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Article: Divergent distributions of physicians and healthcare beds in China: Changing patterns, driving forces, and policy implications

TitleDivergent distributions of physicians and healthcare beds in China: Changing patterns, driving forces, and policy implications
Authors
KeywordsHealthcare resource
Physician
Healthcare bed
Healthcare reform
Spatial regression model
Issue Date2022
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/apgeog
Citation
Applied Geography, 2022, v. 138, article no. 102626 How to Cite?
AbstractThe distributions of different healthcare resources are typically examined individually and separately, thus overlooking the fundamental fact that healthcare delivery hinges on the cofunction of different resources. Divergent distributions of physicians and healthcare beds are found to significantly affect healthcare quality and efficiency, while theoretical understanding and related empirical investigations are still lacking. This study disserts the divergent distributions as embedded in medicine (i.e., physician-to-bed ratio varies for the treatment of different diseases) and shaped largely by the healthcare delivery system that determines where different diseases to be treated. Gini coefficients and bivariate Moran's Index provide strong evidence for the increasing divergence in their distributions across prefecture-level cities in China between 2000 and 2018. Spatial regression models reveal a high physician-to-bed ratio in cities of a higher level, with high finance capacity, few primary care facilities, and advanced medical technologies. Meanwhile, less developed areas are multidimensionally disadvantaged in attracting physicians, as political, economic, and medical technological forces acted jointly to determine healthcare resource distribution. This study presents a novel approach to healthcare resource distribution by focusing on the colocation of different resources, and suggests that more comprehensive policymaking is required to coordinate and optimize healthcare resource allocation across the country.
Persistent Identifierhttp://hdl.handle.net/10722/309309
ISSN
2023 Impact Factor: 4.0
2023 SCImago Journal Rankings: 1.204
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYan, X-
dc.contributor.authorHe, S-
dc.contributor.authorWebster, C-
dc.contributor.authorYu, M-
dc.date.accessioned2021-12-29T02:13:14Z-
dc.date.available2021-12-29T02:13:14Z-
dc.date.issued2022-
dc.identifier.citationApplied Geography, 2022, v. 138, article no. 102626-
dc.identifier.issn0143-6228-
dc.identifier.urihttp://hdl.handle.net/10722/309309-
dc.description.abstractThe distributions of different healthcare resources are typically examined individually and separately, thus overlooking the fundamental fact that healthcare delivery hinges on the cofunction of different resources. Divergent distributions of physicians and healthcare beds are found to significantly affect healthcare quality and efficiency, while theoretical understanding and related empirical investigations are still lacking. This study disserts the divergent distributions as embedded in medicine (i.e., physician-to-bed ratio varies for the treatment of different diseases) and shaped largely by the healthcare delivery system that determines where different diseases to be treated. Gini coefficients and bivariate Moran's Index provide strong evidence for the increasing divergence in their distributions across prefecture-level cities in China between 2000 and 2018. Spatial regression models reveal a high physician-to-bed ratio in cities of a higher level, with high finance capacity, few primary care facilities, and advanced medical technologies. Meanwhile, less developed areas are multidimensionally disadvantaged in attracting physicians, as political, economic, and medical technological forces acted jointly to determine healthcare resource distribution. This study presents a novel approach to healthcare resource distribution by focusing on the colocation of different resources, and suggests that more comprehensive policymaking is required to coordinate and optimize healthcare resource allocation across the country.-
dc.languageeng-
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/apgeog-
dc.relation.ispartofApplied Geography-
dc.subjectHealthcare resource-
dc.subjectPhysician-
dc.subjectHealthcare bed-
dc.subjectHealthcare reform-
dc.subjectSpatial regression model-
dc.titleDivergent distributions of physicians and healthcare beds in China: Changing patterns, driving forces, and policy implications-
dc.typeArticle-
dc.identifier.emailHe, S: sjhe@hku.hk-
dc.identifier.emailWebster, C: cwebster@hku.hk-
dc.identifier.authorityHe, S=rp01996-
dc.identifier.authorityWebster, C=rp01747-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.apgeog.2021.102626-
dc.identifier.scopuseid_2-s2.0-85120899505-
dc.identifier.hkuros331144-
dc.identifier.volume138-
dc.identifier.spagearticle no. 102626-
dc.identifier.epagearticle no. 102626-
dc.identifier.isiWOS:000861771200003-
dc.publisher.placeUnited Kingdom-

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