Yongze Zhao, Qingyu Qiao, Xian Xu, Ying Bian
Effectiveness of hierarchical medical system and economic growth: based on China's urban vs. rural health perspectives
Frontiers in public health
hierarchical medical system important measure promote equitable healthcare sustain economic development populations consumption level rises demand healthcare services also increases based urban rural perspectives china study aims investigate effectiveness hierarchical medical system relationship economic development china study analyses panel data collected chinese government authorities covering period 2009 2022 according chinas regional development policy china divided following regions eastern middle western northeastern urban rural component factors downscaled using principal component analysis pca factor score formula combined urbanrural disparity rate utilized construct models evaluating effectiveness hierarchical medical system urbanrural perspective vector autoregression model constructed analyze dynamic relationship effects hierarchical medical system economic growth predict potential future changes three principal factors extracted contributions three principal factors 38132 27662 23028 2021 hierarchical medical systems worked well henan f 47245887 shandong f 45999640 guangdong f 42856163 northeast dmax 1877 eastern region dmax 2604 smaller disparities middle dmax 4925 western region dmax 5670 vector autoregression model reveals longterm cointegration relationship economic development healthcare burden urban rural residents urban 309 rural 366 well number individuals receiving health education 03492 granger causality test impulse response analysis validate existence substantial time lag impact hierarchical medical system economic growth residents urban areas affected economic factors rural areas influenced time considerations urban rural disparity hierarchical medical system associated level economic development region formulating policies economically relevant hierarchical medical systems important consider impact longer lags