Trends and projections of universal health coverage indicators in China, 1993–2030: an analysis of data from four nationwide household surveys

Li, Yuanyuan; Zhang, Chunfeng; Zhan, Peng; Fu, Hongqiao; Yip, Winnie

doi:10.1016/j.lanwpc.2022.100646

Cited by 10 publications

(22 citation statements)

References 37 publications

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“…[ 32 , 33 ] More importantly, this stride originated from national policies and efforts for Universal Health Coverage in China over the past decades, such as the Healthy China strategy, healthcare reform, and popularization of health and health insurance of inhabitants. [ 34 , 35 ]…”

Section: Discussionmentioning

confidence: 99%

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Jiao,

Cheng,

Gao

et al. 2024

Journal of Translational Internal Medicine

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Background and Objectives Technique and practice of digestive endoscopy are undergoing speedy development all over the world. This study aimed to evaluate its status quo and development in China. Methods All hospitals performing digestive endoscopy in mainland China participated in the national census in 2013 and 2020. Retrospective data of hospitals, endoscopists, volumes, and qualities were collected via an online structured questionnaire, and its accuracy and rationality were verified by logical tests and manual reviews. Data from other countries were used to compare with that of China. Results From 2012 to 2019, the number of hospitals performing digestive endoscopy increased from 6,128 to 7,470 (1.22-fold), in which primary healthcare played a minor role. The median hospitals per 100,000 inhabitants per provincial region increased from 0.49 (IQR, 0.39-0.57) to 0.55 (IQR, 0.49-0.63). The endoscopists increased from 26,203 to 39,638 (1.51-fold), but their average workload even expanded. Overall volume increased from 28.8 million to 44.5 million (1.55-fold), and most types of endoscopic procedures recorded a high growth rate. Contrastingly, the specific utilization rates were low and paled in comparison with some developed countries. Nationwide, regional utilization rates showed a significant correlation with GDP per capita (P <0.001). Overall qualities of digestive endoscopy were excellent, but certain results of quality indicators posed a huge challenge, such as the detection rates of adenoma and early cancers. Conclusions Impressive progress has been made in digestive endoscopy with rapidly expanding economy in China. However, primary healthcare, utilization rates, and income-related inequality of regional services were needed to be improved to promote public health better.

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Section: Discussionmentioning

confidence: 99%

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Jiao,

Cheng,

Gao

et al. 2024

Journal of Translational Internal Medicine

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“…The CHNS is an ongoing large-scale, longitudinal survey launched in 1989 by University of North Carolina at Chapel Hill and Chinese Center for Disease Control and Prevention to monitor Chinese residents’ health, nutritional status, and lifestyle behaviours. 30 , 31 Multistage random-cluster sampling was used to choose samples from 15 provinces across China. Details on these two household surveys and data sources can be seen in Appendix (pp 2–7) , and more information about the study design have been described elsewhere.…”

Section: Methodsmentioning

confidence: 99%

“…Details on these two household surveys and data sources can be seen in Appendix (pp 2–7) , and more information about the study design have been described elsewhere. 27 , 28 , 29 , 30 , 31 …”

Section: Methodsmentioning

confidence: 99%

“…And to address this inconsistency, adjacent years as the same survey time have been usually used previously. 31 , 32 , 33 Therefore, we followed this approach in our analysis considering that the NCD management progress was seldom a discontinuous and sudden change. 10 , 22 Besides, we collected the health financing and resources data in each survey year (2004, 2009, 2013, and 2018) from the statistical yearbook of the National Bureau of Statistics and of China and China Health Statistics Yearbook.…”

Section: Methodsmentioning

confidence: 99%

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Inequalities in non-communicable disease management in China and progress toward universal health coverage: an analysis of nationwide household survey data from 2004 to 2018

Zhou,

Wu,

et al. 2024

The Lancet Regional Health - Western Pacific

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“…Examining healthcare coverage and gaining a better understanding of trends in socioeconomic inequality in HIV testing are important. Navigating healthcare coverage progress over time allows us to understand the added value or the persisted gaps due to the absence or presence of interventions [ 17 ]. Similarly, assessing trends in HIV testing coverage helps us understand who has access to HIV/AIDS services and who does not [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic inequality in adults undertaking HIV testing over time in Ethiopia based on data from demographic and health surveys

Endalamaw,

Gilks,

Assefa

2024

PLoS ONE

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Introduction HIV testing is the entry point to HIV prevention, care and treatment and needs continuous evaluation to understand whether all social groups have accessed services equally. Addressing disparities in HIV testing between social groups results in effective and efficient response against HIV prevention. Despite these benefits, there was no previous study on inequality and determinants over time in Ethiopia. Thus, the objective of this research was to examine socioeconomic inequality in individuals undertaking HIV testing over time, allowing for the identification of persistent and emerging determinants. Methods Data sources for the current study were the 2011 and 2016 Ethiopian Demographic Health Surveys. The 2016 population health survey is the one that Ethiopia used to set national AIDS response strategies; there was no other recent survey with HIV/AIDS-related indicators in Ethiopia. The final sample size for the current study was 28,478 for the year 2011 and 25,542 for the year 2016. The concentration curve and Erreygers’ concentration index were used to estimate socioeconomic inequality in HIV testing. Subsequently, decomposition analysis was performed to identify persistent and emerging contributors of socioeconomic inequality. Generalized linear regression model with the logit link function was employed to estimate the marginal effect, elasticity, Erreygers’ concentration index (ECI), and absolute and percentage contributions of each covariate. Results The concentration curve was below the line of equality over time, revealing the pro-rich inequality in HIV testing. The inequality was observed in both 2011 (ECI = 0.200) and 2016 (ECI = 0.213). A household wealth rank had the highest percentage contribution (49.2%) for inequality in HIV testing in 2011, which increased to 61.1% in 2016. Additional markers include listening to the radio (13.4% in 2011 and 12.1% in 2016), education status (8.1% in 2011 and 6.8% in 2016), and resident (-2.0% in 2011 and 6.3% in 2016). Persistent determinants of individuals undertaking HIV testing were age 20–34 years, geographic region, education status, marital status, religion, income, media exposure (listening to the radio, reading newspaper, watching television), knowledge about HIV/AIDS, and attitudes towards people living with HIV. Age between 35 and 44 years and urban residence emerged as new associated factors in 2016. Conclusions The higher HIV testing coverage was among individuals with higher socioeconomic status in Ethiopia. Socioeconomic inequality amongst individuals undertaking HIV testing was diverging over time. Household wealth rank, mass media exposure, education status, and resident took the largest share in explaining the disparity in individuals undertaking HIV testing between the lower and higher income groups. Therefore, interventions to equalise HIV testing coverage should take account of these determinants.

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Trends and projections of universal health coverage indicators in China, 1993–2030: an analysis of data from four nationwide household surveys

Cited by 10 publications

References 37 publications

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Development and status quo of digestive endoscopy in China: An analysis based on the national census in 2013 and 2020

Inequalities in non-communicable disease management in China and progress toward universal health coverage: an analysis of nationwide household survey data from 2004 to 2018

Socioeconomic inequality in adults undertaking HIV testing over time in Ethiopia based on data from demographic and health surveys

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