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Changing health needs and utilization in China: evidence from National Health Services Survey from 1993 to 2018

Edited by Shiyong Wu and Xiaoyun Liu

China conducts a National Health Services Survey (NHSS) every five years starting in 1993. The 6 rounds of NHSS have revealed the vast changes in healthcare needs, demands and utilization of the 1.4 billion Chinese population along with rapid social economic transition over 25 years. The findings from NHSS have played a vital role in setting the health system reform agenda and health planning, and as an important data source to evaluate the effectiveness of health system reform. 

This special collection in International Journal for Equity in Health, based on the 6 rounds of NHSS over 25 years, will illustrate how the NHSS as an integrated part of the national health information system can track the changing healthcare needs and demands, inform health policy making, and measure China’s progress towards aching Universal Health Coverage. The China NHSS findings can provide valuable information on the development of health and health system, especially for countries in socio-economic transition.

Submissions should be made in .DOC, .DOCX or RTF format, double-spaced and styled according to IJEqH’s guidelines, available here:

  1. China has made intensive efforts to eliminate extreme poverty by 2020. This paper aims to evaluate the changes in health service needs, utilization, and medical expenses for poor people during the poverty alle...

    Authors: Xiaoyun Liu, Mingyue Li, He Zhu, Qinqin Liu and Xueqin Xie
    Citation: International Journal for Equity in Health 2023 22:221
  2. Aging is associated with an increased prevalence of non-communicable chronic diseases (NCDs), functional impairments, and diverse demands for health services. This study analyzed the trends in older adults’ ne...

    Authors: Nina Wu, Xueqin Xie, Min Cai, Youli Han and Shiyong Wu
    Citation: International Journal for Equity in Health 2023 22:169
  3. Difficulty in identifying the functional status of older adults creates an imbalance between the supply and demand for community home-based care. Using a multi-level functional classification system to guide c...

    Authors: Ying Han, Chuanhai Xu, Liangwen Zhang, Yafei Wu and Ya Fang
    Citation: International Journal for Equity in Health 2023 22:143
  4. Over the past 25 years, the spectrum of diseases in China has rapidly changed from infectious to non-communicable diseases (NCDs). This study aimed to identify the prevalence of chronic diseases over the past ...

    Authors: Long Xue, Min Cai, Qinqin Liu, Xiaohua Ying and Shiyong Wu
    Citation: International Journal for Equity in Health 2023 22:120
  5. Changes in China’s health care system in the last three decades was remarkable. The current study aims on examine the change of equality of health care utilization in mainland China based on a nationwide house...

    Authors: Ming Wu, Ju Huang, Hongqiao Fu, Xueqin Xie and Shiyong Wu
    Citation: International Journal for Equity in Health 2023 22:98
  6. Providing equitable access to health care for all populations is an important sustainable development goal. China has made significant progress in achieving equity in healthcare utilization. However, research ...

    Authors: Cidan Zhuoga, Zhaxi Cuomu, Shunping Li, Lei Dou, Chaofan Li and Zhaxi Dawa
    Citation: International Journal for Equity in Health 2023 22:85