Evidence map›Paper›PMID 42845648›Full record

ArticleFrontiers in public health2026

Spatiotemporal coupling coordination between population aging and healthcare resource capacity in China: a provincial-level analysis, 2000-2023.

Qiang Liu, Guihua Xie

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Article in Frontiers in public health, 2026. 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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5 · Who and what money

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2 authors.

Qiang LiuCollege of Resources and Environmental Engineering, Tianshui Normal University, Tianshui, China.
Guihua XieCollege of Resources and Environmental Engineering, Tianshui Normal University, Tianshui, China.

Funding

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6 · The paper itself

Abstract

Introduction: China is experiencing rapid population aging with marked regional disparities, posing sustained challenges for healthcare provision. This study examines the spatiotemporal coupling coordination of two provincial composite indices, one summarizing population aging characteristics and one summarizing healthcare resource capacity, across 31 provincial-level regions, 2000-2023 (713 valid province-year observations). Methods: Aging was measured by five demographic and health indicators, capacity by six supply-side indicators covering hospitals and primary healthcare institutions; principal component analysis and the entropy method were applied in parallel and cross-validated (Pearson Results: China's aging coefficient rose from 7.0% (2000) to 14.9% (2023), following an acceleration-stabilization pattern with marked spatial heterogeneity. Hospital beds reached 9.10 million (≈6.4 per 1,000 population) and licensed physicians 4.28 million by 2023, up 77.6% since 2010, while the normalized healthcare composite rose from 0.02 to 0.91. National coordination improved across the period, moving from the lower to the upper bound of the pooled min-max normalization; these bounds denote the sample minimum and maximum rather than absent or perfect coordination. Regional disparities nevertheless persisted: Shandong and Jiangsu recorded values in the highest class of the classification adopted here (D ≥ 0.60), whereas Tibet and Qinghai remained in the lowest (D < 0.20), and the coefficient of variation of provincial aging coefficients declined only from 0.41 to 0.38. Discussion: The study contributes a 24-year, all-province series built on one fixed indicator framework spanning the reforms of 2003, 2009 and 2016, and a rule-based provincial typology, summarized as a Four-Dimensional Collaborative Development Framework, that identifies where demographic structure and healthcare capacity correspond least closely. The findings are an input to regional healthcare planning; whether the measures they suggest improve the care older adults receive lies beyond this design.

Indexed as

AgingHealth ResourcesPopulation DynamicsAgedChinaHumansSpatio-Temporal AnalysisChinahealthcare resourcespopulation agingregional disparityspatiotemporal coupling coordination

Identifiers

PMID42845648
PMCPMC13642027

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