ArticleBMC health services research2023
Disparity in hospital beds' allocation at the county level in China: an analysis based on a Health Resource Density Index (HRDI) model.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed.
- Inequality in hospital bed supply and utilization across regions and departments: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
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- The impact of hospital bed supply on medical insurance expenditure in China (2011-2024): evidence on Roemer's Law and threshold effects.Cost effectiveness and resource allocation : C/E · 2026Article
- Educational gaps, training challenges and learning needs among early-career rheumatology nurses in resource-limited county hospitals: a multicenter qualitative study.BMC medical education · 2026Article
- Equity in the allocation of professional public health human resources and its improvement path in China.BMC health services research · 2026Article
- Assessing the relationship between the hospital grading system and medical resource utilization: evidence from China.Cost effectiveness and resource allocation : C/E · 2026Article
- Disparities in Echinococcosis Control in Xizang, China: An Assessment Based on the Health Resource Density Index.Journal of tropical medicine · 2026Article
- Regional Differences and Dynamic Evolution of High-Quality Medical Resources in China's Private Hospitals from 2017 to 2022.Risk management and healthcare policy · 2026Article
- Assessing regional disparities and trends in health resource allocation from sub-provincial cities in China.Annals of medicine · 2025Article
- Inequality in the Distribution and Utilization of Healthcare Resources in Kazakhstan (2002-2023): A Spatiotemporal Analysis.International journal of environmental research and public health · 2025Article
- Regional disparities and influencing factors of health production efficiency: evidence from China.BMC public health · 2025Article
- Equity and Efficiency of Medical Resource Allocation in National Central Cities, China.Risk management and healthcare policy · 2025Article
- Spatial disparities and dynamic evolution of professional public health resource supply level in Beijing, China.BMC public health · 2024Article
- Equity and Prediction of Bed Allocation of the Department of Stomatology in Chinese Hospitals.Risk management and healthcare policy · 2024Article
- Human Resources Allocation of the Centers for Disease Control and Prevention in China.Risk management and healthcare policy · 2024Article
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5 authors.
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Abstract
backgroundAs approximately 3/4 of the population lives in county-level divisions in China, the allocation of health resources at the county level will affect the realization of health equity. This study aims to evaluate the disparity in hospital beds at the county level in China, analyze its causes, and discuss measures to optimize the allocation.
methodsData were drawn from the Chinese County/City Statistical Yearbook (2001-2020). The health resource density index (HRDI) was applied to mediate between the influence of demographic and geographical factors on the allocation of hospital beds. The trends of HRDI allocation were evaluated through the growth incidence curve and the probability density function. The regional disparity in the HRDI was examined through the Lorenz curve, and Dagum Gini coefficient. The contribution of the Gini coefficient and its change were assessed by using the Dagum Gini decomposition method.
resultsFrom 2000 to 2019, the number of hospital beds per thousand people at the county level in China increased dramatically by 1.49 times. From the aspect of the HRDI, there were large regional disparities at the national level, with a Gini coefficient of 0.367 in 2019 and in the three subregions. In 2019, the Gini coefficient of the HRDI exhibited regional variations, with the highest value observed in the western region, followed by the central region and the eastern region. Decomposition reveals that the contribution of interregional disparity changed from the dominant factor to the least important factor, accounting for 29.79% of the overall disparity and the contribution of trans-variation intensity increased from 29.19% to 39.75%, whereas the intraregional disparity remained stable at approximately 31% and became the second most important factor.
conclusionThe regional disparity in hospital beds allocation at the county level in China was large and has not improved substantially. Trans-variation intensity was the main reason for the overall disparity and changes, and the intraregional disparity was more important than the interregional disparity for the overall disparity.
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