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Evaluation of access to health care in rural areas using enhanced two-step floating catchment area (E2SFCA) method

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  • Kanuganti, Shalini
  • Sarkar, Ashoke Kumar
  • Singh, Ajit Pratap

Abstract

The study concerns with the quantification of accessibility to health facilities which is a prime concern in rural areas. In order to assure access to health care, planning commissions and policy decision makers require definite and reliable measures of accessibility values, thus that appropriate health care shortage areas can be analyzed and a policy decision can be taken accordingly to pacify the problem. Thus in this paper enhanced two step floating catchment area (E2SFCA) method, a special case of gravity model is used to quantify the present accessibility levels to health in rural areas. E2SFCA method which is an enhancement of two step floating catchment area (2SFCA) method differentiates the accessibility of the population within the catchment area by introducing a distance decay function. At the point when calibrating the distance decay from the travel behavior of patients in the study areas, it is revealed that sigmoidal functions are more likely suitable for the high population density regions and also plain terrains and decline functions for low population density regions and difficult desert or hilly areas. The paper yields health care shortage areas.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:jotrge:v:56:y:2016:i:c:p:45-52
    DOI: 10.1016/j.jtrangeo.2016.08.011
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    References listed on IDEAS

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    Cited by:

    1. Wei Hu & Lin Li & Mo Su, 2019. "Spatial Inequity of Multi-Level Healthcare Services in a Rapid Expanding Immigrant City of China: A Case Study of Shenzhen," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    2. Ajit Pratap Singh & Makrand Wagale & Kunal Dhadse & Anjaney Singh, 2022. "Socioeconomic impacts of low-volume roads using a GIS-based multidimensional impact assessment approach," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(5), pages 6676-6701, May.
    3. 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).
    4. Shujin Zhang & Peiheng Yu & Yiyun Chen & Ying Jing & Fanxin Zeng, 2022. "Accessibility of Park Green Space in Wuhan, China: Implications for Spatial Equity in the Post-COVID-19 Era," IJERPH, MDPI, vol. 19(9), pages 1-20, April.
    5. Jiawei Zhang & Peien Han & Yan Sun & Jingyu Zhao & Li Yang, 2021. "Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    6. Jiahui Qin & Yusi Liu & Disheng Yi & Shuo Sun & Jing Zhang, 2020. "Spatial Accessibility Analysis of Parks with Multiple Entrances Based on Real-Time Travel: The Case Study in Beijing," Sustainability, MDPI, vol. 12(18), pages 1-19, September.
    7. 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).
    8. Jiansheng Wu & Jiayi Fu & Hongliang Wang & Yuhao Zhao & Tengyun Yi, 2022. "Identifying Spatial Matching between the Supply and Demand of Medical Resource and Accessing Carrying Capacity: A Case Study of Shenzhen, China," IJERPH, MDPI, vol. 19(4), pages 1-22, February.
    9. Linggui Liu & Han Lyu & Yi Zhao & Dian Zhou, 2022. "An Improved Two-Step Floating Catchment Area (2SFCA) Method for Measuring Spatial Accessibility to Elderly Care Facilities in Xi’an, China," IJERPH, MDPI, vol. 19(18), pages 1-15, September.
    10. Huili Xie & Xinke Wang & Xiaoting Hu & Zhiyong Shi & Hong Lin & Xiangqun Xie & Lingxiu Chen & Hongxia Dai & Jiao Zhang & Mengjie Xu & Xingzhao Liu, 2023. "Exploring Urban Green Space Optimization of the Urban Walking Life Circle in Fuzhou, China," IJERPH, MDPI, vol. 20(2), pages 1-16, January.
    11. Jinling Sui & Guoqin Zhang & Tao Lin & Nicholas A. S. Hamm & Chunlin Li & Xian Wu & Kaiqun Hu, 2023. "Quantitative Evaluation of Spatial Accessibility of Various Urban Medical Services Based on Big Data of Outpatient Appointments," IJERPH, MDPI, vol. 20(6), pages 1-18, March.
    12. Jinling Sui & Tao Lin & Guoqin Zhang & Hong Ye & Meixia Lin & Hongkai Geng & Yukui Zhang, 2023. "Equity and Driving Factors of Medical Service Supply–Demand Balance for the Elderly in Rapidly Urbanized Communities Based on Big Data Analysis—A Case Study of Xiamen City," Sustainability, MDPI, vol. 15(10), pages 1-16, May.
    13. Zhicheng Zheng & Haoming Xia & Shrinidhi Ambinakudige & Yaochen Qin & Yang Li & Zhixiang Xie & Lijun Zhang & Haibin Gu, 2019. "Spatial Accessibility to Hospitals Based on Web Mapping API: An Empirical Study in Kaifeng, China," Sustainability, MDPI, vol. 11(4), pages 1-14, February.
    14. Wei Xu & Tao Sun, 2022. "Evaluation of rural habitat environment in under-developed areas of Western China: a case study of Northern Shaanxi," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(9), pages 10503-10539, September.
    15. 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).
    16. Juchen Li & Xiucheng Guo & Ruiying Lu & Yibang Zhang, 2022. "Analysing Urban Tourism Accessibility Using Real-Time Travel Data: A Case Study in Nanjing, China," Sustainability, MDPI, vol. 14(19), pages 1-18, September.
    17. Jiahui Qin & Shijia Luo & Disheng Yi & Heping Jiang & Jing Zhang, 2022. "Measuring Cluster-Based Spatial Access to Shopping Stores under Real-Time Travel Time," Sustainability, MDPI, vol. 14(4), pages 1-21, February.
    18. 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).
    19. Zhiping Zhong & Lin Lin & Ying Yang, 2020. "Study on the Health Status and Health Service Utilization for the Rural Elderly in the Metropolitan Suburb During the Urbanization Process: A Case for Mingxing Village, Guangzhou," Sustainability, MDPI, vol. 12(9), pages 1-14, April.
    20. Sunwei Liu & Yupeng Wang & Dian Zhou & Yitong Kang, 2020. "Two-Step Floating Catchment Area Model-Based Evaluation of Community Care Facilities’ Spatial Accessibility in Xi’an, China," IJERPH, MDPI, vol. 17(14), pages 1-17, July.
    21. 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.

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    Keywords

    Accessibility; E2SFCA; Health center; Impedance function;
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