Evaluations of Spatial Accessibility and Equity of Multi-Tiered Medical System: A Case Study of Shenzhen, China

Meng, Tian; Yuan, Lei; Guo, Ruifeng; Wu, Yongsheng; Liu, Xiaojian

doi:10.3390/ijerph19053017

Cited by 6 publications

(3 citation statements)

References 45 publications

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“…In addition, the existing research methods are single and the results lack accuracy. Comprehensive indicators can effectively improve the accuracy, so as to evaluate the fairness of health resource allocation more comprehensively and deeply [ 50 , 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Resource Allocation Equity in the China’s Rural Three-Tier Healthcare System

Zhou

Chen

et al. 2022

IJERPH

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The rural three-tier healthcare system is an essential part of the Chinese healthcare service system. To ensure rural residents’ equal access to such healthcare services, it is necessary to examine the current status of the healthcare system in rural China and formulate corresponding improvement suggestions. This study therefore collects the data from the China Health Statistics Yearbook, the China Health Yearbook and the China Statistical Yearbook between the years 2004 and 2021 to calculate the Gini coefficient (G), health resource density index (HRDI) and Theil index (T) first, and then perform the Mann–Kendall test afterwards to evaluate the equity of healthcare resource allocation comprehensively. This series of analysis helps in drawing the following conclusions: (1) county and county-level city medical and health institutions (CMHIs) show a higher development trend in comparison with township hospitals (THs) and village clinics (VCs); (2) VCs have higher institutional fairness, while for beds and personnel, CMHIs and THs are more fairly positioned; (3) more specifically for CMHIs and THs, personnel allocation is more fair than beds and institution allocations; (4) the density of healthcare resources in the eastern and central regions is higher than that in the western part, while the intra-regional distribution of beds and personnel in the west and central regions is better than that in the eastern region; (5) intra-regional differences are more significant than inter-regional differences and the fairness according to population distribution is higher than that of geographical area allocation. The results of this study provide theoretical basis for further optimizing the allocation of healthcare resources and improving the fairness of healthcare resources allocation from a macro perspective.

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Section: Discussionmentioning

confidence: 99%

Resource Allocation Equity in the China’s Rural Three-Tier Healthcare System

Zhou

Chen

et al. 2022

IJERPH

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“…Second, Internet hospitals may increase competition between tertiary care hospitals and non-tertiary care hospitals. According to the guidance on the construction of a hierarchical medical system launched by China's State Council, the main purpose of the hospital hierarchy in China is to enable the effective sinking of quality healthcare resources [17]. There are three principal types of the tiered hospital system.…”

Section: The Development Prospects Of Internet Hospitals and Their Co...mentioning

confidence: 99%

A Systematic Research of The Internet Hospital in China: Breakthroughs and Challenges in the Development of Internet Hospital under the Influence of COVID-19

2023

AEMPS

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In the age of advanced digital technology, the traditional medical industry is gradually expanding its Inter-net medical business. Internet hospitals are gradually coming to the public. Internet Healthcare refers to a new type of medical and health service industry that uses the Internet and information technology to collaborate with traditional healthcare. Its main functions include remote diagnosis, online e-prescription, online medicine purchase, home delivery of medicines, medical condition tracking, patient electronic medical record formation management and disease management, etc. Because the Internet hospital is still in the initial stage of development, many functions are not available, and many relevant regulations are not detailed enough. However, the covid-19 outbreak has to some extent driven the sudden progress of Internet hospitals. This article analyzes the progress and breakthroughs made by Internet hospitals during the outbreak and the development prospects of Internet hospitals in the post-pandemic era in a macroscopic manner through known data and reports. In addition, this article analyzes the problems that Internet hospitals may encounter, and more importantly, this article will suggest corresponding solutions. Ultimately, this article concludes that Internet hospitals have good prospects for development, which will not be possible without technological breakthroughs, government policy support, user perceptions, and Internet hospitals innovation.

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“…Luo (2014) introduced the classical Huff model (Huff model) to portray the selection weight variable, thus proposing Huff 2SFCA as an extended form [18]. Based on the classification of hospitals, Tian et al (2022) proposed an attraction model determined by the number of doctors and annual outpatient visits, and proposed a tolerance decay function to replace the distance decay function based on this model [19].The second aspect is the extension of travel mode, and Fransen et al (2015) proposed a Commuter-based 2SFCA to consider the impact of commuting behavior on public service accessibility [20]. Tao and Wang (2022) aimed to measure transportationinduced healthcare inequity in Shenzhen by comparing the accessibility of medical facilities under different transportation situations [21].…”

Section: Introductionmentioning

confidence: 99%

Spatial Accessibility and Equity Evaluation of Medical Facilities Based on Improved 2SFCA: A Case Study in Xi’an, China

Liu

Zhao

Lyu

et al. 2023

IJERPH

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Accurate evaluation of the accessibility of medical facilities is a prerequisite for the reasonable allocation of medical resources in a city. The accessibility of medical facilities depends not only on the distance to the supply and demand points, but also on the time spent in the process, and the supply capacity of the supply points. Taking Xi’an City of Shaanxi Province as an example, this paper comprehensively considers the facility supply capacity and introduces the selection probability function based on the two-step floating catchment area (2SFCA) method. In addition, in order to approximate the residents’ acceptance of different types of hospitals for long-distance medical treatment in real situations, different levels of search radius were set for the different levels of hospitals, and ArcGIS was used to measure the accessibility and evaluate the spatial layout of medical facilities in the main urban area of Xi’an. The results show that there is a significant difference in the accessibility of medical facilities in the main urban area of Xi’an, and the accessibility tends to decrease gradually from the central city to the periphery. The inequity in the allocation of medical facilities in the main urban area of Xi’an is more obvious, with about 81.64% of people having access to 54.88% of medical resources. The accessibility evaluation model established by the improved 2SFCA method can obtain more accurate and objective evaluation results. This study can provide a reference basis for urban medical facilities’ planning and rational spatial layout.

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Evaluations of Spatial Accessibility and Equity of Multi-Tiered Medical System: A Case Study of Shenzhen, China

Cited by 6 publications

References 45 publications

Resource Allocation Equity in the China’s Rural Three-Tier Healthcare System

Resource Allocation Equity in the China’s Rural Three-Tier Healthcare System

A Systematic Research of The Internet Hospital in China: Breakthroughs and Challenges in the Development of Internet Hospital under the Influence of COVID-19

Spatial Accessibility and Equity Evaluation of Medical Facilities Based on Improved 2SFCA: A Case Study in Xi’an, China

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