ArticleFrontiers in public health2025
Healthcare inequities in Chinese megacities: the older adult population's accessibility to public hospitals in suburban Shanghai.
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. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Mobile signaling big data, healthcare-seeking flows, and multidimensional healthcare access in Shanghai: implications for healthcare supply-demand matching and medical security governance.Frontiers in public health · 2026Article
- Assessing spatial equity in integrated health care facilities for older adults: a case study in the metropolis of Guangzhou, China.Frontiers in public health · 2026Article
- Supply-demand governance of hierarchical healthcare systems: mobile big data unveils non-random patient flow patterns and the bypass premium in cities.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Due to the unbalanced spatial distribution of healthcare resources, the suburbanization of the older adult population may contribute to new health inequities. This study investigates public hospital accessibility of different regions and groups in Shanghai, exploring the equitability of resource distribution within the broader context of the city's evolving spatial organization and political economy. Methods: Drawing on data from the 2000 and 2010 population censuses and the geographical distribution of hospitals, this study employs two complementary measures: the healthcare supply and demand matching index, and the average distance to the closest hospital, evaluating both the diversity of healthcare options and geographical convenience. Results: The findings reveal significant healthcare inequities in public hospital accessibility: (1) Continuous increase in the number of healthcare hospitals has brought about some improvements in supply levels, but in suburban Shanghai, the accessibility of public hospital is rather poor, and the average distance for all older adults to the closest hospitals has shown almost no improvement, increasing from 2.3 km in 2000 to 2.4 km in 2010; (2) older adults in suburban areas face greater distances to the closest hospital compared to their counterparts not in suburban areas. In 2010, the average distance was 4.4 km for older adults outside the outer-ring, compared to only 0.9 km within the inner-ring; and (3) there is a widening gap in health inequities among individuals from different socioeconomic strata between 2000 and 2010. The distance to the closest tertiary hospital increased by approximately 6 km for older adults in blue-collar communities, but only 1 km for those in white-collar and advanced white-collar communities. Conclusion: The study concludes that the inequitable accessibility to public hospitals for suburban older adults is a profound structural issue in Shanghai. Policy interventions must extend beyond simply increasing hospital numbers to address the root causes in healthcare governance and urban spatial planning to achieve health equity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.