{
  "abstract": "Background\n\nEstablishing a comprehensive national public health emergency management system is essential for ensuring population health. However, pronounced disparities in economic development and healthcare resources among China's provinces have led to heterogeneous public health emergency response capabilities, highlighting the need for an evaluation framework that incorporates region-specific features.Methods\n\nBased on the ternary space theory, an indicator system was constructed across physical, social, and information dimensions. Provincial panel data from 2013 to 2021 were analyzed using game theory-based combination weighting and TOPSIS methods. SHAP analysis was employed to identify key influencing factors.Results\n\nEmergency response capacity improved overall but exhibited significant spatial variation, with eastern regions outperforming western areas, and a structural imbalance whereby pre-preparation in most provinces lagged behind response and recovery capacities. Regional economic development and transportation infrastructure density were identified as the most critical determinants.Conclusions\n\nThe findings emphasize the necessity of optimizing resource allocation, enhancing medical agglomeration in underserved regions, and strengthening transportation networks to mitigate regional disparities and improve national public health resilience.",
  "abstract_shown": true,
  "affiliations": [
    "Laboratory for Digital Intelligence & Health Governance, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. wujian0304@njmu.edu.cn.",
    "School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. wujian0304@njmu.edu.cn.",
    "Institute of Strategic Studies, University of Chinese Academy of Sciences, Beijing, 100190, China.",
    "Laboratory for Digital Intelligence & Health Governance, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.",
    "School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, 211166, China.",
    "School of Political Science and Public Administration, Wuhan University, Wuhan, Hubei, 430072, China.",
    "Laboratory for Digital Intelligence & Health Governance, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. yvonne@njmu.edu.cn.",
    "School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, 211166, China. yvonne@njmu.edu.cn."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Jian Wu",
      "orcid": "0000-0002-7315-9229"
    },
    {
      "affs": [
        2
      ],
      "name": "Zi-An Zhou"
    },
    {
      "affs": [
        3,
        4
      ],
      "name": "Dong-Fu Qian"
    },
    {
      "affs": [
        5
      ],
      "name": "Meng-Bing Du"
    },
    {
      "affs": [
        6,
        7
      ],
      "name": "Jing Yang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/168k6t0f2a3yh.bib",
  "cited_by": 0,
  "doi": "10.1186/s12889-026-28703-4",
  "fulltext_url": "https://europepmc.org/articles/PMC13753278",
  "id": "168k6t0f2a3yh",
  "issns": [
    "1471-2458"
  ],
  "landing_url": "https://europepmc.org/article/MED/43009878",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "3604|Disaster Response and Management"
    ]
  ],
  "openalex": "W7171992020",
  "pdf_url": "https://europepmc.org/articles/PMC13753278?pdf=render",
  "pmcid": "PMC13753278",
  "pmid": "43009878",
  "published": "2026-08-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/168k6t0f2a3yh.ris",
  "sources": [
    {
      "first_seen": "2026-11-12T15:22:59Z",
      "native_id": "MED:43009878",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/43009878"
    },
    {
      "first_seen": "2026-11-15T12:22:27Z",
      "native_id": "PMC13753278",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12889-026-28703-4"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1471-2458",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Indicator system for regional public health emergency response capacity based on ternary space theory: construction and empirical study in China.",
  "title_text": "Indicator system for regional public health emergency response capacity based on ternary space theory: construction and empirical study in China.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-15T12:22:27Z",
  "url": "https://research.draconitic.com/paper/168k6t0f2a3yh",
  "venue": "BMC public health",
  "versions": []
}