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- Publisher Website: 10.3390/ijerph16162813
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- PMID: 31394765
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Article: Examining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China
Title | Examining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China |
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Authors | |
Keywords | high-quality healthcare resources evaluation framework 3-A hospitals hospital quality general entropy indexes |
Issue Date | 2019 |
Publisher | Molecular Diversity Preservation International. The Journal's web site is located at http://www.mdpi.org/ijerph |
Citation | International Journal of Environmental Research and Public Health, 2019, v. 16 n. 16, p. article no. 2813 How to Cite? |
Abstract | Healthcare disparity is, to a large extent, ascribable to the uneven distribution of high-quality healthcare resources, which remains insufficiently examined, largely due to data unavailability. To overcome this barrier, we synthesized multiple sources of data, employed integrated methods and made a comprehensive analysis of government administrative structures and the socio-economic environment to build probably the most inclusive dataset of Chinese 3-A hospitals thus far. Calibrated on a sample of 379 hospitals rated by a reputable organization, we developed a realistic and viable evaluation framework for assessing hospital quality in China. We then calculated performance scores for 1246 3-A hospitals, which were aggregated and further analyzed at multiple scales (cities, provinces, regions, and economic zones) using general entropy indexes. This research shows that the fragmented governance and incoordination of “kuai” and “tiao” is rooted deeply in China’s legacy of centrally-planned systems, and has had a far-reaching yet partially contradictory influence over the contemporary distribution and performance of healthcare resources. Additionally, the unevenness in the distribution of healthcare resources is related closely to a city’s administrative rank and power. This study thus suggests that the policy design of healthcare systems should be coordinated with external socio-economic transformation in a sustainable manner. |
Persistent Identifier | http://hdl.handle.net/10722/274796 |
ISSN | 2019 Impact Factor: 2.849 2023 SCImago Journal Rankings: 0.808 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Yu, M | - |
dc.contributor.author | He, S | - |
dc.contributor.author | WU, D | - |
dc.contributor.author | Zhu, H | - |
dc.contributor.author | Webster, C | - |
dc.date.accessioned | 2019-09-10T02:28:55Z | - |
dc.date.available | 2019-09-10T02:28:55Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | International Journal of Environmental Research and Public Health, 2019, v. 16 n. 16, p. article no. 2813 | - |
dc.identifier.issn | 1661-7827 | - |
dc.identifier.uri | http://hdl.handle.net/10722/274796 | - |
dc.description.abstract | Healthcare disparity is, to a large extent, ascribable to the uneven distribution of high-quality healthcare resources, which remains insufficiently examined, largely due to data unavailability. To overcome this barrier, we synthesized multiple sources of data, employed integrated methods and made a comprehensive analysis of government administrative structures and the socio-economic environment to build probably the most inclusive dataset of Chinese 3-A hospitals thus far. Calibrated on a sample of 379 hospitals rated by a reputable organization, we developed a realistic and viable evaluation framework for assessing hospital quality in China. We then calculated performance scores for 1246 3-A hospitals, which were aggregated and further analyzed at multiple scales (cities, provinces, regions, and economic zones) using general entropy indexes. This research shows that the fragmented governance and incoordination of “kuai” and “tiao” is rooted deeply in China’s legacy of centrally-planned systems, and has had a far-reaching yet partially contradictory influence over the contemporary distribution and performance of healthcare resources. Additionally, the unevenness in the distribution of healthcare resources is related closely to a city’s administrative rank and power. This study thus suggests that the policy design of healthcare systems should be coordinated with external socio-economic transformation in a sustainable manner. | - |
dc.language | eng | - |
dc.publisher | Molecular Diversity Preservation International. The Journal's web site is located at http://www.mdpi.org/ijerph | - |
dc.relation.ispartof | International Journal of Environmental Research and Public Health | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | high-quality healthcare resources | - |
dc.subject | evaluation framework | - |
dc.subject | 3-A hospitals | - |
dc.subject | hospital quality | - |
dc.subject | general entropy indexes | - |
dc.title | Examining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China | - |
dc.type | Article | - |
dc.identifier.email | Yu, M: myu211@hku.hk | - |
dc.identifier.email | He, S: sjhe@hku.hk | - |
dc.identifier.email | Webster, C: cwebster@hku.hk | - |
dc.identifier.authority | He, S=rp01996 | - |
dc.identifier.authority | Webster, C=rp01747 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.3390/ijerph16162813 | - |
dc.identifier.pmid | 31394765 | - |
dc.identifier.pmcid | PMC6720903 | - |
dc.identifier.scopus | eid_2-s2.0-85071179186 | - |
dc.identifier.hkuros | 305246 | - |
dc.identifier.volume | 16 | - |
dc.identifier.issue | 16 | - |
dc.identifier.spage | article no. 2813 | - |
dc.identifier.epage | article no. 2813 | - |
dc.identifier.isi | WOS:000484419000172 | - |
dc.publisher.place | Switzerland | - |
dc.identifier.issnl | 1660-4601 | - |