https://doi.org/10.4081/gh.2024.1252
Aspects of public health development in China’s western region
Submitted: 24 November 2023
Accepted: 5 March 2024
Published: 15 April 2024
Accepted: 5 March 2024
Abstract Views: 1713
PDF: 318
HTML: 61
HTML: 61
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The public health level in a country is closely related to national development and quality of life. In order to appraise the level of health services in the western region of China, panel data of 124 prefecture-level units covering the period 2011 to 2021 was used together with a health evaluation index system based on four dimensions: quality of life, environmental situation, the level of health services and longevity. To assess this, we used entropy weights, standard deviation and coefficient of variation together with the geographical detector model that measures the stratified spatial heterogeneity. The results show that although public health services have improved overall, the various dimensions are still not balanced as longevity did not match up everywhere. While the developmental level of the various health dimensions presents a pattern of a relatively smooth increasing gradient in the west-central- east direction, the situation with respect to the north-centralsouth is more uneven with both ups and downs. However, a trend of continuous enhancement of all health dimensions was found with a significant positive correlation of spatial clustering, with hotspots and ‘sub-hotspots’ contracting from north to south, while coldspots and ‘sub-coldspots’ expanded from west to east. This can be seen as the result of multiple factors, with the level of urbanization and economic level as the dominant factors and government guidance, agglomeration capacity and industrial structure being auxiliary.
Amer S, Bergquist R, 2021. Transport geography: Implications for public health. Geospatial Health 16:1-2.
DOI: https://doi.org/10.4081/gh.2021.1009
Black D, Black J, 2009. A review of the urban development and transport impacts on public health with particular reference to Australia: trans-disciplinary research teams and some research gaps. Int J Environ Res Public Health 6:1557-96.
DOI: https://doi.org/10.3390/ijerph6051557
Booysen F, Botha F, Wouters E ,2021. Conceptual causal models of socioeconomic status, family structure, family functioning and their role in public health. BMC Public Health 21:1-6.
DOI: https://doi.org/10.1186/s12889-021-10214-z
Chen MH, Wang Z, Xie L X, Li Q, 2023. The spatiotemporal pattern evolution and formation mechanism of high-quality development in Central China. Acta Geogr Sinica78:859-76.
Chen MX, Lu DD, Zhang H, 2009. Comprehensive evaluation and the driving factors of China's urbanization. Acta Geogr Sinica 64:387-398.
Department of Planning, Development and Information Technology, National Health Commission of the People's Republic of China, 2022. Statistical bulletin of China's health development in 2021. Chin J Viral Dis 12:321-330.
Du Y, Chen XH, Liu YJ, Wang Y, Zhu X, Liu S, 2022. Dynamic evolution and driving force of high-quality development in Harbin-Changchun urban agglomeration at the county level. Econ Geogr 42:62-71.
Gryshova I, Shabatura T, Girdzijauskas S, Streimikiene D, Ciegis R, GriesieneI, 2019. The paradox of value and economic bubbles: new insights for sustainable economic development. Sustainability 11:6888.
DOI: https://doi.org/10.3390/su11246888
Han L, Zhong JF, 2021. Connotation interpretation, theoretical framework and realization path of high-quality development. J Xiangtan Univers (Phil Soc Sci) 45:39-45.
Hou JJ, Su LL, Huang XG, 2021. Study on high-quality development evaluation index system of health services in Jiangsu. Soft Sci Health 35:36-40.
Hu GH, Liu MJ, Zhang XJ, 2023. Measurement of high-quality development level of China's high-tech industry and characterization of its spatial and temporal evolution. Statistics & Decision 39:106-10.
Ji M, Jiao Y, Cheng N, 2023.An innovative decision-making scheme for the high-quality economy development driven by higher education. J Innov Knowl 8:100345.
DOI: https://doi.org/10.1016/j.jik.2023.100345
Kruk ME, Gage AD, Arsenault C, Jordan K, 2018. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Global Health 6:E1196-E1252.
DOI: https://doi.org/10.1016/S2214-109X(18)30386-3
Li L, Zeng WP, 2022. Spatio-temporal evolution and influencing factors of urban public health level in China. Geogr Res 41:2760-76.
Li LM, 2002. Interaction between socio-economic development and public health development. Chin J Public Health18:5-8.
Liu AY, Trtanj JM, Lipp EK, Balbus JM, 2021. Toward an integrated system of climate change and human health indicators: a conceptual framework. Clim Change 166: 49.
DOI: https://doi.org/10.21203/rs.3.rs-338331/v1
Liu T, Li JX, Huo JJ, 2020. Spatial-temporal pattern and influencing factors of high-quality agricultural development in China. J Arid Land Resour Environ 34:1-8.
Liu YJ, Tang J X, 2022. Evaluation and spatial-temporal evolutionof the quality of tourism development in the Yangtze river economic belt. Economic Geogr 42:209-19.
Longhurst N, Avelino F, Wittmayer J, Weaver P, Dumitru A, Hielscher S, Cipolla C, Afonso R, Kunze I, Elle M, 2016. Experimenting with alternative economies: four emergent counter-narratives of urban economic development. Curr Opin Env Sust 22:69-74.
DOI: https://doi.org/10.1016/j.cosust.2017.04.006
Luo J, Yang TH, Tian LL, Lu J, Chen XM, Chen Z, Guo XJ, 2021. High-quality development of public health in central China. Econ Geogr 41:174-82.
Qiu Z H, Jiang Y, Liu Y L, Peng S S, Wan D,2020. Public health and health service in countries along ‘The Belt and Road’. Chinese Journal of Public Health 36:1755-8.
