IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i11p2421-d179538.html
   My bibliography  Save this article

An Improved Healthcare Accessibility Measure Considering the Temporal Dimension and Population Demand of Different Ages

Author

Listed:
  • Lan Ma

    (School of Geodesy and Geomatics, Wuhan University, Wuhan 430079, China)

  • Nianxue Luo

    (School of Geodesy and Geomatics, Wuhan University, Wuhan 430079, China)

  • Taili Wan

    (School of Geodesy and Geomatics, Wuhan University, Wuhan 430079, China)

  • Chunchun Hu

    (School of Geodesy and Geomatics, Wuhan University, Wuhan 430079, China)

  • Mingjun Peng

    (Wuhan Land Resources and Planning Bureau, Wuhan 430014, China)

Abstract

Healthcare accessibility has become an issue of social equity. An accurate estimation of existing healthcare accessibility is vital to plan and allocate health resources. Healthcare capacity, population demand, and geographic impedance are three essential factors to measure spatial accessibility. Additionally, geographic impedance is usually represented with a function of travel time. In this paper, the three-step floating catchment area (3SFCA) method is improved from the perspectives of the temporal dimension and population demand. Specifically, the travel time from the population location to the service site is precisely calculated by introducing real-time traffic conditions instead of utilizing empirical speed in previous studies. Additionally, with the utilization of real-time traffic, a dynamic result of healthcare accessibility is derived during different time periods. In addition, since the medical needs of the elderly are higher than that of the young, a demand weight index of demand is introduced to adjust the population demand. A case study of healthcare accessibility in Wuhan shows that the proposed method is effective to measure healthcare accessibility during different time periods. The spatial accessibility disparities of communities and crowdedness of hospitals are identified as an important reference for the balance between the supply and demand of medical resources.

Suggested Citation

  • Lan Ma & Nianxue Luo & Taili Wan & Chunchun Hu & Mingjun Peng, 2018. "An Improved Healthcare Accessibility Measure Considering the Temporal Dimension and Population Demand of Different Ages," IJERPH, MDPI, vol. 15(11), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2421-:d:179538
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/11/2421/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/11/2421/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jianhua Ni & Jinyin Wang & Yikang Rui & Tianlu Qian & Jiechen Wang, 2015. "An Enhanced Variable Two-Step Floating Catchment Area Method for Measuring Spatial Accessibility to Residential Care Facilities in Nanjing," IJERPH, MDPI, vol. 12(11), pages 1-15, November.
    2. David L. Huff, 1963. "A Probabilistic Analysis of Shopping Center Trade Areas," Land Economics, University of Wisconsin Press, vol. 39(1), pages 81-90.
    3. Jing Luo & Guangping Chen & Chang Li & Bingyan Xia & Xuan Sun & Siyun Chen, 2018. "Use of an E2SFCA Method to Measure and Analyse Spatial Accessibility to Medical Services for Elderly People in Wuhan, China," IJERPH, MDPI, vol. 15(7), pages 1-17, July.
    4. 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.
    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. Peng Zeng & Zongyao Sun & Yuqi Chen & Zhi Qiao & Liangwa Cai, 2021. "COVID-19: A Comparative Study of Population Aggregation Patterns in the Central Urban Area of Tianjin, China," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
    3. 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.

    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. 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.
    2. Langjiao Li & Qingyun Du & Fu Ren & Xiangyuan Ma, 2019. "Assessing Spatial Accessibility to Hierarchical Urban Parks by Multi-Types of Travel Distance in Shenzhen, China," IJERPH, MDPI, vol. 16(6), pages 1-23, March.
    3. 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.
    4. 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.
    5. Juel Paul & Earl Edwards, 2019. "Temporal availability of public health care in developing countries of the Caribbean: An improved two‐step floating catchment area method for estimating spatial accessibility to health care," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 536-556, January.
    6. 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.
    7. 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.
    8. 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.
    9. Paul Cheshire & Christian Hilber & Piero Montebruno & Rosa Sanchis-Guarner, 2018. "Take Me to the Centre of Your Town! Using Micro-geographical Data to Identify Town Centres," CESifo Economic Studies, CESifo Group, vol. 64(2), pages 255-291.
    10. Sohyun Park & Keumsook Lee, 2021. "Examining the Impact of E-Commerce Growth on the Spatial Distribution of Fashion and Beauty Stores in Seoul," Sustainability, MDPI, vol. 13(9), pages 1-20, May.
    11. 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.
    12. Yongqing Dong & Liping Fu & Ronghui Tan & Liman Ding, 2019. "The Dilemma of Medical Reimbursement Policy in Rural China: Spatial Variability between Reimbursement Region and Medical Catchment Area," IJERPH, MDPI, vol. 16(16), pages 1-18, August.
    13. Eszter Baranyai, 2023. "The Socio-Economic Status of Neighbourhoods and Access to Early Childhood Education," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(3), pages 1019-1048, June.
    14. 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.
    15. Dong, Xiaojing & Ben-Akiva, Moshe E. & Bowman, John L. & Walker, Joan L., 2006. "Moving from trip-based to activity-based measures of accessibility," Transportation Research Part A: Policy and Practice, Elsevier, vol. 40(2), pages 163-180, February.
    16. Wieland, Thomas, 2015. "Nahversorgung im Kontext raumökonomischer Entwicklungen im Lebensmitteleinzelhandel: Konzeption und Durchführung einer GIS-gestützten Analyse der Strukturen des Lebensmitteleinzelhandels und der Nahve," MPRA Paper 77145, University Library of Munich, Germany.
    17. James Kaufman & Justin Lessler & April Harry & Stefan Edlund & Kun Hu & Judith Douglas & Christian Thoens & Bernd Appel & Annemarie Käsbohrer & Matthias Filter, 2014. "A Likelihood-Based Approach to Identifying Contaminated Food Products Using Sales Data: Performance and Challenges," PLOS Computational Biology, Public Library of Science, vol. 10(7), pages 1-10, July.
    18. Rickard Enström & Olof Netzell, 2008. "Can Space Syntax Help Us in Understanding the Intraurban Office Rent Pattern? Accessibility and Rents in Downtown Stockholm," The Journal of Real Estate Finance and Economics, Springer, vol. 36(3), pages 289-305, April.
    19. 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).
    20. Busu Mihail & Vargas Madalina Vanesa & Gherasim Ioan Alexandru, 2020. "An analysis of the economic performances of the retail companies in Romania," Management & Marketing, Sciendo, vol. 15(1), pages 125-133, March.

    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:gam:jijerp:v:15:y:2018:i:11:p:2421-:d:179538. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.