ArticleScientific reports2022
The impact of healthcare reform on the dynamic changes in health service utilization and equity: a 10-year follow-up study.
Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China.Frontiers in psychiatry · 2026Article
- Impact of exposure to ambient air pollution on health related quality of life of rural elderly in western China.Scientific reports · 2025Article
- Identification and analysis of influencing factors of multidimensional health poverty in rural areas of Northwest China.Scientific reports · 2024Article
- A study on the factors influencing the vulnerability of women of childbearing age to health poverty in rural western China.Scientific reports · 2024Article
- Regional differences in health resource allocation: a longitudinal study in the Chengdu-Chongqing economic circle, China.BMJ open · 2024Article
- Association Between Perceived Access to Healthcare and the Perception of Illness Among Peruvian Adults with Chronic Diseases During COVID-19 Pandemic.Inquiry : a journal of medical care organization, provision and financingArticle
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9 authors.
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Abstract
In the past decade, the government of China has implemented healthcare reforms to provide universal access to healthcare by 2020. We aimed to systematically analyse the dynamic changes in health services and equity during the past 10 years to understand the correlation between health services and social-economic status. We performed a longitudinal study in which we extracted aggregated data mainly from a project (2009, 2011, 2012, 2015, 2019). A multi-stage stratified cluster randomized design was used to obtain a representative sample in each county. Concentration indexes were used to analyse the equity of the changes in utilization. We built multivariate random-effects generalized least squares regression models with the panel data to test whether the rate of receiving a medical consultation in the last 2 weeks or the rate of hospital admission or the prevalence of chronic illness was associated with social-economic status including education level and rural disposable income per capita. We found declines in both the rate of not receiving a medical consultation during the last 2 weeks (P < 0.05 intervention group) and the rate of hospital avoidance (P < 0.05) from 2009 to 2019. The equity in residents' health service utilization has improved constantly. We additionally found that rural disposable income per capita is a protective factor for the rate of a receiving a medical consultation during the last 2 weeks and the rate of hospital admission. China's 2009 healthcare reform have positively influenced utilization rates and equity in health service utilization in the past decade, a range of health service-targeted strategies are needed including strengthen the prevention and treatment of chronic diseases, focus attention on the health status of elderly residents and improve social-economic status, especially the level of education.
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