ArticleFrontiers in public health2025
Spatio-temporal evolution of financial sustainability in Chinese public hospitals: evidence from provincial panel data (2010-2022).
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To analyze the spatio-temporal evolution patterns of financial sustainability in Chinese public hospitals and identify key driving mechanisms. Methods: Using balanced panel data from 31 Chinese provinces (2010-2022), we constructed a theory-grounded multidimensional financial sustainability evaluation framework and employed spatial econometric models and convergence testing. Results: Financial sustainability exhibited "fluctuating rise with intensifying regional differentiation" characteristics, evolving through three phases: steady improvement (2010-2015), rapid growth (2016-2019), and stable development (2020-2022). Spatially, a significant "high east-low west, strong south-weak north" pattern emerged, with global Moran's Conclusions: Policy transmission occurs through policy learning, talent mobility, and technological diffusion mechanisms. The findings validate spatial spillover and policy diffusion theories while providing scientific evidence for establishing adaptive financial guarantee mechanisms and offering valuable reference for healthcare financing in developing countries.
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