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Does the edge effect impact the healthcare equity? An examination of the equity in hospitals accessibility in the edge city in multi-scale

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  • Gu, Zongni
  • Luo, Xiaolong
  • Tang, Mi
  • Liu, Xiaoman

Abstract

Regionalism and polycentricity reformed the relationship among cities and gave rise to numerous edge cities being established around a metropolis. The connection between edge cities and the metropolis has necessitated hospital sharing. Considering the features of edge cities, this study identifies the equity in hospital accessibility and examines the edge effects in an equity analysis. The Balanced Floating Catchment Areas model is applied to measure the accessibility to hospitals in a typical edge city – Kunshan, China. Then, we analyze equity in hospital accessibility using the Lorenz curve and Gini index model and compare the spatial and social equity values at the city and regional level. The results show that, after accounting for edge effects, the equality of hospital accessibility in the edge city improved. The edge effects significantly influenced the spatial and social equity in hospital accessibility in the edge city.

Suggested Citation

  • Gu, Zongni & Luo, Xiaolong & Tang, Mi & Liu, Xiaoman, 2023. "Does the edge effect impact the healthcare equity? An examination of the equity in hospitals accessibility in the edge city in multi-scale," Journal of Transport Geography, Elsevier, vol. 106(C).
    • Handle: RePEc:eee:jotrge:v:106:y:2023:i:c:s0966692322002368
    DOI: 10.1016/j.jtrangeo.2022.103513
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    as
    1. Daniele Fabbri & Silvana Robone, 2010. "The geography of hospital admission in a national health service with patient choice," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1029-1047, September.
    2. Jared Hewko & Karen E Smoyer-Tomic & M John Hodgson, 2002. "Measuring Neighbourhood Spatial Accessibility to Urban Amenities: Does Aggregation Error Matter?," Environment and Planning A, , vol. 34(7), pages 1185-1206, July.
    3. Pereira, Rafael H.M. & Braga, Carlos Kauê Vieira & Servo, Luciana Mendes & Serra, Bernardo & Amaral, Pedro & Gouveia, Nelson & Paez, Antonio, 2021. "Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach," Social Science & Medicine, Elsevier, vol. 273(C).
    4. Guzman, Luis A. & Oviedo, Daniel & Rivera, Carlos, 2017. "Assessing equity in transport accessibility to work and study: The Bogotá region," Journal of Transport Geography, Elsevier, vol. 58(C), pages 236-246.
    5. Meihan Jin & Lu Liu & De Tong & Yongxi Gong & Yu Liu, 2019. "Evaluating the Spatial Accessibility and Distribution Balance of Multi-Level Medical Service Facilities," IJERPH, MDPI, vol. 16(7), pages 1-19, March.
    6. Rosella Levaggi & Roberto Zanola, 2004. "Patients' migration across regions: the case of Italy," Applied Economics, Taylor & Francis Journals, vol. 36(16), pages 1751-1757.
    7. Yi Li & Fulong Wu, 2018. "Understanding city-regionalism in China: regional cooperation in the Yangtze River Delta," Regional Studies, Taylor & Francis Journals, vol. 52(3), pages 313-324, March.
    8. Barboza, Matheus H.C. & Carneiro, Mariana S. & Falavigna, Claudio & Luz, Gregório & Orrico, Romulo, 2021. "Balancing time: Using a new accessibility measure in Rio de Janeiro," Journal of Transport Geography, Elsevier, vol. 90(C).
    9. Chen, Bi Yu & Cheng, Xue-Ping & Kwan, Mei-Po & Schwanen, Tim, 2020. "Evaluating spatial accessibility to healthcare services under travel time uncertainty: A reliability-based floating catchment area approach," Journal of Transport Geography, Elsevier, vol. 87(C).
    10. Xiaokun Gu & Lufa Zhang & Siyuan Tao & Boming Xie, 2019. "Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai," IJERPH, MDPI, vol. 16(2), pages 1-16, January.
    11. Kanuganti, Shalini & Sarkar, Ashoke Kumar & Singh, Ajit Pratap, 2016. "Evaluation of access to health care in rural areas using enhanced two-step floating catchment area (E2SFCA) method," Journal of Transport Geography, Elsevier, vol. 56(C), pages 45-52.
    12. Chen, Wendong & Cheng, Long & Chen, Xuewu & Chen, Jingxu & Cao, Mengqiu, 2021. "Measuring accessibility to health care services for older bus passengers: A finer spatial resolution," Journal of Transport Geography, Elsevier, vol. 93(C).
    13. Rosalia Camporeale & Leonardo Caggiani & Achille Fonzone & Michele Ottomanelli, 2019. "Study of the accessibility inequalities of cordon-based pricing strategies using a multimodal Theil index," Transportation Planning and Technology, Taylor & Francis Journals, vol. 42(5), pages 498-514, July.
    14. Dominique Peeters & Isabelle Thomas, 2000. "Distance predicting functions and applied location-allocation models," Journal of Geographical Systems, Springer, vol. 2(2), pages 167-184, July.
    15. Delbosc, Alexa & Currie, Graham, 2011. "Using Lorenz curves to assess public transport equity," Journal of Transport Geography, Elsevier, vol. 19(6), pages 1252-1259.
    16. Karen Lucas & Bert Wee & Kees Maat, 2016. "A method to evaluate equitable accessibility: combining ethical theories and accessibility-based approaches," Transportation, Springer, vol. 43(3), pages 473-490, May.
    17. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    18. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    19. Higgins, Christopher D. & Páez, Antonio & Kim, Gyoorie & Wang, Jue, 2021. "Changes in accessibility to emergency and community food services during COVID-19 and implications for low income populations in Hamilton, Ontario," Social Science & Medicine, Elsevier, vol. 291(C).
    20. Lane, Haylee & Sarkies, Mitchell & Martin, Jennifer & Haines, Terry, 2017. "Equity in healthcare resource allocation decision making: A systematic review," Social Science & Medicine, Elsevier, vol. 175(C), pages 11-27.
    21. David L. McKee & Yosra A. McKee, 2001. "Edge Cities and the Viability of Metropolitan Economies: Contributions to Flexibility and External Linkages by New Urban Service Environments," American Journal of Economics and Sociology, Wiley Blackwell, vol. 60(1), pages 171-184, January.
    22. Shaoyao Zhang & Xueqian Song & Yongping Wei & Wei Deng, 2019. "Spatial Equity of Multilevel Healthcare in the Metropolis of Chengdu, China: A New Assessment Approach," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
    23. Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
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