IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v83y2022ics0038012122001264.html
   My bibliography  Save this article

Evaluating the spatial accessibility of medical resources taking into account the residents' choice behavior of outpatient and inpatient medical treatment

Author

Listed:
  • Wei, Zhongyu
  • Bai, Jianjun
  • Feng, Ruitao

Abstract

The assessment of the accessibility for medical resources is of great significance for understanding the distribution characteristics and optimizing the space allocation of medical resources. This paper incorporated the probability statistical data of actual medical treatment choice behavior of residents into the formulation of accessibility. We constructed a health facility accessibility index combined the travel time with waiting time and an improved three-step floating catchment area method to evaluate the accessibility of outpatient and inpatient treatment for residents. Results showed the accessibility of outpatient and inpatient treatment has significant geographical differentiation characteristics and presents a distribution pattern of high in the eastern and central China and low in the western. The outpatient medical service was available for residents, which there are more than 85% of the population having access to medical services within 30min.The accessibility of inpatient treatment presents a radiological distribution model with provincial capital city as the core, in which the spatial allocation of high-quality medical resources is not balanced and the regional difference is obvious. This study demonstrated the geographical differentiation characteristics of spatial distribution for the accessibility of medical resources in China, which can provide targeted proposals according to medical institutions level.

Suggested Citation

  • Wei, Zhongyu & Bai, Jianjun & Feng, Ruitao, 2022. "Evaluating the spatial accessibility of medical resources taking into account the residents' choice behavior of outpatient and inpatient medical treatment," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
  • Handle: RePEc:eee:soceps:v:83:y:2022:i:c:s0038012122001264
    DOI: 10.1016/j.seps.2022.101336
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0038012122001264
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.seps.2022.101336?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hui-Ching Wu & Ming-Hseng Tseng, 2018. "Evaluating Disparities in Elderly Community Care Resources: Using a Geographic Accessibility and Inequality Index," IJERPH, MDPI, vol. 15(7), pages 1-18, June.
    2. Ye, Changdong & Hu, Lingqian & Li, Min, 2018. "Urban green space accessibility changes in a high-density city: A case study of Macau from 2010 to 2015," Journal of Transport Geography, Elsevier, vol. 66(C), pages 106-115.
    3. Xiaofang Pan & Mei-Po Kwan & Lin Yang & Shunping Zhou & Zejun Zuo & Bo Wan, 2018. "Evaluating the Accessibility of Healthcare Facilities Using an Integrated Catchment Area Approach," IJERPH, MDPI, vol. 15(9), pages 1-21, September.
    4. Lei Zhu & Shuang Zhong & Wei Tu & Jing Zheng & Shenjing He & Junzhe Bao & Cunrui Huang, 2019. "Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China," IJERPH, MDPI, vol. 16(2), pages 1-15, January.
    5. Yun Liu & Qingxia Kong & Shasha Yuan & Joris van de Klundert, 2018. "Factors influencing choice of health system access level in China: A systematic review," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-21, August.
    6. Yang, Nan & Shen, Liyin & Shu, Tianheng & Liao, Shiju & Peng, Yi & Wang, Jinhuan, 2021. "An integrative method for analyzing spatial accessibility in the hierarchical diagnosis and treatment system in China," Social Science & Medicine, Elsevier, vol. 270(C).
    7. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
    8. Pizzol, Bruna & Giannotti, Mariana & Tomasiello, Diego Bogado, 2021. "Qualifying accessibility to education to investigate spatial equity," Journal of Transport Geography, Elsevier, vol. 96(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jingya Luan & Yuhong Tian & Chi Yung Jim & Xu Liu & Mengxuan Yan & Lizhu Wu, 2023. "Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China," IJERPH, MDPI, vol. 20(1), pages 1-19, January.
    2. Li, Chuanyao & Wang, Junren, 2022. "A hierarchical two-step floating catchment area analysis for high-tier hospital accessibility in an urban agglomeration region," Journal of Transport Geography, Elsevier, vol. 102(C).
