Evaluation of Supply-Demand Matching of Public Health Resources Based on Ga2SFCA: A Case Study of the Central Urban Area of Tianjin

Abstract

Determining whether the supply–demand matching (SDM) of urban public health resources is reasonable involves important issues such as health security and the rational use of resources. Using the central urban area of Tianjin as the research area, this paper used the Gaussian-based 2-step floating catchment area method (Ga2SFCA), combined with multi-source data, and comprehensively considered public medical, natural, and physical resources to evaluate the SDM of single-category and integrated public health resources in the research area. The results showed the following: (1) there was a good fit between supply and demand for resources related to public health and natural health in Tianjin’s central urban area. For resources related to public physical health, there was a poor fit between supply and demand; the population in the areas with insufficient supply and demand and scarce resources accounted for 82.78% of the total and was mainly distributed in the marginal areas of the four districts around the city and the six districts of the inner city. (2) For integrated public health resources, the degree of SDM was generally good. It had a circular structure that gradually shrank from the core to the edge. In order to promote the supply–demand balance of urban public health resources, this paper proposed three strategies involving three aspects: the supply, accessibility, and demand of urban public health resources. These strategies involve the service supply level, urban traffic network and slow traffic, development intensity, and population scale.