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Regional Maldistribution of China’s Hospitals Based on Their Structural System

Author

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  • Lie Ma

    (School of Construction Management and Real Estate, Chongqing University, Chongqing 400045, China)

  • Qiu Xie

    (School of Construction Management and Real Estate, Chongqing University, Chongqing 400045, China
    Center for Construction Economy and Management, Chongqing University, Chongqing 400045, China)

  • Shiying Shi

    (School of Construction Management and Real Estate, Chongqing University, Chongqing 400045, China)

  • Xiaosu Ye

    (School of Construction Management and Real Estate, Chongqing University, Chongqing 400045, China
    Center for Construction Economy and Management, Chongqing University, Chongqing 400045, China)

  • Aifeng Zhao

    (Business School, University of Shanghai for Science and Technology, Shanghai 200093, China)

Abstract

Health equity is significant for social sustainability and the Chinese government is trying to achieve the goals of “universal access to basic health care services”. As the comprehensive carrier of health care services, hospitals are almost the most important health care resources and their regional maldistribution needs to give a special concern for health justice and social sustainability. This study aims to explore regional maldistribution of various hospitals through constructing, decomposing and calculating per capita hospitals Gini Coefficient based on the unique structural system of China’s hospitals from 2003–2014. Results show that: (1) the level of regional maldistribution of hospitals in China is not too serious in terms of quantity and there is a slight decline in recent years; (2) regional maldistribution of hospitals is mainly from General Hospitals and in inland areas; and (3) the slight decrease of regional maldistribution is mainly caused by Concentration Effect and increased per capita hospitals. Based on empirical results and the reality of China, some targeted policy suggestions are proposed to reduce regional maldistribution of hospitals and promote health equity for social sustainable development.

Suggested Citation

  • Lie Ma & Qiu Xie & Shiying Shi & Xiaosu Ye & Aifeng Zhao, 2017. "Regional Maldistribution of China’s Hospitals Based on Their Structural System," Sustainability, MDPI, vol. 9(6), pages 1-18, June.
  • Handle: RePEc:gam:jsusta:v:9:y:2017:i:6:p:1046-:d:101639
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    as
    1. Yafei Liu & Martin Dijst & Stan Geertman & Can Cui, 2017. "Social Sustainability in an Ageing Chinese Society: Towards an Integrative Conceptual Framework," Sustainability, MDPI, vol. 9(4), pages 1-15, April.
    2. Guanghua Wan & Yin Zhang, 2008. "Explaining the Poverty Difference between Inland and Coastal China: A Regression‐based Decomposition Approach," Review of Development Economics, Wiley Blackwell, vol. 12(2), pages 455-467, May.
    3. Chen, Zhuo & Meltzer, David, 2008. "Beefing up with the Chans: Evidence for the effects of relative income and income inequality on health from the China Health and Nutrition Survey," Social Science & Medicine, Elsevier, vol. 66(11), pages 2206-2217, June.
    4. Boyce, James K. & Zwickl, Klara & Ash, Michael, 2016. "Measuring environmental inequality," Ecological Economics, Elsevier, vol. 124(C), pages 114-123.
    5. Takahiro Akita, 2017. "Educational Expansion and the Role of Education in Expenditure Inequality in Indonesia Since the 1997 Financial Crisis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 130(3), pages 1165-1186, February.
    6. Peter J. Lambert & Andre' Decoster, 2005. "The Gini coefficient reveals more," Metron - International Journal of Statistics, Dipartimento di Statistica, Probabilità e Statistiche Applicate - University of Rome, vol. 0(3), pages 373-400.
    7. Rougoor, Ward & van Marrewijk, Charles, 2015. "Demography, Growth, and Global Income Inequality," World Development, Elsevier, vol. 74(C), pages 220-232.
    8. Xiaosu Ye & Lie Ma & Kunhui Ye & Jiantao Chen & Qiu Xie, 2017. "Analysis of Regional Inequality from Sectoral Structure, Spatial Policy and Economic Development: A Case Study of Chongqing, China," Sustainability, MDPI, vol. 9(4), pages 1-17, April.
    9. Sen, Amartya, 1997. "On Economic Inequality," OUP Catalogue, Oxford University Press, number 9780198292975.
    10. Jin Wang & Wonho Jang, 2016. "Educational inequality among Chinese urban schools: the business ethics of private schools," Asia Pacific Business Review, Taylor & Francis Journals, vol. 22(3), pages 502-515, July.
    11. Hongwei Xu & Yu Xie, 2017. "Socioeconomic Inequalities in Health in China: A Reassessment with Data from the 2010–2012 China Family Panel Studies," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(1), pages 219-239, May.
    12. Tian, Xu & Yu, Xiaohua, 2012. "The Enigmas of TFP in China: A meta-analysis," China Economic Review, Elsevier, vol. 23(2), pages 396-414.
    13. Lerman, Robert I & Yitzhaki, Shlomo, 1985. "Income Inequality Effects by Income," The Review of Economics and Statistics, MIT Press, vol. 67(1), pages 151-156, February.
    14. Qin, Xuezheng & Hsieh, Chee-Ruey, 2014. "Economic growth and the geographic maldistribution of health care resources: Evidence from China, 1949-2010," China Economic Review, Elsevier, vol. 31(C), pages 228-246.
    15. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    16. Yosef Jabareen, 2008. "A New Conceptual Framework for Sustainable Development," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 10(2), pages 179-192, April.
    17. Bakkeli, Nan Zou, 2016. "Income inequality and health in China: A panel data analysis," Social Science & Medicine, Elsevier, vol. 157(C), pages 39-47.
    18. Koike, Soichi & Yasunaga, Hideo & Matsumoto, Shinya & Ide, Hiroo & Kodama, Tomoko & Imamura, Tomoaki, 2009. "A future estimate of physician distribution in hospitals and clinics in Japan," Health Policy, Elsevier, vol. 92(2-3), pages 244-249, October.
    19. World Commission on Environment and Development,, 1987. "Our Common Future," OUP Catalogue, Oxford University Press, number 9780192820808.
    20. Efrat Eizenberg & Yosef Jabareen, 2017. "Social Sustainability: A New Conceptual Framework," Sustainability, MDPI, vol. 9(1), pages 1-16, January.
    21. Massimiliano Tani, 2017. "Hukou Changes and Subjective Well-Being in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(1), pages 47-61, May.
    22. Duangkamon Chotikapanich & William Griffiths, 2001. "On Calculation of the Extended Gini Coefficient," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 47(4), pages 541-547, December.
    23. Yehua Dennis Wei, 2016. "Towards Equitable and Sustainable Urban Space: Introduction to Special Issue on “Urban Land and Sustainable Development”," Sustainability, MDPI, vol. 8(8), pages 1-9, August.
    24. Beate Littig & Erich Griessler, 2005. "Social sustainability: a catchword between political pragmatism and social theory," International Journal of Sustainable Development, Inderscience Enterprises Ltd, vol. 8(1/2), pages 65-79.
    25. Clarke-Sather, Afton & Qu, Jiansheng & Wang, Qin & Zeng, Jingjing & Li, Yan, 2011. "Carbon inequality at the sub-national scale: A case study of provincial-level inequality in CO2 emissions in China 1997-2007," Energy Policy, Elsevier, vol. 39(9), pages 5420-5428, September.
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    2. Zhengna Song & Tinggan Yan & Yunjian Ge, 2018. "Spatial Equilibrium Allocation of Urban Large Public General Hospitals Based on the Welfare Maximization Principle: A Case Study of Nanjing, China," Sustainability, MDPI, vol. 10(9), pages 1-23, August.

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