IDEAS home Printed from https://ideas.repec.org/a/eee/jotrge/v102y2022ics0966692322000928.html
   My bibliography  Save this article

A hierarchical two-step floating catchment area analysis for high-tier hospital accessibility in an urban agglomeration region

Author

Listed:
  • Li, Chuanyao
  • Wang, Junren

Abstract

The medical facility is one of the essential public service facilities. Its spatial accessibility is an important indicator to measure the convenience of access to medical services and a significant factor affecting urban development and the living standards of residents. With the constant process of urbanization, urban agglomerations are formed and developing rapidly. The high-tier healthcare facilities in an urban agglomeration no longer only serve a single city but multiple connected cities. How to characterize healthcare accessibility and supply-demand relationships between medical resources and residents in the context of the urban agglomeration is worthy of being studied but still not fully involved in existing researches. To fill this gap, based on the conventional enhanced two-step floating catchment area method (E2SFCA) and considering the regional development discrepancy and medical preference of residents in the urban agglomeration, this paper proposes a new hierarchical two-step floating catchment area method (H2SFCA) to analyze accessibility to medical facilities. The applicability of the newly proposed method is demonstrated with reference to the Changsha-Zhuzhou-Xiangtan urban agglomeration case. The research findings suggest that: 1) A new method to evaluate accessibility to high-level medical facilities in the urban agglomeration is needed; 2) Due to the ignorance of intensive competition between potential demands, the healthcare accessibility in the core city is overestimated; 3) Residents' medical preference has various impacts on healthcare accessibility in different regions.

Suggested Citation

  • 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).
  • Handle: RePEc:eee:jotrge:v:102:y:2022:i:c:s0966692322000928
    DOI: 10.1016/j.jtrangeo.2022.103369
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0966692322000928
    Download Restriction: no

    File URL: https://libkey.io/10.1016/j.jtrangeo.2022.103369?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
    ---><---

    References listed on IDEAS

    as
    1. Vrhovec, Jure & Tajnikar, Maks, 2016. "Population ageing and healthcare demand: The case of Slovenia," Health Policy, Elsevier, vol. 120(11), pages 1329-1336.
    2. 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).
    3. He, Dan & Yin, Qingmei & Zheng, Manxin & Gao, Peng, 2019. "Transport and regional economic integration: Evidence from the Chang-Zhu-Tan region in China," Transport Policy, Elsevier, vol. 79(C), pages 193-203.
    4. Xiao, Weiye & Wei, Yehua Dennis & Wan, Neng, 2021. "Modeling job accessibility using online map data: An extended two-step floating catchment area method with multiple travel modes," Journal of Transport Geography, Elsevier, vol. 93(C).
    5. 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.
    6. Boussauw, Kobe & Witlox, Frank, 2011. "Linking expected mobility production to sustainable residential location planning: some evidence from Flanders," Journal of Transport Geography, Elsevier, vol. 19(4), pages 936-942.
    7. Lu, Chen & Zhang, Zixiao & Lan, Xiuting, 2019. "Impact of China's referral reform on the equity and spatial accessibility of healthcare resources: A case study of Beijing," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    8. 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.
    9. 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).
    10. Li, Zhiming & Fan, Zhengxi & Song, Yan & Chai, Yangbo, 2021. "Assessing equity in park accessibility using a travel behavior-based G2SFCA method in Nanjing, China," Journal of Transport Geography, Elsevier, vol. 96(C).
    11. Lum, Irene D. & Swartz, Rebecca H. & Kwan, Matthew Y.W., 2016. "Accessibility and use of primary healthcare for immigrants living in the Niagara Region," Social Science & Medicine, Elsevier, vol. 156(C), pages 73-79.
    12. Aoun, Nael & Matsuda, Hirotaka & Sekiyama, Makiko, 2015. "Geographical accessibility to healthcare and malnutrition in Rwanda," Social Science & Medicine, Elsevier, vol. 130(C), pages 135-145.
    13. Langford, M. & Higgs, G. & Fry, R., 2012. "Using floating catchment analysis (FCA) techniques to examine intra-urban variations in accessibility to public transport opportunities: the example of Cardiff, Wales," Journal of Transport Geography, Elsevier, vol. 25(C), pages 1-14.
    14. 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).
    15. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chen, Yue & Jia, Shunping & Xu, Qi & Xiao, Zhongsheng & Zhang, Shujing, 2023. "Measuring the dynamic accessibility to COVID-19 testing sites in the 15-min city: A focus on service congestion and mobility difference," Journal of Transport Geography, Elsevier, vol. 111(C).
    2. Zhang, Guozheng & Wang, Dianhai & Cai, Zhengyi & Zeng, Jiaqi, 2024. "Competitiveness of public transit considering travel time reliability: A case study for commuter trips in Hangzhou, China," Journal of Transport Geography, Elsevier, vol. 114(C).
    3. Wu, Na & Tian, Qingsong & Cui, Mengying & He, Mingwei, 2023. "A delicacy evaluation method for park walkability considering multidimensional quality heterogeneity," Journal of Transport Geography, Elsevier, vol. 112(C).
    4. 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.
    5. Wu, Zhongqi & Jiang, Hui & Zhou, Yangye & Li, Haoyan, 2024. "Enhancing emergency medical service location model for spatial accessibility and equity under random demand and travel time," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 185(C).
    6. Hong Zhu & Jin Li & Zhenjie Yuan & Jie Li, 2023. "Bibliometric Analysis of Spatial Accessibility from 1999–2022," Sustainability, MDPI, vol. 15(18), pages 1-17, September.
    7. 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).

