Regional Disparity of Medical Resources and Its Effect on Mortality Rates in China

被引:57
作者
Chai, Kuang-Cheng [1 ]
Zhang, Ying-Bin [1 ]
Chang, Ke-Chiun [2 ]
机构
[1] Guilin Univ Elect Technol, Business Sch, Guilin, Peoples R China
[2] Wuhan Univ, Sch Econ & Management, Wuhan, Peoples R China
关键词
mortality rate; medical resources; regional disparity; unemployment; GDP; SOCIOECONOMIC INEQUALITIES; INFANT-MORTALITY; HEALTH; CARE; DETERMINANTS; TRENDS;
D O I
10.3389/fpubh.2020.00008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: The purpose of this study was two-fold. First, to empirically study the effects that medical resources (i.e., hospital, doctors, beds) have on the mortality rate in China. Second, to divide China into east, middle, and west regions, and empirically study the regional disparity of medical resources and its effect on mortality rates in China. Methodology and Data: This study utilized a panel data regression model to explore the effect medical resources have on the age-standardized mortality rate in China. The data came from the 2003-2017 China Statistical Yearbook compiled by the National Bureau of Statistics of China. Results: Nationwide, hospitals, doctors, and beds had a significant negative correlation with the mortality rate. In the western region, hospitals, beds, and doctors had a significant negative correlation with the mortality rate. In China's middle and eastern regions, hospitals, beds, and doctors had no significant effect on the mortality rate. In China, increased hospitals, doctors, and beds significantly reduced the mortality rate. The distribution of medical resources in eastern, middle, and western China was unequal. More hospitals, beds, and doctors in the less developed western regions can more effectively alleviate the local mortality rate. In the middle and east regions, hospitals, beds, and doctors had no significant impact on the local mortality rate. Conclusion: First, China's overall medical resources are still inadequate and improving medical resources throughout the country could reduce the mortality rate. Second, due to the imbalanced distribution of medical resources in China, the Chinese government should implement more supportive policies for medical resources in the western region. At the same time, we should also actively develop the western region by improving local per capita GDP and reducing unemployment, so as to fundamentally reduce the local mortality rate.
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页数:8
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共 34 条
  • [21] Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review
    Pickett, KE
    Pearl, M
    [J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2001, 55 (02) : 111 - 122
  • [22] CHANGING RELATION BETWEEN MORTALITY AND LEVEL OF ECONOMIC-DEVELOPMENT
    PRESTON, SH
    [J]. POPULATION STUDIES-A JOURNAL OF DEMOGRAPHY, 1975, 29 (02): : 231 - 248
  • [23] Site of Interstage Care, Resource Utilization, and Interstage Mortality: A Report from the NPC-QIC Registry
    Schidlow, David N.
    Gauvreau, Kimberlee
    Patel, Mehul
    Uzark, Karen
    Brown, David W.
    [J]. PEDIATRIC CARDIOLOGY, 2015, 36 (01) : 126 - 131
  • [24] Socioeconomic Inequalities in Infant Mortality in Egypt: Analyzing Trends Between 1995 and 2014
    Sharaf, Mesbah Fathy
    Rashad, Ahmed Shoukry
    [J]. SOCIAL INDICATORS RESEARCH, 2018, 137 (03) : 1185 - 1199
  • [25] Pneumococcal Disease: A Systematic Review of Health Utilities, Resource Use, Costs, and Economic Evaluations of Interventions
    Shiri, Tinevimbo
    Khan, Kamran
    Keaney, Katherine
    Mukherjee, Geetanjali
    McCarthy, Noel D.
    Petrou, Stavros
    [J]. VALUE IN HEALTH, 2019, 22 (11) : 1329 - 1344
  • [26] On the determinants of mortality reductions in the developing world
    Soares, Rodrigo R.
    [J]. POPULATION AND DEVELOPMENT REVIEW, 2007, 33 (02) : 247 - 287
  • [27] 최병호, 2010, [Health Policy and Mangemnet, 보건행정학회지], V20, P1
  • [28] Factors responsible for mortality variation in the United States: A latent variable analysis
    Tencza, Christopher
    Stokes, Andrew
    Preston, Samuel
    [J]. DEMOGRAPHIC RESEARCH, 2014, 31 : 27 - 70
  • [29] Recent Mortality Trend Reversal in Russia: Are Regions Following the Same Tempo?
    Timonin, Sergey
    Danilova, Inna
    Andreev, Evgeny
    Shkolnikov, Vladimir M.
    [J]. EUROPEAN JOURNAL OF POPULATION-REVUE EUROPEENNE DE DEMOGRAPHIE, 2017, 33 (05): : 733 - 763
  • [30] Socio-economic Inequalities in Cause-specific Mortality: A 16-year Follow-up Study
    Tjepkema, Michael
    Wilkins, Russell
    Long, Andrea
    [J]. CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2013, 104 (07): : E472 - E478