ArticleArchives of public health = Archives belges de sante publique2023
Inequality of opportunity in health service utilization among middle-aged and elderly community-dwelling adults in China.
Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Inequality in opportunities for utilizing community-based care services among the elderly in China - an analysis based on the "circumstance-effort" perspective.BMC health services research · 2025Article
- Status and factors associated with health service utilization among older adults in China: a recent national population-based survey.BMC geriatrics · 2025Article
- Effects of access to primary healthcare services on health vulnerability among older adults in China: focusing on demographic differences.Frontiers in public health · 2025Article
- Impact of the National Drug Price Negotiation policy on the price, usage, and affordability of anticancer medicines in Shandong Province, China.Frontiers in public health · 2024Article
- Health Benefit Utilization and Out-of-Pocket Expenses in Outpatient Care and Hospitalizations: Baseline Surveys of Three Primary Care Sites in the Philippines.Acta medica Philippina · 2024Article
- Inequalities changes in health services utilization among middle-aged and older adult disabled people in China: based on CHARLS 2011-2018.Frontiers in public health · 2024Article
- Inequality of opportunity in outpatient expenditure among the elderly with multimorbidity: evidence from China.International journal for equity in health · 2023Article
- Determinants of province-based health service utilization according to Andersen' s Behavioral Model: a population-based spatial panel modeling study.BMC public health · 2023Article
- The effect of internet use on depressive symptoms in middle-aged and older adults with functional disability: the mediating role of social isolation.Frontiers in public health · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe inequality caused by circumstances is known as "inequality of opportunity" (IOp). Many scholars have studied IOp in the health field, but few studies have quantified contributors to the IOp of health service utilization among middle-aged and elderly people. This study measured the IOp of health service utilization and decomposed the contributors to IOp present among Chinese middle-aged and elderly people.
methodsData were obtained from the China Health and Retirement Longitudinal Study (CHARLS) in 2013, 2015 and 2018. A mean-based regression method was adopted to measure the IOp of health service utilization. Shapley-Shorrocks decomposition was used to analyze the main contributors to IOp seen among the middle-aged and elderly.
resultsAlthough the absolute IOp of health service utilization decreased over time, IOp still explains the total inequality to a large extent. The absolute IOp and relative IOp were greatest in the areas of self-treatment and inpatient care utilization, respectively. Shapley decomposition results showed that the out-of-pocket (OOP) ratio contributed most to the IOp of outpatient care utilization; and the residence area highly explains the IOp of inpatient service utilization. Meanwhile, social and economic factors such as work status and income contribute more to the IOp of inpatient care utilization than outpatient and self-treatment.
conclusionsStrategies aimed at achieving equal opportunities remain necessary to ensure the fairness of health service utilization. Policies and measures should further adjust the medical insurance compensation policies, and pay more attention to the middle-aged and elderly residents in rural areas, optimize health resource allocation, improve the social security systems, and narrow the socioeconomic gap between urban and rural areas in China.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.