Will urban scale affect health services inequity? The empirical evidence from cities in China
Bibliographic Data
| ID | 22091045 |
|---|---|
| Authors | Hongchuan Wang (0000-0001-8629-0982, Tsinghua University), Kaibo Xu (0000-0002-8107-4743, Tsinghua University, corresponding author), Handong Fang (Tsinghua University), Hui Lin (0009-0002-0642-7761, University of Hong Kong), Huatang Zeng (0009-0008-2771-7382, Vanke (China)) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1330921-1330921 |
| Publication date | 2024-07-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1330921 |
| PMID | 39040863 |
| OpenAlex | W4400483663 |
| Language | EN |
| Citations received | 2 |
| References cited | 61 |
Background The equity of public resources triggered by city shrinkage is a global challenge. Significantly, the impact of city shrinkage on the allocation of health service resources needs to be better understood. This study explores the impact of population change on government investment and health service delivery in shrinking cities. Data and method Using data from China’s Urban Statistical Yearbook (2010–2020), we employ regression discontinuity (RD) and fixed-effect models to examine the causal relationship between city shrinkage and health service provision. Result Shrinking cities show significant disparities in health resources, particularly in bed numbers (−1,167.58, p < 0.05) and doctor availability (−538.54, p < 0.05). Economic development ( p < 0.01) and financial autonomy ( p < 0.01) influence hospital bed distribution. Investments in public services (primary schools and teachers, p < 0.01) affect health resource delivery. Robustness tests support our results. Conclusion This study reveals how city shrinkage disrupts health service provision and equity, establishing a causal relationship between city shrinkage/expansion and health resource allocation, emphasizing the imbalance caused by urban population changes. City expansion intensifies competition for health resources, while shrinking cities struggle to provide adequate resources due to government reluctance. Policymakers should adapt health resource allocation strategies to meet patient demands in changing urban landscapes
Business · China · Economic growth · Economics · Environmental health · Geography · Health disparities and outcomes · Medicine · Psychology · Urban, Neighborhood, and Segregation Studies · Urbanization and City Planning
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| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |