Regional integration and public healthcare environment: Evidence from China

IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthca...
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Autor*in:	Chenglin Tu [verfasserIn] Yonghui Zeng [verfasserIn] Hongyu Long [verfasserIn] Chenyang Yu [verfasserIn] Yuanfang Tan [verfasserIn] Yu Zhou [verfasserIn] Chuanxiang Zang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	regional integration public healthcare environment hierarchical linear model spatial core-peripheral cities heterogeneity analysis

Übergeordnetes Werk:	In: Frontiers in Public Health - Frontiers Media S.A., 2013, 10(2023)
Übergeordnetes Werk:	volume:10 ; year:2023

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fpubh.2022.1013053

Katalog-ID:	DOAJ082748292

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520			\|a IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions.
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spelling	10.3389/fpubh.2022.1013053 doi (DE-627)DOAJ082748292 (DE-599)DOAJ36535d32cd7b4bd580db20bae1b86f2f DE-627 ger DE-627 rakwb eng RA1-1270 Chenglin Tu verfasserin aut Regional integration and public healthcare environment: Evidence from China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions. regional integration public healthcare environment hierarchical linear model spatial core-peripheral cities heterogeneity analysis Public aspects of medicine Chenglin Tu verfasserin aut Chenglin Tu verfasserin aut Yonghui Zeng verfasserin aut Yonghui Zeng verfasserin aut Hongyu Long verfasserin aut Hongyu Long verfasserin aut Chenyang Yu verfasserin aut Chenyang Yu verfasserin aut Yuanfang Tan verfasserin aut Yu Zhou verfasserin aut Chuanxiang Zang verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2023) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2023 https://doi.org/10.3389/fpubh.2022.1013053 kostenfrei https://doaj.org/article/36535d32cd7b4bd580db20bae1b86f2f kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.1013053/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023
allfields_unstemmed	10.3389/fpubh.2022.1013053 doi (DE-627)DOAJ082748292 (DE-599)DOAJ36535d32cd7b4bd580db20bae1b86f2f DE-627 ger DE-627 rakwb eng RA1-1270 Chenglin Tu verfasserin aut Regional integration and public healthcare environment: Evidence from China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions. regional integration public healthcare environment hierarchical linear model spatial core-peripheral cities heterogeneity analysis Public aspects of medicine Chenglin Tu verfasserin aut Chenglin Tu verfasserin aut Yonghui Zeng verfasserin aut Yonghui Zeng verfasserin aut Hongyu Long verfasserin aut Hongyu Long verfasserin aut Chenyang Yu verfasserin aut Chenyang Yu verfasserin aut Yuanfang Tan verfasserin aut Yu Zhou verfasserin aut Chuanxiang Zang verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2023) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2023 https://doi.org/10.3389/fpubh.2022.1013053 kostenfrei https://doaj.org/article/36535d32cd7b4bd580db20bae1b86f2f kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.1013053/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023
allfieldsGer	10.3389/fpubh.2022.1013053 doi (DE-627)DOAJ082748292 (DE-599)DOAJ36535d32cd7b4bd580db20bae1b86f2f DE-627 ger DE-627 rakwb eng RA1-1270 Chenglin Tu verfasserin aut Regional integration and public healthcare environment: Evidence from China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions. regional integration public healthcare environment hierarchical linear model spatial core-peripheral cities heterogeneity analysis Public aspects of medicine Chenglin Tu verfasserin aut Chenglin Tu verfasserin aut Yonghui Zeng verfasserin aut Yonghui Zeng verfasserin aut Hongyu Long verfasserin aut Hongyu Long verfasserin aut Chenyang Yu verfasserin aut Chenyang Yu verfasserin aut Yuanfang Tan verfasserin aut Yu Zhou verfasserin aut Chuanxiang Zang verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2023) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2023 https://doi.org/10.3389/fpubh.2022.1013053 kostenfrei https://doaj.org/article/36535d32cd7b4bd580db20bae1b86f2f kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.1013053/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023
allfieldsSound	10.3389/fpubh.2022.1013053 doi (DE-627)DOAJ082748292 (DE-599)DOAJ36535d32cd7b4bd580db20bae1b86f2f DE-627 ger DE-627 rakwb eng RA1-1270 Chenglin Tu verfasserin aut Regional integration and public healthcare environment: Evidence from China 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions. regional integration public healthcare environment hierarchical linear model spatial core-peripheral cities heterogeneity analysis Public aspects of medicine Chenglin Tu verfasserin aut Chenglin Tu verfasserin aut Yonghui Zeng verfasserin aut Yonghui Zeng verfasserin aut Hongyu Long verfasserin aut Hongyu Long verfasserin aut Chenyang Yu verfasserin aut Chenyang Yu verfasserin aut Yuanfang Tan verfasserin aut Yu Zhou verfasserin aut Chuanxiang Zang verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 10(2023) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:10 year:2023 https://doi.org/10.3389/fpubh.2022.1013053 kostenfrei https://doaj.org/article/36535d32cd7b4bd580db20bae1b86f2f kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2022.1013053/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023
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Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. 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title	Regional integration and public healthcare environment: Evidence from China
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title_sort	regional integration and public healthcare environment: evidence from china
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title_auth	Regional integration and public healthcare environment: Evidence from China
abstract	IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions.
abstractGer	IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions.
abstract_unstemmed	IntroductionExisting studies have focused on the impact of economic development and urban expansion on public healthcare environment but has ignored the importance of regional integration. Regional integration reflects the spatial distribution of the labor force, which significantly affects healthcare workforce and healthcare infrastructure development.MethodsBased on panel nested data for 137 cities in 16 major city clusters in China from 2001 to 2019, this paper assesses the impact of regional integration on the public healthcare environment through a hierarchical linear model (HLM).ResultsOur findings indicate that a 1% increase in regional integration leads to a 6.6 and 1.9% improvement in healthcare workforce and healthcare infrastructure. The results of the mechanism analysis indicate that regional integration affects the public healthcare environment through improving transportation infrastructure and industrial upgrading. In addition, regional integration has a stronger effect on cities with lower levels of economic development and healthcare environments. Finally, the endogeneity test based on the difference-in-difference (DID) model and the robustness test based on high-dimensional fixed effects model conduct the consistent conclusions.DiscussionPolicies to improve the public healthcare environment through promoting regional integration are proposed. Government should develop a more comprehensive regional cooperation plan to improve the public healthcare environment. Also, financial spending on improving the healthcare environment in peripheral cities should be increased. In addition, regional integration policy development needs to consider differences across regions.
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title_short	Regional integration and public healthcare environment: Evidence from China
url	https://doi.org/10.3389/fpubh.2022.1013053 https://doaj.org/article/36535d32cd7b4bd580db20bae1b86f2f https://www.frontiersin.org/articles/10.3389/fpubh.2022.1013053/full https://doaj.org/toc/2296-2565
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author2	Chenglin Tu Yonghui Zeng Hongyu Long Chenyang Yu Yuanfang Tan Yu Zhou Chuanxiang Zang
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Regional integration and public healthcare environment: Evidence from China

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