ArticleGlobalization and health2024
Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001-2020.
Article in Globalization and health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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37 citing papers in PubMed.
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- Exchange Characteristics in Interprofessional Collaboration Between Clinical Pharmacists and Physicians: A National Survey.Healthcare (Basel, Switzerland) · 2026Article
- Coupling Coordination Analysis of Medical Service Capacity, Residents' Health Level and Regional Economic Development in China.Healthcare (Basel, Switzerland) · 2026Article
- Regional differences in the level of healthcare in China.BMC health services research · 2026Article
- Where you live matters, but action is personal: insights from multilevel analysis of pre-exposure prophylaxis awareness, willingness, and use among men who have sex with men in China.Infectious diseases of poverty · 2026Article
- Global burden of antimicrobial-resistant Staphylococcus aureus lower respiratory tract infections in older adults: a secondary analysis of the MICROBE database (1990-2021).BMC infectious diseases · 2026Article
- Social determinants of intersectional inequalities in multimorbidity and its burden in China: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2026Article
- Regional Disparities and Associated Factors Underlying CDC Health Professional Distribution in China.Healthcare (Basel, Switzerland) · 2026Article
- Can cross-sector governance improve urban health resource supply? Evidence from China's Healthy City pilot policy.Frontiers in public health · 2026Article
- Spatiotemporal coupling coordination between population aging and healthcare resource capacity in China: a provincial-level analysis, 2000-2023.Frontiers in public health · 2026Article
- From growth to well-being: pathways and social security effects of coordinating medical resources and population in the Yangtze River Delta region.Frontiers in public health · 2026Article
- Informing equitable urban health policy: a multi-source geospatial assessment of spatial mismatch in medical facility distribution across Chinese cities.Frontiers in public health · 2026Article
- Identifying barriers to human papillomavirus vaccination in China: a topic modelling analysis of social media (2018-2024).BMJ public health · 2026Article
- Cross-sectional study on the current status of county-level cancer prevention and treatment capabilities in the four southwestern provinces of China.Frontiers in public health · 2026Article
- Regional disparities and multidimensional determinants of hospital bed allocation in China: spatial evidence for public health policymaking.Frontiers in public health · 2026Article
- Spatial accessibility evaluation and clustering analysis of primary healthcare within 15 min circles in a northern Chinese megacity.Scientific reports · 2025Article
- Barriers and facilitators of the implementation for the antimicrobial Social Norm Feedback (SNF) intervention strategy in primary care institutions: a qualitative study based on the Consolidated Framework for Implementation Research (CFIR).Antimicrobial resistance and infection control · 2025Article
- Regional disparities, dynamic evolution, and spatial spillover effects of medical resource allocation efficiency in TCM hospitals.Cost effectiveness and resource allocation : C/E · 2025Article
- Primary healthcare quality of migraine in China: a study using unannounced standardized patients.The Lancet regional health. Western Pacific · 2025Article
- Factors influencing patient safety competence among Chinese vocational nursing students: A mixed-methods study using COM-B model and theoretical domains framework.International journal of nursing studies advances · 2025Article
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Abstract
backgroundThere is a dearth of research combining geographical big data on medical resource allocation and growth with various statistical data. Given the recent achievements of China in economic development and healthcare, this study takes China as an example to investigate the dynamic geographical distribution patterns of medical resources, utilizing data on healthcare resources from 290 cities in China, as well as economic and population-related data. The study aims to examine the correlation between economic growth and spatial distribution of medical resources, with the ultimate goal of providing evidence for promoting global health equity.
methodsThe data used in this study was sourced from the China City Statistical Yearbook from 2001 to 2020. Two indicators were employed to measure medical resources: the number of doctors per million population and the number of hospital and clinic beds per million population. We employed dynamic convergence model and fixed-effects model to examine the correlation between economic growth and the spatial distribution of medical resources. Ordinary least squares (OLS) were used to estimate the β values of the samples.
resultsThe average GDP for all city samples across all years was 36,019.31 ± 32,029.36, with an average of 2016.31 ± 1104.16 doctors per million people, and an average of 5986.2 ± 6801.67 hospital beds per million people. In the eastern cities, the average GDP for all city samples was 47,672.71 ± 37,850.77, with an average of 2264.58 ± 1288.89 doctors per million people, and an average of 3998.92 ± 1896.49 hospital beds per million people. Cities with initially low medical resources experienced faster growth (all β < 0, P < 0.001). The long-term convergence rate of the geographic distribution of medical resources in China was higher than the short-term convergence rate (|β
conclusionsThe experiences of China have provided significant insights for nations worldwide. Governments and institutions in all countries worldwide, should actively undertake measures to actively reduce health inequalities. This includes enhancing healthcare standards in impoverished regions, addressing issues of unequal distribution, and emphasizing the examination of social determinants of health within the domain of public health research.
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