ArticleInternational journal for equity in health2023
Regional disparities and influencing factors of high quality medical resources distribution in China.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.
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Who cites it
80 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Inequality in hospital bed supply and utilization across regions and departments: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Coupling Coordination Analysis of Medical Service Capacity, Residents' Health Level and Regional Economic Development in China.Healthcare (Basel, Switzerland) · 2026Article
- Illness Uncertainty and Coping Strategies Among Families of Children with Cancer in China: A Family-Centered Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Spatial heterogeneity of health care resources: a study of the socioeconomic, demographic, and natural geographic conditions of ethnic minority regions in Southwestern China.BMC public health · 2026Article
- Article
- China's new quality productive forces in healthcare: spatial disparities, dynamic evolution, and convergence.BMC health services research · 2026Article
- Life-cycle sustainability assessment of public general hospital buildings in China.Scientific reports · 2026Article
- Using tiered accreditation and decentralized governance to achieve population-based equity in pulmonary and critical care medicine in the Chinese mainland.Communications medicine · 2026Article
- Article
- Associations between extreme temperatures and hospitalizations among Chinese cancer patients with atrial fibrillation: a case-crossover study.Cardio-oncology (London, England) · 2026Article
- Systematic prediction of spatiotemporal transmission of potential respiratory pandemics in China.Infectious Disease Modelling · 2026Article
- Satisfaction with cancer screening programs and its associated factors: a cross-sectional study in 26 provinces across China.BMC public health · 2026Article
- Laser peripheral iridectomy use in the unoperated eyes of hospitalised patients with primary angle-closure glaucoma in a national multicentre study in China.BMC ophthalmology · 2026Article
- Regional Disparities and Associated Factors Underlying CDC Health Professional Distribution in China.Healthcare (Basel, Switzerland) · 2026Article
- The trade-off between coverage and benefit: spatiotemporal variation of China's health insurance and its influencing factors.BMC health services research · 2026Article
- Critical care resource disparities in China: a nationwide survey and policy recommendations for health equity.Critical care (London, England) · 2026Article
- Impact of public hospital restructuring on the admission of elderly residents in Japan: a regional population-based study.BMC health services research · 2026Article
- Global Guidelines on Placenta Accreta Spectrum Disorders: A Commentary From the Chinese Perspective.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2026Article
- Epilepsy awareness among physicians in plains and plateau regions of western China: a cross-sectional study.Acta epileptologica · 2026Article
20 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the gradual increase of residents' income and the continuous improvement of medical security system, people's demand for pursuing higher quality and better medical and health services has been released. However, so far little research has been published on China's high quality medical resources (HQMR). This study aims to understand the spatiotemporal variation trend of HQMR from 2006 to 2020, analyze regional disparity of HQMR in 2020, and further explore the main factors influencing the distribution of HQMR in China.
methodsThe study selected Class III level A hospitals (the highest level medical institutions in China) to represent HQMR. Descriptive statistical methods were used to address the changes in the distribution of HQMR from 2006 to 2020. Lorentz curve, Gini coefficient (G), Theil index (T) and High-quality health resource density index (HHRDI) were used to calculate the degree of inequity. The geographical detector method was used to reveal the key factors influencing the distribution of HQMR.
resultsThe total amount of HQMR in China had increased year by year, from 647 Class III level A hospitals in 2006 to 1580 in 2020. In 2020, G for HQMR by population was 0.166, while by geographic area was 0.614. T was consistent with the results for G, and intra-regional contribution rates were higher than inter-regional contribution rates. HHRDI showed that Beijing, Shanghai, and Tianjin had the highest allocated amounts of HQMR. The results of the geographical detector showed that total health costs, government health expenditure, size of resident populations, GDP, number of medical colleges had a significant impact on the spatial distribution of HQMR and the q values were 0.813, 0.781, 0.719, 0.661, 0.492 respectively. There was an interaction between the influencing factors.
conclusionsChina's total HQMR is growing rapidly but is relatively inadequate. The distribution of HQMR by population is better than by geography, and the distribution by geography is less equitable. Population size and geographical area both need to be taken into account when formulating policies, rather than simply increasing the number of HQMR.
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