Evidence map›Paper›PMID 41142723›Full record

ArticleFrontiers in public health2025

The association between confidence in health system and self-rated health: from the perspective of regional comparison.

Zhaoxi Wang, Kairan Zhang

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Zhaoxi WangSchool of Public Administration, Northwest University, Xi'an, Shaanxi, China.
Kairan ZhangSchool of Political Science and Public Administration, Northwest University of Political Science and Law, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Universal health coverage (UHC) aims to ensure that all people can access quality health services without financial hardship, and thereby improve health outcomes. Confidence in the health system reflects the individuals' belief that they can obtain or afford care when ill. This study examined the association between health system confidence and self-rated health (SRH) across urban-rural and regional (western, middle, and eastern) areas of China. Method: Data were drawn from two waves of the Chinese General Social Survey that included 6,481 participants. Ordered logistic regression was used to assess the association between health system confidence and SRH. Subsample analyses and interaction models were used to explore regional heterogeneity. Results: Both self-rated health (SRH) and confidence in obtaining and affording healthcare were higher in urban and eastern regions. Greater confidence in the health system was positively associated with better SRH. Compared to the group without confidence, the group with confidence in getting ( Conclusion: Confidence in the health system-especially in affordability-is strongly associated with better health outcomes in China. Equity-oriented policies that strengthen both accessibility and affordability, with particular attention to disadvantaged regions and vulnerable populations, are essential for improving health equity.

Indexed as

Delivery of Health CareHealth Services AccessibilityHealth StatusAdultChinaFemaleHumansMaleMiddle AgedRural PopulationSelf ReportSurveys and QuestionnairesUniversal Health InsuranceUrban Populationaccessibility confidenceaffordability confidenceconfidence in health systemregional comparisonself-rated health

Identifiers

PMID41142723
PMCPMC12549562

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.