Towards healthy China 2030: Modeling health care accessibility with patient referral

Ying, Xiao; Chen, Xiang; Li, Qiang; Jia, Pengfei; Li, Luning; Chen, Zhifen

doi:10.1016/j.socscimed.2021.113834

Cited by 34 publications

(25 citation statements)

References 41 publications

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“…However, China now faces more challenging problems it shares with resource-rich countries including cardiovascular disease, chronic respiratory diseases, cancer, diabetes, and obesity. A recent series of publications [70][71][72][73] highlight achieving health equity should be China's foremost health goal. The current challenges include incomplete health insurance coverage, uneven health care access, mixed health care quality, escalating costs, and high risk of unsustainable expenditures on health care.…”

Section: Discussionmentioning

confidence: 99%

Toward the Cure of Acute Lymphoblastic Leukemia in Children in China

Chen

Zhang

Gale

et al. 2021

JCO Global Oncology

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This study explored results of therapy of children with acute lymphoblastic leukemia (ALL) in China, recent progress, and challenges. Included are a survey of therapy outcomes of ALL in Chinese children nationwide, comparison of these data with global ALL therapy outcomes, analyses of obstacles to improving outcomes, and suggestions of how progress can be achieved. Therapy outcomes at many Chinese pediatric cancer centers are approaching those of resource-rich countries. However, nationwide outcomes still need improvement. Obstacles include suboptimal clinical trials participation, children without adequate health care funding, human resource shortages, especially physicians expert in pediatric hematology and oncology, and social-economic disparities. We suggest how these obstacles have been and continue to be remedied including expanded access to protocol-based therapy, improved supportive care, health care reforms, recruitment of trained personnel, and international collaborations. China has made substantial progress treating children with ALL. We envision even better outcomes in the near future.

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Section: Discussionmentioning

confidence: 99%

Toward the Cure of Acute Lymphoblastic Leukemia in Children in China

Chen

Zhang

Gale

et al. 2021

JCO Global Oncology

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“…Some consensuses have been reached among these exploratory studies on the heterogeneity in catchment area sizes, distance friction effects and transport modes among different levels [12,15,30,31]. Meanwhile, some studies are focused on the impacts of the referrals between facilities at different levels on healthcare accessibility [13,32,33]. Furthermore, the establishment of a hierarchical medical system would also influence the health seeking behaviors of patients [16].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

Tao

Han

2021

IJGI

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The hierarchical healthcare system is widely considered to be a desirable mode of the delivery of healthcare services. It is expected that the establishment of a hierarchical healthcare system can help provide better and more equal healthcare accessibility. However, limited evidence has been provided on the impacts of a hierarchical healthcare system on healthcare accessibility. This study develops an improved Hierarchical two-step floating catchment area (2SFCA) method, which incorporates variable catchment area sizes, distance friction effects and utilization efficiency for facilities at different levels. Leveraging the Hierarchical 2SFCA method, various scenarios are set up to assess the accessibility impacts of a hierarchical healthcare system. The methods are applied in a case study of Shenzhen. The results reveal significant disparity and inequality in healthcare accessibility and also differences between various facility levels in Shenzhen. The overall healthcare accessibility and its equality can be significantly improved by fully utilizing existing facilities. It is also demonstrated that allocating additional supply to lower-level facilities can generate larger accessibility gains. Furthermore, allocating new supply to primary facilities would mitigate the inequality in healthcare accessibility, whereas inequality tends to be aggravated with new supply allocated to tertiary facilities. These impacts cannot be captured by traditional accessibility measures. This study demonstrates the pivotal role of primary facilities in the hierarchical healthcare system. It can contribute to the literature by providing transferable methods and procedures for measuring hierarchical healthcare accessibility and assessing accessibility impacts of a hierarchical healthcare system in developing countries.

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Section: Introductionmentioning

confidence: 99%

“…Nevertheless, in many cases, the provision of health services is not distributed equally in one region and among different population groups due to a variety of spatial and nonspatial factors [7,8]. As for non-spatial factors, these mainly significantly affect the quality of the health service offered [7,9]. However, spatial aspects can become a physical barrier that hinders adequate access to health services, depending on the separation distance where the patient needs medical assistance to the nearest hospital where he or she can ISPRS Int.…”

Section: Introductionmentioning

confidence: 99%

“…However, the adoption of an equal catchment size was criticized for the lack of nuances in interpreting the effect of decreasing distance [43] and to adapt to the different travel environments where health search behaviors take place, the enhanced two-step floating capture model (ESFCA) was proposed [46]. Nonetheless, in these latter two methods, there is the oversight of regional competition [7]. In fact, it is also known as "intervention opportunities" in the language of spatial interaction models [47], as they limit search behaviors, as in many cases, the patient can be treated outside a particular administrative unit [48,49], to minimize this defect the three-step floating catchment area method (3SFCA) was developed [50][51][52].…”

Section: Introductionmentioning

confidence: 99%

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Assessing Health Resources Equipped with Hemodynamic Rooms in the Portuguese-Spanish Borderland: Cross-Border Cooperation Strategies as a Possible Solution

Gómez

Castanho

Cabezas

et al. 2021

IJGI

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Portugal and Spain share one of the greatest European borderland areas. This fact has direct impacts on a large territory and consequently on the communities’ living in it. Still, even if the border areas represent an essential fraction of the territory, planning policies have not resulted in specific cooperation programs that could enable sharing general leisure and recreation assets and infrastructures and collaboration in critical domains—i.e., the case of the health sector. The present study aims to assess the territorial accessibility to the hemodynamic rooms by the potential population of the Spanish-Portuguese transition areas that may suffer an acute myocardial infarction. Contextually, this study employed a spatial interaction model based on the three-step floating catchment area method (method-3SFCA). By applying these methods, it was possible to develop a map of accessibility to health infrastructures equipped with hemodynamics rooms on both sides of the border that may answer the Spanish-Portuguese border populations’ needs. Besides, while granting valuable information for decision-makers regarding the need to develop new infrastructures to guarantee that even considering cross border cooperation, everyone gets access to a hemodynamics room within the critical intervention period.

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Towards healthy China 2030: Modeling health care accessibility with patient referral

Cited by 34 publications

References 41 publications

Toward the Cure of Acute Lymphoblastic Leukemia in Children in China

Toward the Cure of Acute Lymphoblastic Leukemia in Children in China

Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

Assessing Health Resources Equipped with Hemodynamic Rooms in the Portuguese-Spanish Borderland: Cross-Border Cooperation Strategies as a Possible Solution

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