Co-evolution of private and public hospitals: spatiotemporal disparities, geospatial interactions, and social determinants over 19 years in Sichuan, China
While private hospitals have rapidly expanded bed capacity, policy biases and market incentives have caused a structural imbalance, with a shortage of high-end services and an excess of low-end resources. In contrast, public hospitals have upgraded hierarchically, concentrating high-quality resources in urban areas. However, basic medical supply remains insufficient in remote regions, exacerbating disparities in healthcare accessibility and quality, and hindering the achievement of universal health coverage.
Authors
- Yaqian He (ORCID: https://orcid.org/0000-0002-8131-1649)
- Xiang Yan (ORCID: https://orcid.org/0000-0002-3683-474X)
- Jinghua Wang (ORCID: https://orcid.org/0000-0002-2629-1198)
- Xiangdong Tang (ORCID: https://orcid.org/0000-0001-6876-3328)
- Xizhou An (ORCID: https://orcid.org/0000-0002-3764-8439)
- Xiao Liu (ORCID: https://orcid.org/0000-0001-8400-5754)
- Chao Song (ORCID: https://orcid.org/0000-0003-2099-755X)
- Xiu‐Li Wang (ORCID: https://orcid.org/0000-0002-2732-9477)
- Yumeng Zhang (ORCID: https://orcid.org/0000-0002-3194-347X)
- L. Liao
Institutions
- Southwest Petroleum University (CN)
- Sichuan University (CN)
- West China Medical Center of Sichuan University (CN)
- Key Laboratory of Guangdong Province (CN)
- State Key Laboratory of Oil and Gas Reservoir Geology and Exploitation (CN)
- Beijing University of Civil Engineering and Architecture (CN)
- University of Arkansas at Fayetteville (US)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2025-12-08
- DOI
- https://doi.org/10.3389/fpubh.2025.1644657
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 0.00