    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. 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).
    2. Chen, Yue & Jia, Shunping & Xu, Qi & Xiao, Zhongsheng & Zhang, Shujing, 2023. "Measuring the dynamic accessibility to COVID-19 testing sites in the 15-min city: A focus on service congestion and mobility difference," Journal of Transport Geography, Elsevier, vol. 111(C).
    3. Tao, Zhuolin & Zhao, Min, 2023. "Planning for equal transit-based accessibility of healthcare facilities: A case study of Shenzhen, China," Socio-Economic Planning Sciences, Elsevier, vol. 88(C).
    4. Jin, Tanhua & Cheng, Long & Wang, Kailai & Cao, Jun & Huang, Haosheng & Witlox, Frank, 2022. "Examining equity in accessibility to multi-tier healthcare services across different income households using estimated travel time," Transport Policy, Elsevier, vol. 121(C), pages 1-13.
    5. Zhang, Guozheng & Wang, Dianhai & Cai, Zhengyi & Zeng, Jiaqi, 2024. "Competitiveness of public transit considering travel time reliability: A case study for commuter trips in Hangzhou, China," Journal of Transport Geography, Elsevier, vol. 114(C).
    6. Ji, Wei & Huang, Zhengfeng & Gao, Gao & Zheng, Pengjun, 2024. "Evaluation of integrated transport efficiency and equity at the county level——taking the counties in ningbo city as an example," Transport Policy, Elsevier, vol. 148(C), pages 257-272.
    7. 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).
    8. 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).
    9. G. Arbia & V. Nardelli & N. Salvini & I. Valentini, 2024. "New accessibility measures based on unconventional big data sources," Papers 2401.13370, arXiv.org.
    10. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Elizalde, Javier & Piccolo, Carmela, 2022. "A locational analysis of deregulation policies in the Spanish retail pharmaceutical sector," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    11. Aurélie Mercier & Stéphanie Souche‐Le Corvec & Nicolas Ovtracht, 2021. "Measure of accessibility to postal services in France: A potential spatial accessibility approach applied in an urban region," Papers in Regional Science, Wiley Blackwell, vol. 100(1), pages 227-249, February.
    12. Li, Zhiming & Fan, Zhengxi & Song, Yan & Chai, Yangbo, 2021. "Assessing equity in park accessibility using a travel behavior-based G2SFCA method in Nanjing, China," Journal of Transport Geography, Elsevier, vol. 96(C).
    13. Gao, Ya & Pan, Haixiao & Xie, Zhilin & Habib, Khandker Nurul, 2023. "Understanding patients heterogeneity in healthcare travel and hospital choice - A latent class analysis with covariates," Journal of Transport Geography, Elsevier, vol. 110(C).
    14. Mishra, Sushreeta & Sahu, Prasanta K. & Sarkar, Ashoke K. & Mehran, Babak & Sharma, Satish, 2019. "Geo-spatial site suitability analysis for development of health care units in rural India: Effects on habitation accessibility, facility utilization and zonal equity in facility distribution," Journal of Transport Geography, Elsevier, vol. 78(C), pages 135-149.
    15. Linlin Liu & Bohong Zheng & Chen Luo & Komi Bernard Bedra & Francis Masrabaye, 2022. "Access to City Center: Automobile vs. Public Transit," IJERPH, MDPI, vol. 19(9), pages 1-16, May.
    16. Zhen Wang & Xupeng Zhang & Chaozheng Zhang & Qing Yang, 2022. "How Regional Integration Affects Urban Green Development Efficiency: Evidence from Urban Agglomeration in the Middle Reaches of the Yangtze River," IJERPH, MDPI, vol. 19(13), pages 1-16, June.
    17. Noah Kaiser & Christina K. Barstow, 2022. "Rural Transportation Infrastructure in Low- and Middle-Income Countries: A Review of Impacts, Implications, and Interventions," Sustainability, MDPI, vol. 14(4), pages 1-48, February.
    18. 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.
    19. Kofinti, Raymond Elikplim & Koomson, Isaac & Paintsil, Jones Arkoh & Ameyaw, Edward Kwabena, 2022. "Reducing children's malnutrition by increasing mothers' health insurance coverage: A focus on stunting and underweight across 32 sub-Saharan African countries," Economic Modelling, Elsevier, vol. 117(C).
    20. Bukola Salami & Alleson Mason & Jordana Salma & Sophie Yohani & Maryam Amin & Philomena Okeke-Ihejirika & Tehseen Ladha, 2020. "Access to Healthcare for Immigrant Children in Canada," IJERPH, MDPI, vol. 17(9), pages 1-12, May.

    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:jotrge:v:102:y:2022:i:c:s0966692322000928. 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: https://www.journals.elsevier.com/journal-of-transport-geography .

    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.