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Environment resilience and public health: Assessing healthcare's vulnerability to climate change in the San Francisco Bay Area

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  • Tingting Chen
  • John D. Radke
  • Wei Lang
  • Xun Li

Abstract

This study investigated the vulnerability of people's health to the impact of climate change on healthcare accessibility in the San Francisco Bay Area. The study developed spatial analysis models in ArcGIS with a high‐resolution elevation data set (1 m raster base map) and summarized the scenario assessments of the associations between healthcare and the populations vulnerable to the effects of climate change. The results reveal that 34.3% of low‐income households could reach hospitals in the baseline scenario. In the peak water level (PWL) (140) scenario, 33.3% of low‐income households were within 30 min of the nearest hospital. In the baseline scenario, hospitals were accessible to 35.9% of the general population, whereas in the PWL (140) scenario the percentage was slightly lower, with 35.1% having access to hospitals. Healthcare reform increased the accessibility of hospitals to low‐income households, and these populations had equal access in the PWL (140) scenario. However, access to healthcare is controlled by distance and other variables, including income, insurance, spatial distribution, and transportation mobility. The findings and implications of this study address the explicit recognition in strategic planning of the effects of climate change in adopting policies to benefit health in the future.

Suggested Citation

  • Tingting Chen & John D. Radke & Wei Lang & Xun Li, 2020. "Environment resilience and public health: Assessing healthcare's vulnerability to climate change in the San Francisco Bay Area," Growth and Change, Wiley Blackwell, vol. 51(2), pages 607-625, June.
  • Handle: RePEc:bla:growch:v:51:y:2020:i:2:p:607-625
    DOI: 10.1111/grow.12379
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    References listed on IDEAS

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    Cited by:

    1. Muzhe Pan & Yaofu Huang & Yawen Qin & Xun Li & Wei Lang, 2022. "Problems and Strategies of Allocating Public Service Resources in Rural Areas in the Context of County Urbanization," IJERPH, MDPI, vol. 19(21), pages 1-20, November.
    2. Wei Lang & Muzhe Pan & Jiemin Wu & Tingting Chen & Xun Li, 2021. "The patterns and driving forces of uneven regional growth in ASEAN countries: A tale of two Thailands' path toward regional coordinated development," Growth and Change, Wiley Blackwell, vol. 52(1), pages 130-149, March.
    3. Yu Hao & Yujia Li & Zhiyang Shen, 2023. "Does carbon emission trading contribute to reducing infectious diseases? Evidence from China," Growth and Change, Wiley Blackwell, vol. 54(1), pages 74-100, March.

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