ArticleBMC public health2025
Disparities in hospice and palliative care services: evidence of healthcare provider practice in various regions of China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Ritualized relational autonomy in Chinese end-of-life care: balancing Confucian benevolence and individual rights.Frontiers in public health · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo assess geographical disparities in hospice and palliative care (HPC) based on provider-reported practices across Chinese provinces and to identify associated socioeconomic and health system factors. STUDY
designDescriptive cross-sectional study.
methodsA large cross-sectional survey was conducted among 6,393 healthcare providers from 903 institutions across 87 pilot cities in 29 provinces using a multi-stage stratified sampling strategy. Provider practice levels were measured using a validated 14-item scale (Cronbach's α = 0.98; score range 14-70), reflecting the frequency of essential HPC activities. Spatial patterns were assessed using Global and Local Moran's I, and factors associated with practice levels were examined using Ordinary Least Squares (OLS) and Geographically Weighted Regression (GWR).
resultsThe average practice level score was 53.35 ± 1.52. Significant spatial clustering of HPC practice levels was observed, with high-high clusters in Shandong and Yunnan and low-low clusters in Xinjiang. Higher practice levels were unexpectedly associated with lower GDP per capita (β = -0.07, 95%CI: -1.31 to -0.13) and fewer hospitals per 10,000 people (β = -0.67, 95%CI: -1.24 to -0.10).
conclusionsSubstantial geographic disparities in provider practice levels reveals inequities in HPC service delivery across China. These findings underscore the need for region-specific interventions, strengthened community-based services, and policy frameworks to improve equitable access to HPC nationwide.
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