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Article: Examining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China

TitleExamining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China
Authors
Keywordshigh-quality healthcare resources
evaluation framework
3-A hospitals
hospital quality
general entropy indexes
Issue Date2019
PublisherMolecular 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?
AbstractHealthcare 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 Identifierhttp://hdl.handle.net/10722/274796
ISSN
2011 Impact Factor: 1.605
2015 SCImago Journal Rankings: 0.883
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorYu, M-
dc.contributor.authorHe, S-
dc.contributor.authorWU, D-
dc.contributor.authorZhu, H-
dc.contributor.authorWebster, C-
dc.date.accessioned2019-09-10T02:28:55Z-
dc.date.available2019-09-10T02:28:55Z-
dc.date.issued2019-
dc.identifier.citationInternational Journal of Environmental Research and Public Health, 2019, v. 16 n. 16, p. article no. 2813-
dc.identifier.issn1661-7827-
dc.identifier.urihttp://hdl.handle.net/10722/274796-
dc.description.abstractHealthcare 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.languageeng-
dc.publisherMolecular Diversity Preservation International. The Journal's web site is located at http://www.mdpi.org/ijerph-
dc.relation.ispartofInternational Journal of Environmental Research and Public Health-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjecthigh-quality healthcare resources-
dc.subjectevaluation framework-
dc.subject3-A hospitals-
dc.subjecthospital quality-
dc.subjectgeneral entropy indexes-
dc.titleExamining the Multi-Scalar Unevenness of High-Quality Healthcare Resources Distribution in China-
dc.typeArticle-
dc.identifier.emailYu, M: myu211@hku.hk-
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.naturepublished_or_final_version-
dc.identifier.doi10.3390/ijerph16162813-
dc.identifier.pmid31394765-
dc.identifier.pmcidPMC6720903-
dc.identifier.scopuseid_2-s2.0-85071179186-
dc.identifier.hkuros305246-
dc.identifier.volume16-
dc.identifier.issue16-
dc.identifier.spagearticle no. 2813-
dc.identifier.epagearticle no. 2813-
dc.publisher.placeSwitzerland-

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