Measurement of the Spatiotemporal Disparities in the Equalization Level
of Basic Medical and Health Services in China: An Empirical Study Based
on Provincial Panel
Abstract Objective This study aims to explore the
spatiotemporal disparities in the equalization of basic medical and
health services in China, in order to provide reference and guidance for
promoting the equalization process of basic medical and health services
and ensuring the fair enjoyment of citizens’ right to life and health.
Methods Based on the theory of Structure-Process-Outcome(SPO),
a comprehensive evaluation index system of equalization level was
constructed with 22 core indicators of basic medical and health
services, from the three dimensions of medical and health investment,
health service utilization, and medical service effectiveness. The
Generalized Principal Component Analysis (GPCA) model was used to
calculate the equalization level of basic medical and health services in
31 provinces, municipalities, and autonomous regions from 2011 to 2021.
Furthermore, the kernel density estimation and Moran’s I model was
employed to analyze the correlation and disparity at the spatial level.
Results 1. From a national perspective, the level of
equalization of basic medical and health services in China has
significantly improved from 2011 to 2021. The mean score of national
equalization level increased from -0.605 to 0.174, with an increase of