ArticleBMC health services research2025
Evaluation of the coordinated development of health resources, health service utilization, and the regional economy in China and analysis of influencing factors.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Coupling Coordination Analysis of Medical Service Capacity, Residents' Health Level and Regional Economic Development in China.Healthcare (Basel, Switzerland) · 2026Article
- Spatiotemporal evolution characteristics and influencing factors of hepatitis B incidence rate in China.Scientific reports · 2026Article
- COPD in China: the analysis of mortality and burden of disease trends from 2008 to 2021.Respiratory research · 2026Article
- Epidemiological characteristics and changing patterns of hospitalizations among middle-aged and elderly patients in Northwest China, 2020-2024: A retrospective cohort study.SAGE open medicine · 2026Article
- Assessment of emergency management capabilities for public health emergencies in China.Frontiers in public health · 2026Article
- Socioeconomic disparities in the trends of inpatient utilization for middle-aged and older adults in China: the perspective of international comparison from four cohorts.Global health research and policy · 2025Article
- Spatial differences, dynamic evolution and influencing factors of the coupling and coordination relationship between health resources allocation and health service utilization in China.BMC public health · 2025Article
- Analysis of nationwide availability of negotiated drugs in China's National Reimbursement Drug List.Frontiers in public health · 2025Article
- Joint spatiotemporal evaluation of multiple healthcare resources: hospitals, hospital beds and physicians across 365 Chinese cities over 22 years.Frontiers in public health · 2025Article
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Authors and funding
4 authors.
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Abstract
objectiveThis study investigates the coupling coordination relationships and influencing factors of health resources, health service utilization, and regional economy in China, aiming to provide reasonable suggestions for promoting the coordinated development of medical and health services and regional economy.
methodsThe panel data from 2016 to 2021 on China's health resources, health service utilization were analyzed concerning China's health resources, health service utilization, and regional economy. These included the entropy weight method for index weight calculation, the synthesis level index for subsystem synthesis level calculation, a coupled coordinated development model, exploratory spatial data analysis, and a geographic detector model. These analytical approaches facilitated the examination of spatial and temporal variances, alongside the identification of driving factors influencing the coupled and coordinated development of health resources, health service utilization, and regional economy in China.
resultsThe findings reveal that (1) a high level of coupling exists among the three subsystems across all provinces in China. (2) Concerning the spatial pattern of coupling coordination, notable regional differences are observed in the degree of coupling coordination between health resource utilization, health service utilization, and regional economic development, with a noticeable decline from east to west and central regions positioned in between. (3) Regarding spatial evolution characteristics, an overall trend of higher levels is observed in the east and north compared to the west and south, indicating localized spatial clustering. In the south‒north direction, there is a parabolic rise followed by a decline from north to south. In the east‒west direction, there is an inverted "U" shaped curve with gradual strengthening from east to west. (4) The spatial disparities in synergetic development among health resource utilization, health service utilization, and the regional economy arise from multiple influencing factors interacting with each other. (5) Spatial variations are noted in the impacts of driving factors on coordinated development among health resource utilization, health service utilization, and the regional economy during different time periods.
conclusionRegional disparities primarily arise from various factors, such as healthcare visit frequency, healthcare human resource availability, and healthcare material resource allocation; moreover, these factors also vary geographically across different time periods. Strategic measures for medical care services and economic development should be formulated by each region based on its own circumstances to enhance economic benefits and achieve coordinated high-quality development among health resource utilization, health service utilization, and the regional economy.
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