Disparities in hospice and palliative care services: evidence of healthcare provider practice in various regions of China.

ABSTRACT:

Objective

To assess geographical disparities in hospice and palliative care (HPC) based on provider-reported practices across Chinese provinces and to identify associated socioeconomic and health system factors.

Study design

Descriptive cross-sectional study.

Methods

A large cross-sectional survey was conducted among 6,393 healthcare providers from 903 institutions across 87 pilot cities in 29 provinces using a multi-stage stratified sampling strategy. Provider practice levels were measured using a validated 14-item scale (Cronbach's α = 0.98; score range 14-70), reflecting the frequency of essential HPC activities. Spatial patterns were assessed using Global and Local Moran's I, and factors associated with practice levels were examined using Ordinary Least Squares (O

SUBMITTER: Zhang S 

PROVIDER: S-EPMC12632044 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature