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Record W2116017359 · doi:10.4000/eps.4345

Health Care Access and Regional Disparities in China

2011· article· en· W2116017359 on OpenAlex
Julia Vedom, Huhua Cao

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueEspace populations sociétés · 2011
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Systems and Reforms
Canadian institutionsCongress of Aboriginal PeoplesUniversity of Ottawa
Fundersnot available
KeywordsDisadvantagedResidenceEquity (law)ChinaSocioeconomic statusHealth careHealth equityBusinessGeographySocioeconomicsWelfareEconomic growthDemographic economicsEnvironmental healthPolitical scienceMedicinePopulationEconomics

Abstract

fetched live from OpenAlex

Access to health care, as a determinant of health, became unequally distributed in China as a result of continued pursuit of the market-oriented reforms introduced the late 1970s. Increasing urban-rural socio-economic disparities jeopardized the equity in social welfare and particularly the equity of access to health care, which has been widely considered a key objective of health care policies, in turn putting the disadvantaged communities in especially vulnerable position by increasing their health risks. Using the household survey data from the China Health and Nutrition Survey (CHNS), changes in the accessibility of health care are herein examined at the household level across socioeconomic groups in nine provinces of China over the 1989-2004 period. First, we describe the access to health care over the 15 years of survey, and then using a multivariate regression we analyze the determinants of access in 2004. We find that the geographic accessibility gap between hospitals and clinics has decreased from 1989 to 2004, while the gap in financial accessibility has increased, making urban hospitals the least accessible facilities. This study concludes a strong correlation between the geographic factors (method of travel, region, and availability of infrastructure in the province of residence) and the quality of access received. Overall, patients who are able to reach the facilities on foot enjoy better access than those who can not. Similarly, residents of the West along with the provinces with higher availability of health care facilities also tend to have a better potential access than their counterparts. Understanding of health care utilization patterns and access issues is essential for informing public decision- and policy-making aimed at improving living conditions and building a harmonious society.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.172
Threshold uncertainty score0.942

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.237
GPT teacher head0.389
Teacher spread0.152 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it