ArticlePloS one2022
Unmasking unexpected health care inequalities in China using urban big data: Service-rich and service-poor communities.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- From coverage to capability: assessing equitable access to community-based senior meal programs in Shanghai.BMC public health · 2026Article
- Does the concentration of public resources lead to health inequality? - a study on the impact of urban administrative hierarchy on the subjective physical and mental health of older adults.BMC geriatrics · 2026Article
- Urban Chinese Community-Dwelling Older Adults' Expectations Regarding the Delivery of Integrated Care Through Case Managers: Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Knowledge, Attitude, and Practice Towards Urticaria in an Online Sample of the Chinese General Population.Acta dermato-venereologica · 2025Article
- Physician group practice in China's healthcare reform: a national survey on physicians' perspectives and implementation challenges.Frontiers in health services · 2025Article
- Psychometric evaluation of the Chinese version of self-assessment scale for the community- based and emergency practice among medical students.Frontiers in public health · 2025Article
- Will urban scale affect health services inequity? The empirical evidence from cities in China.Frontiers in public health · 2024Article
- Knowledge, attitude, and practice toward hyperuricemia among healthcare workers in Shandong, China.PeerJ · 2024Article
- 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
- Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China.Frontiers in public health · 2022Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Geographic accessibility plays a key role in health care inequality but remains insufficiently investigated in China, primarily due to the lack of accurate, broad-coverage data on supply and demand. In this paper, we employ an innovative approach to local supply-and-demand conditions to (1) reveal the status quo of the distribution of health care provision and (2) examine whether individual households from communities with different housing prices can acquire equal and adequate quality health care services within and across 361 cities in China. Our findings support previous conclusions that quality hospitals are concentrated in cities with high administrative rankings and developmental levels. However, after accounting for the population size an "accessible" hospital serves, we discern "pro-poor" inequality in accessibility to care (denoted as GAPSD) and that GAPSD decreases along with increases in administrative rankings of cities and in community ratings. This paper is significant for both research and policy-making. Our approach successfully reveals an "unexpected" pattern of health care inequality that has not been reported before, and our findings provide a nationwide, detailed benchmark that facilitates the assessment of health and urban policies, as well as associated policy-making.
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