Evidence map›Paper›PMID 34604156›Full record

ArticleFrontiers in public health2021

Spatial Pattern and Spatial Heterogeneity of Chinese Elite Hospitals: A Country-Level Analysis.

Baoguo Shi, Yingteng Fu, Xiaodan Bai, Xiyu Zhang, Ji Zheng, Yuping Wang, Ye Li, Lijun Zhang

Abstract read
In one paragraph

Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

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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

22 citing papers in PubMed.

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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

8 authors.

Baoguo ShiDepartment of Economics, School of Economics, Minzu University of China, Beijing, China.
Yingteng FuDepartment of Economics, School of Economics, Minzu University of China, Beijing, China.
Xiaodan BaiDepartment of Economics, School of Economics, Minzu University of China, Beijing, China.
Xiyu ZhangResearch Center of Health Policy and Hospital Management, School of Health Management, Harbin Medical University, Harbin, China.
Ji ZhengThe Department of Urban Planning and Design, The University of Hong Kong, Hong Kong, China.
Yuping WangDepartment of Economics, School of Economics, Minzu University of China, Beijing, China.
Ye LiResearch Center of Health Policy and Hospital Management, School of Health Management, Harbin Medical University, Harbin, China.
Lijun ZhangDepartment of Economics, School of Economics, Minzu University of China, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elite hospitals represent the highest level of Chinese hospitals in medical service and management, medical quality and safety, technical level and efficiency, which are also one of the important indicators reflecting high-quality medical resources in the region, and their spatial allocation is directly related to the fairness of health resource allocation. We explored the allocation pattern of high-quality resources and its influencing factors in the development of China's health system using geographic weighted regression (GWR), Multi-scale Geographically Weighted Regression (MGWR), GWR and MGWR with Spatial Autocorrelation(GWR-SAR and MGWR-SAR), spatial lag model (SLM), and spatial error model (SEM). The results of OLS regression showed that city level, number of medical colleges, urbanization rate, permanent population and GDP per capita were its significant variables. And spatial auto-correlation of elite hospitals in China is of great significance. Further, its spatial agglomeration phenomenon was confirmed through SLM and SEM. Among them, the city level is the most important factor affecting the spatial allocation of elite hospitals in China. Its action intensity shows a solid and weak mosaic trend in the Middle East, relatively concentrated in some areas with medium intensity and concentrated in the West China. Obviously, China's elite hospitals are unevenly distributed and have evident spatial heterogeneity. Therefore, we suggest that we should pay attention to the spatial governance of high-quality medical resources, attract medical elites in the region, increase investment in medical education in the scarce areas of elite hospitals and develop tele-medicine service.

Indexed as

Spatial RegressionUrbanizationChinaCitiesHospitalselite hospitalgeographic weighted regression (GWR)health resourcesspatial heterogeneityspatial pattern

Identifiers

PMID34604156
PMCPMC8481595

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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.