ArticleScientific reports2025
The impact of the hierarchical medical system on medical resource allocation in China.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Temporal-spatial analysis and driving factors of coupling coordination between population and health services systems in China, 2010-2022.BMC health services research · 2026Article
- Dual-mode analysis of ischemic stroke based on urine SERS spectra and carotid B-ultrasound.Science advances · 2026Article
- Transformational Leadership and Nurse Job Performance Through Self-Efficacy in Chinese Tertiary Hospitals.Nursing open · 2026Article
- Spatial disparities and dynamic evolution of health human resources in primary healthcare institutions in China: a study from the perspective of aggregation degree.BMC health services research · 2026Article
- Comparative Analysis of Prescriptions and Pharmacy Services in Internet-Based Psychiatric Hospital During and After the COVID-19 Pandemic: Retrospective Cross-Sectional Observational Study.Journal of medical Internet research · 2026Observational
- The impact of digital economy on primary healthcare institution efficiency: evidence from China based on spatial effect analysis.BMC primary care · 2026Article
- Spatiotemporal evolution and spatial benefit analysis of the coupling coordination of China's three medical systems.Frontiers in public health · 2026Article
- Impact of Hospital Hierarchy on Nurses' Attitudes Toward Artificial Intelligence: Mediating Roles of Artificial Intelligence Literacy and Anxiety.Journal of nursing management · 2026Article
- Comparative effectiveness of daytime versus nighttime paravertebral block analgesia on intraoperative hemodynamics in older lung cancer patients: a target trial emulation study.Frontiers in medicine · 2026Article
- Spatial accessibility and equity of traditional Chinese medicine hospitals in Eastern China: application of improved two-step floating catchment area method.Frontiers in public health · 2026Article
- Analysis of Current Pain Management in Total Knee Arthroplasty in 8 Tertiary Hospitals in China Based on the Theory of Planned Behavior.Journal of multidisciplinary healthcare · 2026Article
- Spatiotemporal evolution and determinants analysis of health resource supply-demand coupling coordination in China.International journal for equity in health · 2025Article
- Regional disparities, dynamic evolution, and spatial spillover effects of medical resource allocation efficiency in TCM hospitals.Cost effectiveness and resource allocation : C/E · 2025Article
- Policy texts and actions: quantitative evaluation of the hierarchical medical system policy in China based on the PMC-Index model.BMC public health · 2025Article
- Knowledge, attitude, and practice towards primary aldosteronism among healthcare workers in Shanxi province: a multi-center cross-sectional study.Scientific reports · 2025Article
- Artificial Intelligence in Chronic Disease Management for Aging Populations: A Systematic Review of Machine Learning and NLP Applications.International journal of general medicine · 2025Review
- The mismatch in hierarchical diagnosis and treatment construction and related reasons: a qualitative analysis from ZX City, Hubei Province.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
The disparity in medical resource distribution across regions poses a significant challenge to healthcare reform in China. To address this, China has introduced the hierarchical medical system (HMS). This study evaluates the HMS's impact on the equitable distribution of medical resources. We employ the Theil index to quantify the equalization of resources among cities within provinces and use a multi-period difference-in-differences model to assess the HMS's influence. Our findings indicate that the HMS has significantly contributed to the equal distribution of medical material resources, although its effect on medical human resources is less pronounced. Additionally, we explore the influencing factors of the HMS from the perspective of supply and demand and find that it is more effective in areas with abundant resources and high demand for high-level medical services. More importantly, the HMS has played an important role in mitigating medical disparities in regions with unbalanced economic statuses. These insights are instrumental for policymakers, guiding the evolution of healthcare reforms and the refinement of the HMS to achieve the objective of universal health coverage.
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Registered trials
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.