    3. Ming-Hseng Tseng & Hui-Ching Wu, 2021. "Integrating Socioeconomic Status and Spatial Factors to Improve the Accessibility of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation," IJERPH, MDPI, vol. 18(10), pages 1-25, May.
    4. Wei, Zhongyu & Bai, Jianjun & Feng, Ruitao, 2023. "Optimization referral rate design for hierarchical diagnosis and treatment system based on accessibility-utilization efficiency bi-objective collaboration: A case study of China," Social Science & Medicine, Elsevier, vol. 322(C).
    5. Meijie Chen & Yumin Chen & Xiaoguang Wang & Huangyuan Tan & Fenglan Luo, 2019. "Spatial Difference of Transit-Based Accessibility to Hospitals by Regions Using Spatially Adjusted ANOVA," IJERPH, MDPI, vol. 16(11), pages 1-20, May.
    6. Huanhuan Zhu & Lin Pan & Yiji Li & Huiming Jin & Qian Wang & Xin Liu & Cong Wang & Peng Liao & Xinyang Jiang & Luo Li, 2021. "Spatial Accessibility Assessment of Prehospital EMS with a Focus on the Elderly Population: A Case Study in Ningbo, China," IJERPH, MDPI, vol. 18(19), pages 1-17, September.
    7. Amritpal Kaur Khakh & Victoria Fast & Rizwan Shahid, 2019. "Spatial Accessibility to Primary Healthcare Services by Multimodal Means of Travel: Synthesis and Case Study in the City of Calgary," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    8. Seungwoo Han, 2022. "Spatial stratification and socio-spatial inequalities: the case of Seoul and Busan in South Korea," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-14, December.
    9. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Michela Collaro, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-Oriented Decomposition," CSEF Working Papers 666, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    10. Fangye Du & Jiaoe Wang & Haitao Jin, 2021. "Whether Public Hospital Reform Affects the Hospital Choices of Patients in Urban Areas: New Evidence from Smart Card Data," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    11. Theresa Kotulla & Jon Martin Denstadli & Are Oust & Elisabeth Beusker, 2019. "What Does It Take to Make the Compact City Liveable for Wider Groups? Identifying Key Neighbourhood and Dwelling Features," Sustainability, MDPI, vol. 11(12), pages 1-18, June.
    12. Hone-Jay Chu & Bo-Cheng Lin & Ming-Run Yu & Ta-Chien Chan, 2016. "Minimizing Spatial Variability of Healthcare Spatial Accessibility—The Case of a Dengue Fever Outbreak," IJERPH, MDPI, vol. 13(12), pages 1-11, December.
    13. Linlin Zhang & Xiaobin Zhang & Huiling Huang & Liang Zhang & Huan Li, 2022. "Spatial Accessibility of Multiple Facilities for Affordable Housing Neighborhoods in Harbin, China," Land, MDPI, vol. 11(11), pages 1-19, October.
    14. Luz, Gregório & Barboza, Matheus H.C. & Portugal, Licinio & Giannotti, Mariana & van Wee, Bert, 2022. "Does better accessibility help to reduce social exclusion? Evidence from the city of São Paulo, Brazil," Transportation Research Part A: Policy and Practice, Elsevier, vol. 166(C), pages 186-217.
    15. Zhou, Zhongliang & Zhao, Yaxin & Shen, Chi & Lai, Sha & Nawaz, Rashed & Gao, Jianmin, 2021. "Evaluating the effect of hierarchical medical system on health seeking behavior: A difference-in-differences analysis in China," Social Science & Medicine, Elsevier, vol. 268(C).
    16. 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).
    17. Tao, Zhuolin & Cheng, Yang & Du, Shishuai & Feng, Ling & Wang, Shaoshuai, 2020. "Accessibility to delivery care in Hubei Province, China," Social Science & Medicine, Elsevier, vol. 260(C).
    18. Luz, Gregorio & Barboza, Matheus Henrique Cunha & da Silva Portugal, Licinio & Giannotti, Mariana & van Wee, Bert, 2022. "Does better accessibility help to reduce social exclusion? Evidence from the City of São Paulo, Brazil," SocArXiv 2p896, Center for Open Science.
    19. 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.
    20. Jiang, Shan & Gu, Yuanyuan & Yang, Fan & Wu, Tao & Wang, Hui & Cutler, Henry & Zhang, Lufa, 2020. "Tertiary hospitals or community clinics? An enquiry into the factors affecting patients' choice for healthcare facilities in urban China," China Economic Review, Elsevier, vol. 63(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:soceps:v:83:y:2022:i:c:s0038012122001264. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/seps .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.