Creating accountable hospital service areas in China: a case analysis of health expenditure in the metropolis of Chengdu.

ABSTRACT:

Objectives

To delineate hospital service areas (HSAs) using the Dartmouth approach in China and identify the hypothesised demand-side, supply-side and region-specific factors of health expenditure within HSAs.

Design

Population-based descriptive study.

Setting

We selected the metropolis of Chengdu, one of the three most populous cities in China as a case for the analysis, where approximately 16.33 million residents living.

Participants

Individual-level in-patient discharge records (n=904 298) during the fourth quarter of 2018 (from 1 September to 31 December) were extracted from Sichuan Health Commission. Cases of non-residents of Chengdu were excluded from the datasets.

Methods

We conducted three sets of analyses: (1) apply Dartmouth approach to delinea

SUBMITTER: Cao P 

PROVIDER: S-EPMC8788232 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature