Evidence map›Paper›PMID 40587197›Full record

ArticleJournal of global health2025

The five-link theory for improving the integrated and balanced development of emergency medical care in urban and rural areas.

Weifeng Shen

Abstract read
In one paragraph

Article in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Epidemiological and clinical analysis ofFrontiers in toxicology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Weifeng Shen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past decades, considerable advancements have been made in China's emergency medical service system (EMSS). The disparity in EMSS development between urban and rural areas in China continues to be a significant public health concern. It also represents a pressing challenge on a global scale. Implementing strategies to narrow the urban-rural gap in emergency care and achieve balanced EMSS development holds critical significance. Therefore, this viewpoint presents the conceptual framework of the five-link theory and the five-link emergency care chain. The five-link emergency care chain constitutes the ground-breaking conceptual framework systematically addressing persistent challenges in achieving urban-rural health care integration and equitable advancement of emergency medical services. This framework constitutes a comprehensive EMSS, encompassing five core operational components: village (community) primary emergency care points, township emergency care units, prehospital emergency care, in-hospital emergency care, and critical care. It is engineered to optimise structural coherence, response efficacy, and service equity within EMSS. With the advancement of the five-link emergency care chain model implementation, its theoretical framework continues to evolve. This integrated theory-practice paradigm offers Chinese insights and experience in advancing global emergency medicine modernisation. Establishing comprehensive theoretical frameworks guiding emergency care service optimisation at township and village levels is imperative to facilitate the advancement of rural EMSS and mitigate urban-rural disparities in emergency medical services capacity. The five-link theory, grounded in five-link emergency care chain practices, offers a valuable framework for advancing urban-rural coordination of emergency care and ensuring equitable distribution of emergency response resources.

Indexed as

Delivery of Health Care, IntegratedEmergency Medical ServicesRural Health ServicesUrban Health ServicesChinaHumansRural Population

Identifiers

PMID40587197
PMCPMC12208281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.