Evidence map›Paper›PMID 42021268›Full record

ArticleBMC health services research2026

Spatial accessibility and equity analysis of designated medical insurance pharmacies in China.

Zhangke Wang, Rui Gu, Jinping Xie, Rong Jiang

Abstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhangke WangSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, 211198, China.
Rui GuSchool of Science, China Pharmaceutical University, Nanjing, Jiangsu, 211198, China.
Jinping XieSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, 211198, China. 15151870834@163.com.
Rong JiangFaculty of Pharmacy, Naval Medical University, Shanghai, 200433, China. jiangr_0_0@163.com.

Funding

National Natural Science Foundation of China 72304280
6 · The paper itself

Abstract

backgroundDesignated medical insurance pharmacies serve as a supplement to primary healthcare resources and are vital for promoting drug accessibility in China. This study investigates their spatial accessibility and equity under walking mode, with a focus on exploring the feasibility of resource allocation policies.

methodsSeven administrative provinces (Shanghai, Shandong, Chongqing, Liaoning, Shaanxi, Heilongjiang, and Tibet) were selected as research subjects based on population density. Ga2SFCA was employed to measure the spatial accessibility of designated medical insurance pharmacies. The Lorenz curve and Gini coefficient were applied to assess the distribution equity of these pharmacies.

resultsDesignated medical insurance pharmacies are usually distributed in densely populated areas. Shandong has the highest coverage rate of such pharmacies at 78%, while Chongqing has the largest share of areas with high accessibility at 16%. Chongqing achieved the highest accessibility score of 0.117597. The Gini coefficients for these pharmacies were consistently high across provinces, with Shanghai showing a relatively lower value 0.58.

conclusionsThe accessibility and equity of designated medical insurance pharmacies is associated with demographic, transportation, and socioeconomic factors. A rigid, one-size-fits-all implementation of the 15-minute standard may risk leading to resource redundancy. Differentiated resource allocation policies should be adopted based on regional characteristics. Areas with excessive pharmacy clustering and insufficient pharmacy coverage should be identified and publicly disclosed.

Indexed as

Health Services AccessibilityInsurance, HealthPharmaciesChinaHumansSocioeconomic Factors2SFCA methodInequalityPharmacy distributionSpatial accessibility

Identifiers

PMID42021268
PMCPMC13244951

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.