Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources

doi:10.3390/ijerph16040582

CORC > 成都山地灾害与环境研究所 > 中国科学院水利部成都山地灾害与环境研究所 > 山区发展研究中心

	Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources
	Song, Xueqian1 ; Wei, Yongping 2; Deng, Wei3,4 ; Zhang, Shaoyao 3,4; Zhou, Peng3,4 ; Liu, Ying3,4 ; Wan, Jiangjun 5
刊名	INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
	2019-02-02
卷号	16 期号:4 页码:18
关键词	two levels of healthcare resources spatial spillover effects spatial equity dynamic spatial Durbin panel model
ISSN号	1660-4601
DOI	10.3390/ijerph16040582
通讯作者	Wei, Yongping(yongping.wei@uq.edu.au) ; Deng, Wei(dengwei@imde.ac.cn)
英文摘要	In China, upper-level healthcare (ULHC) and lower-level healthcare (LLHC) provide different public medical and health services. Only when these two levels of healthcare resources are distributed equally and synergistically can the public's demands for healthcare be met fairly. Despite a number of previous studies having analysed the spatial distribution of healthcare and its determinants, few have evaluated the differences in spatial equity between ULHC and LLHC and investigated their institutional, geographical and socioeconomic influences and spillover effects. This study aims to bridge this gap by analysing panel data on the two levels of healthcare resources in 31 Chinese provinces covering the period 2003-2015 using Moran's I models and dynamic spatial Durbin panel models (DSDMs). The results indicate that, over the study period, although both levels of healthcare resources improved considerably in all regions, spatial disparities were large. The spatio-temporal characteristics of ULHC and LLHC differed, although both levels were relatively low to the north-west of the Hu Huanyong Line. DSDM analysis revealed direct and indirect effects at both short-and long-term scales for both levels of healthcare resources. Meanwhile, the influencing factors had different impacts on the different levels of healthcare resources. In general, long-term effects were greater for ULHC and short-term effects were greater for LLHC. The spillover effects of ULHC were more significant than those of LLHC. More specifically, industrial structure, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of ULHC, while industrial structure, urbanisation, topography, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of LLHC. These findings have important implications for policymakers seeking to optimize the availability of the two levels of healthcare resources.
资助项目	National Natural Science Foundation of China[41601141] ; National Natural Science Foundation of China[41471469] ; Science and Technology Service Network Initiative (STS) program[Y8R2020021] ; Presidential Foundation of the Chinese Academy of Sciences, China ; Research Foundation of Chengdu University of Information Technology[J201617] ; Research Foundation of Chengdu University of Information Technology[KYTZ201628]
WOS关键词	SPATIAL SPILLOVER ; PANEL-DATA ; FISCAL DECENTRALIZATION ; EXPENDITURE ; PROVISION ; MODEL ; ACCESSIBILITY ; URBANIZATION ; INEQUALITIES ; INVESTMENTS
WOS研究方向	Environmental Sciences & Ecology ; Public, Environmental & Occupational Health
语种	英语
出版者	MDPI
WOS记录号	WOS:000460804900061
资助机构	National Natural Science Foundation of China ; Science and Technology Service Network Initiative (STS) program ; Presidential Foundation of the Chinese Academy of Sciences, China ; Research Foundation of Chengdu University of Information Technology
内容类型	期刊论文
源URL	[http://ir.imde.ac.cn/handle/131551/25316]
专题	成都山地灾害与环境研究所_山区发展研究中心
通讯作者	Wei, Yongping; Deng, Wei
作者单位	1.Chengdu Univ Informat Technol, Sch Management, Chengdu 610225, Sichuan, Peoples R China 2.Univ Queensland, Sch Earth & Environm Sci, Brisbane, Qld 4067, Australia 3.Chinese Acad Sci, Inst Mt Hazards & Environm, Res Ctr Mt Dev, Chengdu 610041, Peoples R China 4.Univ Chinese Acad Sci, Coll Resources & Environm, Beijing 100049, Peoples R China 5.Sichuan Agr Univ, Sch Architecture & Urban Rural Planning, Dept Urban & Rural Planning, Chengdu 610041, Peoples R China
推荐引用方式 GB/T 7714	Song, Xueqian,Wei, Yongping,Deng, Wei,et al. Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources[J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,2019,16(4):18.
APA	Song, Xueqian.,Wei, Yongping.,Deng, Wei.,Zhang, Shaoyao.,Zhou, Peng.,...&Wan, Jiangjun.(2019).Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources.INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH,16(4),18.
MLA	Song, Xueqian,et al."Spatio-Temporal Distribution, Spillover Effects and Influences of China's Two Levels of Public Healthcare Resources".INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 16.4(2019):18.