Shaltynov A, Rocha J, Jamedinova U,Myssayev A, 2022. Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan. Geospat Health 17:1046.
DOI: https://doi.org/10.4081/gh.2022.1046
Shan QQ, Li Z, 2022. Regional differences and spatiotemporal convergence of high-quality economic development. Econ Geogr 42:50-8.
Straker L, Holtermann A, Lee I, Beek A, Stamatakis E, 2021. Privileging the privileged: the public health focus on leisure time physical activity has contributed to widening socioeconomic inequalities in health. Br J Sports Med 55:8-14.
DOI: https://doi.org/10.1136/bjsports-2020-103356
Sunhee K, Wang J, 2019. Does quality of government matter in public health? Comparing the role of quality and quantity of government at the national level. Sustainability 11:3229.
DOI: https://doi.org/10.3390/su11113229
Wang NY, Zhang K, Zhang LJ, 2023. Digital financial inclusion and high-quality economic development - empirical evidence from 251 prefecture-level cities. Wuhan Finance 7:61-70.
Wang W, 2014. Study on the demand for public health services and influencing factors of rural residents in Shandong Province. Dongyue Tribune 35:155-8.
Wei QC, Xu J, Yuan BB, He P, Shi ZY, Xu HY, Meng QY, 2022. Constructing an indicator system of better and healthier life. Chin J Health Policy 15:6-10.
Wei X, Zhao R, Xu J, 2023. Spatiotemporal evolution, coupling coordination degree and obstacle factors of urban high-quality development: a case study of Anhui Province. Sustainability 15:10852.
DOI: https://doi.org/10.3390/su151410852
Xu F. 2020. Study on evaluation of health level of districts and counties in Chongqing. Diss., Chongqing University, Chongqing, China.
Yan Y, Zhang W, 2022. Regional disparity and dynamic evolution of distribution of high-quality urban development in Yangtze River Economic Belt. ResourEnviron Yangtze Basin 31:259-72.
Yan YB, Hu HH, 2022. Evaluation and analysis of obstacle factors of the high-quality development of tourism in the east of China. J Huaqiao Univers (Phil Soc Sci) 5:54-69.
Yang H, 2022. Research on regional differences and polarization of China’s health construction level from a multi-dimensional perspective: based on the strategic goal of “Healthy China 2030”. Populat Econom 5:48-64.
Yang L, Cao K, 2022. Spatial matching and correlation between recreation service supply and demand in the Ili River Valley, China. Appl Geogr 148: 102805.
DOI: https://doi.org/10.1016/j.apgeog.2022.102805
Yang LJ, Qin LS, Yang YC, Pan JH, 2023. Interaction between high-quality of urban development and ecological environment in urban agglomeration areas: Taking the Chengdu-Chongqing urban agglomeration as an example. Acta Ecolog Sinica 43:7035-46.
Yang S, Yan H, Gong Y, Zeng S, 2024. Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt. Front Public Health 11:1298875.
DOI: https://doi.org/10.3389/fpubh.2023.1298875
Yao SJ, Wang F, 2023. High-quality development, high-quality life and Chinese path to modernization: theoretical logic and implementation path. Reform 7:11-20.
Yin H, Xiao R, Fei X, Zhang Z, Gao Z, Wan Y, Tan W, Jiang X, Cao W, Guo Y, 2023. Analyzing "economy-society-environment" sustainability from the perspective of urban spatial structure: A case study of the Yangtze River delta urban agglomeration. Sustain Cities Soc 96:104691.
DOI: https://doi.org/10.1016/j.scs.2023.104691
Zhang GN, Shao JA, Wang JL, Ni JP, Xie DT, 2015. Spatial and temporal variations of agricultural non-point source pollution in the Three Gorges Reservoir area of Chongqing. J Nat Resour 30(07):1197-209.
Zhang JK, Hou YZ, Liu PL, He JW, Zhuo X, 2019. Objective requirements and strategic path for high-quality development. J Manag World 35:1-7.
Zhang M, Qi S, 2023. The spatio-temporal evolution and driving factors of high-quality development in the Yellow River basin during the period of 2010 - 2022. Sustainability 15:13512.
DOI: https://doi.org/10.3390/su151813512
Zhang WJ, Cuminbibra, 2020. Analysis on spatial pattern and driving force of new urbanization in northern Xinjiang. J Northwest Normal Univers (Nat Sci) 56:125-34.
Zhao XY, Wang WJ, Wan WY, 2017. Regional inequalities of residents’ health level in China: 2003-2013. Acta Geographica Sinica 72:685-98.
Zheng WS, Jiang HX, Ai HR, Luo J, Wang XF, 2015. Analysis of regional inequalities of basic medical resources supply in China. Geogr Res 34(11):2049-60.
Zhu XH, Zhang Y, Zhu YY, 2023. Healthy China strategy: from theoretical conception to practical promotion. Econ Geogr 43:1-12.
How to Cite
Zhang, J., Luo, J., Chen, G., Zhang, C., Li, L., & Ma, T. (2024). Aspects of public health development in China’s western region. Geospatial Health, 19(1). https://doi.org/10.4081/gh.2024.1252
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Tawanda Manyangadze, Moses John Chimbari, Michael Gebreslasie, Samson Mukaratirwa, Application of geo-spatial technology in schistosomiasis modelling in Africa: a review , Geospatial Health: Vol. 10 No. 2 (2015)
You may also start an advanced similarity search for this article.
