Management, Shanghai University of Medicine & Health Science, 279 Zhouzhu Road, Pudong New District, Shanghai, 201318, China.
Jie Xu *Emergency Department, Dezhou People's Hospital, Dezhou, 253003, Shandong Province, China.
Xiaoting Sun *Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai, 200072, China.
Ting XuSchool of Nursing and Health Management, Shanghai University of Medicine & Health Science, 279 Zhouzhu Road, Pudong New District, Shanghai, 201318, China.
Lufa ZhangSchool of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, 200030, China. zhanglf@sjtu.edu.cn.
Tao WangDepartment of Orthopaedics and Traumatology, Shanghai East Hospital Tongji University School of Medicine, Shanghai, 200127, China. 18521316637@163.com.ORCID http://orcid.org/0000-0003-4435-2764

Funding

National Planning Office of Philosophy and Social Science 18BGL242
6 · The paper itself

Abstract

backgroundThe distribution of health-care resources is foundational to achieving fairness and having access to health service. China and its local Shanghai's government have implemented measures to allocate health-care resources with the equity as one of the major goals since 2009-health-care reform. The aim of this study was to analyze differences in regional distribution and inequality in health-resource allocation on institutions, beds, and workforce in Shanghai over 7 years.

methodsThe study was conducted using 2010-2016 data to analyze health-resource allocation on institutions, beds, and workforce in Shanghai, China. The annual growth rate (AGR) was used to evaluate the time trends of health-care resource from 2010 to 2016, and Theil index was calculated to measure inequality of five indicators of health-care resource allocation during this study period.

resultsAll quantities of health-care resources per 1000 people increased across Shanghai districts from 2010 to 2016. Compared with suburban districts, the central districts had higher ratios on five health-care resource indicators, and faster average growth in the bed and nurse indicator. The Theil of the indicators, except for doctors in hospitals, all exhibited downward time trends.

conclusionsRegional difference between urban and rural areas and inequality between institution and workforce, especially for doctors, still existed. Some targeted measures including but not limited to income raising, facilitation of transportation conditions, investment of more fiscal funds, enhancement of health-care service provision for rural residents should be fully considered to narrow resource distribution gap between urban and rural districts and mitigate the inequality of health-care resource allocation.

Indexed as

Central districtsHealth-care resourcesInequalityRegional differenceSuburban districts

Identifiers

PMID34001268
PMCPMC8130126

What OpenQuestion holds

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LicenceCC BY
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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.