ArticleHealth economics review2024
Exploring unmet healthcare needs and associated inequalities among middle-aged and older adults in Eastern China during the progression toward universal health coverage.
Article in Health economics review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Distribution, inequalities and associated factors of unmet medical needs among older adults: evidence from the national health service survey.BMC geriatrics · 2026Article
- Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China.Health policy and planning · 2026Article
- Prevalence and determinants of unmet healthcare needs in Chinese residents: evidence from the China family panel studies, 2012-2022.Frontiers in public health · 2026Article
- Stratified patterns of healthcare-seeking behavior among older adults in Fujian, China: exploring the behavioral foundations of health inequality.BMC health services research · 2025Article
- Comprehensive Geriatric Assessment: Addressing Unmet Healthcare Needs in Older Adults.Healthcare (Basel, Switzerland) · 2025Review
- Effects of Hospital Payment Reform of Government Budget Allocation and Social Health Insurance in a Pilot in China.International journal of health policy and management · 2025Article
- Understanding Unmet Healthcare Needs in Nigeria: Implications for Universal Health Coverage.Health services insights · 2025Article
- Factors influencing intentional non-utilization of healthcare: a study using the Andersen model.Frontiers in public health · 2025Article
- Global and Chinese trends in acute myeloid leukemia burden (1990-2021): a comprehensive analysis based on the GBD study.Frontiers in medicine · 2025Article
- Multifaceted efforts of governments, medical institutions, and financial organizations contribute to reducing the health inequality caused by economic differences.Cancer biology & medicine · 2024Article
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4 authors.
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Abstract
backgroundGiven the rapid population aging in China, achieving universal health coverage (UHC) presents a primary challenge in addressing unmet healthcare needs and associated inequalities among middle-aged and older adults. Several studies have focused on healthcare utilization and its inequalities, but little attention has been paid to the inequality in unmet healthcare needs. This study aimed to analyze the inequalities in unmet the healthcare needs of middle-aged and older adults in eastern China during the progression toward UHC.
methodsData were obtained from the fourth, fifth, and sixth National Health Service Survey (NHSS) of Jiangsu Province, located in eastern China, during the years 2008, 2013, and 2018, respectively. Logistic regression models were used to assess the associated factors of unmet healthcare needs. The inequality was measured according to the concentration index (CI) and its decomposition.
resultsIn this study, we found that 12.86%, 2.22%, and 48.89% of middle-aged and older adults reported unmet needs for outpatient and inpatient services and physical examinations, respectively. The prevalence of unmet outpatient needs increased from 2008 to 2018, while the prevalence of unmet inpatient services was lower but maintained. The prevalence of unmet needs for physical examinations among middle-aged and older adults markedly decreased since 2008. Rural areas had a higher prevalence of unmet needs for inpatient services and physical examinations than urban areas. Unmet healthcare needs were more prevalent among the poor. The pro-poor inequalities of unmet healthcare needs have been mitigated during the progression toward UHC; however, they remain predominant among rural middle-aged and older adults for outpatient and inpatient services. Socioeconomic factors significantly influenced unmet healthcare needs and contributed to their inequalities.
conclusionsThe findings characterize the prevalence and inequality of unmet healthcare need among middle-aged and older adults in eastern China during the progression toward UHC. Policy interventions should be actively advocated to effectively mitigate the unmet healthcare needs and address the associated inequalities.
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