Equity and Efficiency in Spatial Distribution of Basic Public Health Facilities: A Case Study from Nanjing Metropolitan Area

Liu, Zhen; Lan, Jing

doi:10.1080/08111146.2018.1523055

Cited by 23 publications

(17 citation statements)

References 61 publications

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“…This results in an increasing inconsistency between the multi-level medical and health demand and the apparent shortage of medical facilities [2]. Due to factors of system, urbanization, and economy, medical resources are mainly concentrated in urban areas, while the public health investment in rural areas is clearly inadequate [1,3]. The inconvenience connected with seeking medical treatment has restricted the improvement of resident health in rural areas of China for a long time [4].…”

Section: Introductionmentioning

confidence: 99%

Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

Liu

Qin

2019

IJERPH

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The equalization of medical services has received increasing attention, and improving the accessibility of medical facilities in rural areas is key for the realization of fairness with regard to medical services. This study studies the rural areas of Henan Province, China, and uses unincorporated villages as the basic unit. The spatial pattern of accessibility in rural areas was comprehensively analyzed via geographic information system spatial analysis and coefficient of variation. The spatial heterogeneity of relevant influencing factors was assessed by using the geographically weighted regression model. The results show that: (1) The distance cost of medical treatment in rural areas is normally distributed, and most areas are within a range of 2–6 km. (2) The accessibility in rural areas has clear spatial differences, is significantly affected by terrain, and shows characteristics of significant spatial agglomeration. The eastern and central regions have good spatial accessibility, while the western regions have poor spatial accessibility. Furthermore, regions with poor accessibility are mainly located in mountainous areas. (3) The spatial equilibrium of accessibility follows a pattern of gradual deterioration from east to west. The better accessibility-unbalanced type is mostly located in the center of Henan Province, while the poor accessibility-unbalanced type is concentrated in mountainous areas. (4) The area, elevation, residential density, and per capita industrial output are positively correlated with spatial accessibility, while road network density and population density are negatively correlated.

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Section: Introductionmentioning

confidence: 99%

Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

Liu

Qin

2019

IJERPH

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“…The lower the impedance is, the faster the walking speed is, i.e., the walking speed of 0.9 m/s, 0.8 m/s, and 0.7 m/s are assigned with the clustering central values respectively [ 37 ]. Finally, combining with the actual road condition, the facility service scopes of 0–5 minutes, 5–10 minutes, 10–15 minutes, and over 15 minutes are formed to express the four supply degrees of PHCFs from high to low [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

Assessing equity of the spatial distribution of primary health care facilities in Fuzhou City, China: A comprehensive method

You

2021

PLoS ONE

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Background It is well known that equity assessment of the spatial distribution of primary health care facilities (PHCFs) is significant to optimize the allocation of health care resources and enhance the ability to react to public health emergencies, yet there is much discussion about the poor effectiveness of assessment for many cities due to the limitations of the insufficient ability of traditional data to reflect residents’ demands, etc. In many cities where PHCFs are inequity distributed, this is urgently needed for the government. Methods Using Fuzhou City, China as a case study, we propose a comprehensive method for assessing the equity that consisting of two frameworks based on the Geographic Information System. The first framework is assessing resident demand based on daily demand and potential demand, and the second is assessing PHCFs supply based on road impedance. This method combines an index system based on multi-source data and a spatial matching analysis between resident demand and PHCFs supply based on the supply-demand disparity index. Results The demand degree for the PHCFs and the supply degree of accessing the PHCFs of different residential areas differ to great extents. The equity of the spatial distribution of PHCFs shows well overall, but there is still a lack of equity in local areas. The number of the residential areas with the lowest equity, insufficient supply and oversupply accounted for 10.31% and 39.00% respectively; the former is mainly gathered in a concentrated form at the edge and in a scattered form inside, and the latter is distributed in the interior mostly in a concentrated manner. Conclusion The key findings highlight several aspects of improving the layout of PHCFs such as strengthen an in-depth analysis on residents’ demand. This study contributes to a more accurate equity assessment, and further improves the layout of health care facilities.

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“…However, the original 2SFCA method failed to address the travel impedance factor. Therefore, an enhanced 2SFCA method-which assigns travel impedance factors using distance decay functions-was developed (Guo et al, 2019;Hu et al, 2019;Luo & Whippo, 2012;J. Wang et al, 2020;Xu, 2016).…”

Section: Accessibility Measurementsmentioning

confidence: 99%

Accessibility-Based Equity of Public Facilities: a Case Study in Xiamen, China

Lin

Geertman

et al. 2021

Appl. Spatial Analysis

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China's rapid economic development has led to inequality in terms of property, education, and health. Equal access to basic public facilities has become a key concern of inclusive development policies. However, previous studies have paid little attention to the effects of different travel modes on the accessibility of basic public facilities. The present research fills this gap. Taking Xiamen city as a case study, it explores the degrees of horizontal and vertical equity by examining the accessibility of various basic public facilities, paying attention to different travel modes and travel times. The results for Xiamen city show that disadvantaged groups experience a greater level of inequity. By taking these aspects into account, one is better equipped to identify areas in the city where access to basic public facilities is in need of substantial improvement.

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Equity and Efficiency in Spatial Distribution of Basic Public Health Facilities: A Case Study from Nanjing Metropolitan Area

Cited by 23 publications

References 61 publications

Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

Assessing equity of the spatial distribution of primary health care facilities in Fuzhou City, China: A comprehensive method

Accessibility-Based Equity of Public Facilities: a Case Study in Xiamen, China

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