China's dusty lung crisis: Rural-urban health inequity as social and spatial injustice

Liu, Lee

doi:10.1016/j.socscimed.2019.05.033

Cited by 24 publications

(18 citation statements)

References 36 publications

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“…The urban population enjoys more benefits from public health insurance than the rural population, and thus, the quality of public health insurance in rural regions is lower than that in urban regions, resulting in heterogeneous impacts. Our findings confirm the inequity of China’s public health insurance due to the urban–rural division, which validates the findings of previous studies [ 51 – 54 ]. In addition, our findings not only confirm that public health insurance is closely related to the burden that individuals face from medical expenses, consistent with the findings of previous studies [ 55 – 58 ], but also confirm that public health insurance is closely related to individuals’ expectations regarding the future economic level, which expands the existing literature [ 59 – 62 ].…”

Section: Discussionsupporting

confidence: 92%

Quality of public health insurance and individuals’ consumption structure upgrades: evidence from China

Peng-fei

Gao

2021

Health Econ Rev

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Background The aim of this study was to investigate the relationship between the quality of public health insurance and individuals’ consumption structure upgrades in China. Methods This study was conducted using data from a population of 6430 Chinese individuals aged 18 to 70 y from the 2017 Chinese Social Survey. We used multiple linear regression models and the two-stage least-squares model to explore the impact and heterogeneity of the quality of public health insurance on individuals’ consumption structure upgrades. Furthermore, we performed structural equation modelling to clarify the mediation effects of the impact. Results The quality of public health insurance was significantly correlated with individuals’ consumption structure upgrades (β = 0.368, SD = 0.084), and the impact of the quality of public health insurance on individuals’ hedonic consumption in urban regions was significantly higher than that in rural regions (β = 0.499, SD = 0.218). Furthermore, the quality of public health insurance could promote upgrades to individuals’ consumption structure by reducing the burden of medical expenses and stabilizing or increasing individuals’ expectations regarding the future economic level. Conclusion The results indicated that developing countries should implement additional measures to enhance the quality of public health insurance, which would not only help protect the health of individuals but also stimulate individuals’ consumption to achieve rapid economic growth.

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Section: Discussionsupporting

confidence: 92%

Quality of public health insurance and individuals’ consumption structure upgrades: evidence from China

Peng-fei

Gao

2021

Health Econ Rev

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“…5 In particular, social-spatial justice perspective could be applied to better understand rural-urban disparities. 15…”

Section: Discussionmentioning

confidence: 99%

Rural-Urban Disparities in Cardiovascular Disease Mortality Among Middle-Age Men in China

Liu

2020

Asia Pac J Public Health

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Rural-urban health disparities are still poorly understood, due to a considerable gap in knowledge, while a looming heart disease and stroke epidemic in China has caused global concern. This report attempts to fill in the knowledge gaps to examine if rural-urban disparities in heart disease and stroke mortality have widened, which population cohorts have experienced the greatest mortality growth and disparities, and if rurality still matters in China. Age-specific data from 2002 to 2016 published in the China Health Yearbooks were analyzed with the Joinpoint Regression Program. The results reveal that China faces a fast growing cardiovascular disease epidemic with widening rural-urban disparities. Rural death rates have grown higher than urban rates along with fast rising rural mortality, and the fastest increasing rates are found among rural men in younger age groups. These findings inspire further research into the causes of the disparities.

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“…Health inequities refer to unfair and avoidable differences in health or healthcare resources caused by poor governance. 6 The words evacuation, transport, and relocation are used interchangeably in the paper to refer to long-distance move of patients by medical professionals from home to a receiving hospital following established procedures for patient safety and infection control. COVID-19 case and death data were derived from daily reports by Sina.com, which are based on daily reports by the National Health Commission of China and Health Commissions in all China's 31 provincial level units.…”

Section: Methodsmentioning

confidence: 99%

Sustainable COVID-19 Mitigation: Wuhan Lockdowns, Health Inequities, and Patient Evacuation

Liu

2020

Int J Health Policy Manag

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The world is urgently looking for ways to flatten the coronavirus disease 2019 (COVID-19) curve, and many governments have resorted to implementing strict lockdowns, as researchers show the effectiveness of China’s approaches in containing the virus. However, this paper argues that the draconian lockdowns instituted in Wuhan, Hubei, China, may have actually contributed to intensifying patient surges and incapacitating local health systems. Medical aids were rushed to Hubei and new hospitals were rapidly built, however, the healthcare system was still unable to match the staggering increase of patients in the early stages of the lockdowns. The paper proposes using patient evacuation to enhance sustainable COVID-19 mitigation during lockdowns. It demonstrates that patients in Hubei could have been transported to other Chinese provinces where hospitals were under-utilized. This could have theoretically saved thousands of lives by reducing inequities between Hubei and the rest of China in healthcare capacity for treating COVID-19 patients.

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China's dusty lung crisis: Rural-urban health inequity as social and spatial injustice

Cited by 24 publications

References 36 publications

Quality of public health insurance and individuals’ consumption structure upgrades: evidence from China

Quality of public health insurance and individuals’ consumption structure upgrades: evidence from China

Rural-Urban Disparities in Cardiovascular Disease Mortality Among Middle-Age Men in China

Sustainable COVID-19 Mitigation: Wuhan Lockdowns, Health Inequities, and Patient Evacuation

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