Evidence map›Paper›PMID 35682174›Full record

ArticleInternational journal of environmental research and public health2022

Resource Allocation Equity in the China's Rural Three-Tier Healthcare System.

Yibin Ao, Qiqi Feng, Zhongli Zhou, Yunfeng Chen, Tong Wang

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

30 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

5 authors.

Yibin AoCollege of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China.
Qiqi FengCollege of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China.
Zhongli ZhouCollege of Management Science, Chengdu University of Technology, Chengdu 610059, China.
Yunfeng ChenSchool of Construction Management Technology, Purdue Polytechnic Institute, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0002-0108-8484
Tong WangFaculty of Architecture and the Built Environment, Delft University of Technology, 2628 CD Delft, The Netherlands.ORCID 0000-0003-2599-5000

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rural three-tier healthcare system is an essential part of the Chinese healthcare service system. To ensure rural residents' equal access to such healthcare services, it is necessary to examine the current status of the healthcare system in rural China and formulate corresponding improvement suggestions. This study therefore collects the data from the China Health Statistics Yearbook, the China Health Yearbook and the China Statistical Yearbook between the years 2004 and 2021 to calculate the Gini coefficient (G), health resource density index (HRDI) and Theil index (T) first, and then perform the Mann-Kendall test afterwards to evaluate the equity of healthcare resource allocation comprehensively. This series of analysis helps in drawing the following conclusions: (1) county and county-level city medical and health institutions (CMHIs) show a higher development trend in comparison with township hospitals (THs) and village clinics (VCs); (2) VCs have higher institutional fairness, while for beds and personnel, CMHIs and THs are more fairly positioned; (3) more specifically for CMHIs and THs, personnel allocation is more fair than beds and institution allocations; (4) the density of healthcare resources in the eastern and central regions is higher than that in the western part, while the intra-regional distribution of beds and personnel in the west and central regions is better than that in the eastern region; (5) intra-regional differences are more significant than inter-regional differences and the fairness according to population distribution is higher than that of geographical area allocation. The results of this study provide theoretical basis for further optimizing the allocation of healthcare resources and improving the fairness of healthcare resources allocation from a macro perspective.

Indexed as

Delivery of Health CareResource AllocationChinaHealth ResourcesHumansRural Populationequityresource allocationrural Chinathree-tier healthcare system

Identifiers

PMID35682174
PMCPMC9180023

What OpenQuestion holds

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Registered trials

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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.