Evaluating the Improvement of Healthcare Accessibility for Urban Residents via the Construction of New Hospitals: A Case Study of Xi’an, China

IF 2 4区 社会学 Q3 ENVIRONMENTAL STUDIES Applied Spatial Analysis and Policy Pub Date : 2024-10-26 DOI:10.1007/s12061-024-09611-9
Xiping Yang, Lin Luo, Jiayu Liu, Hongfei Chen, Junyi Li
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Abstract

Recently, several big cities have been faced with rapid expansion of the population in China, ultimately leading to unprecedented pressure on urban healthcare facilities. Thus, new healthcare facilities are established to meet residents’ increasing demand for healthcare. Under the current circumstances, an essential task was to evaluate the improvement of these new facilities to residents’ healthcare accessibility. In this study, the rapid development city of Xi’an, China was employed as the case study, and the Gaussian-based 2SFCA method was utilized to measure the spatial distribution of high-level healthcare accessibility by private cars and public transit. The change in accessibility could be obtained by quantifying the difference in accessibility before and after establishment of the new hospitals. Furthermore, the improvement in equity in healthcare accessibility was measured using the Gini coefficient. Finally, the contribution of each new hospital to healthcare accessibility was evaluated from the perspectives of population coverage, average improvement of each bed, and improvement of the Gini coefficient. The results show that the areas with significant improvement are scalloped to the periphery of the study area, especially in the communities near the new hospitals. What’s more, a slight improvement could also be observed in the equity of healthcare accessibility after the construction of the new hospitals. These results could provide guidance for optimizing and allocating healthcare facilities.

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评估通过新建医院改善城市居民医疗服务可及性的情况:中国西安案例研究
最近,中国的几个大城市都面临着人口急剧膨胀的问题,最终导致城市医疗设施面临前所未有的压力。因此,新的医疗设施应运而生,以满足居民日益增长的医疗需求。在这种情况下,一项重要的任务就是评估这些新设施对居民医疗可及性的改善情况。本研究以快速发展的中国西安市为例,利用基于高斯的 2SFCA 方法测量了私家车和公共交通对高层次医疗可达性的空间分布。通过量化新建医院前后的可达性差异,可以得出可达性的变化。此外,还使用基尼系数来衡量医疗保健可及性公平性的改善情况。最后,从人口覆盖率、每张病床平均改善率和基尼系数改善率的角度评估了每家新医院对医疗服务可及性的贡献。结果表明,明显改善的地区呈扇形分布在研究区域的外围,尤其是在新医院附近的社区。此外,新医院建成后,医疗服务可及性的公平性也略有改善。这些结果可以为医疗设施的优化和配置提供指导。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
57
期刊介绍: Description The journal has an applied focus: it actively promotes the importance of geographical research in real world settings It is policy-relevant: it seeks both a readership and contributions from practitioners as well as academics The substantive foundation is spatial analysis: the use of quantitative techniques to identify patterns and processes within geographic environments The combination of these points, which are fully reflected in the naming of the journal, establishes a unique position in the marketplace. RationaleA geographical perspective has always been crucial to the understanding of the social and physical organisation of the world around us. The techniques of spatial analysis provide a powerful means for the assembly and interpretation of evidence, and thus to address critical questions about issues such as crime and deprivation, immigration and demographic restructuring, retailing activity and employment change, resource management and environmental improvement. Many of these issues are equally important to academic research as they are to policy makers and Applied Spatial Analysis and Policy aims to close the gap between these two perspectives by providing a forum for discussion of applied research in a range of different contexts  Topical and interdisciplinaryIncreasingly government organisations, administrative agencies and private businesses are requiring research to support their ‘evidence-based’ strategies or policies. Geographical location is critical in much of this work which extends across a wide range of disciplines including demography, actuarial sciences, statistics, public sector planning, business planning, economics, epidemiology, sociology, social policy, health research, environmental management.   FocusApplied Spatial Analysis and Policy will draw on applied research from diverse problem domains, such as transport, policing, education, health, environment and leisure, in different international contexts. The journal will therefore provide insights into the variations in phenomena that exist across space, it will provide evidence for comparative policy analysis between domains and between locations, and stimulate ideas about the translation of spatial analysis methods and techniques across varied policy contexts. It is essential to know how to measure, monitor and understand spatial distributions, many of which have implications for those with responsibility to plan and enhance the society and the environment in which we all exist.   Readership and Editorial BoardAs a journal focused on applications of methods of spatial analysis, Applied Spatial Analysis and Policy will be of interest to scholars and students in a wide range of academic fields, to practitioners in government and administrative agencies and to consultants in private sector organisations. The Editorial Board reflects the international and multidisciplinary nature of the journal.
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