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Spatial Equity of Multilevel Healthcare in the Metropolis of Chengdu, China: A New Assessment Approach

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  • Shaoyao Zhang

    (Research Center for Mountain Development, Institute of Mountain Hazards and Environment, Chinese Academy of Sciences, Chengdu 610041, China
    School of Resources and Environment, University of Chinese Academy of Sciences, Beijing 100049, China)

  • Xueqian Song

    (School of Management, Chengdu University of Information Technology, Chengdu 610225, China)

  • Yongping Wei

    (School of Earth and Environmental Sciences, the University of Queensland, Brisbane 4067, Australia)

  • Wei Deng

    (Research Center for Mountain Development, Institute of Mountain Hazards and Environment, Chinese Academy of Sciences, Chengdu 610041, China
    School of Resources and Environment, University of Chinese Academy of Sciences, Beijing 100049, China)

Abstract

The spatial equity of the healthcare system is an important factor in assessing how the different medical service demands of residents are met by different levels of medical institutions. However, previous studies have not paid sufficient attention to multilevel healthcare accessibility based on both the divergence of hierarchical healthcare supplies and variations in residents’ behavioral preferences for different types of healthcare. This study aims to propose a demand-driven “2R grid-to-level” (2R-GTL) method of analyzing the spatial equity in access to a multilevel healthcare system in Chengdu. Gridded populations, real-time travel distances and residents’ spatial behavioral preferences were used to generate a dynamic and accurate healthcare accessibility assessment. The results indicate that significant differences exist in the spatial accessibility to different levels of healthcare. Approximately 90% of the total population living in 57% of the total area in the city can access all three levels of healthcare within an acceptable travel distance, whereas multilevel healthcare shortage zones cover 42% of the total area and 12% of the population. A lack of primary healthcare is the most serious problem in these healthcare shortage zones. These results support the systematic monitoring of multilevel healthcare accessibility by decision-makers. The method proposed in this research could be improved by introducing nonspatial factors, private healthcare providers and other cultural contexts and time periods.

Suggested Citation

  • Shaoyao Zhang & Xueqian Song & Yongping Wei & Wei Deng, 2019. "Spatial Equity of Multilevel Healthcare in the Metropolis of Chengdu, China: A New Assessment Approach," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:3:p:493-:d:204700
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    References listed on IDEAS

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    1. Pan, Jay & Zhao, Hanqing & Wang, Xiuli & Shi, Xun, 2016. "Assessing spatial access to public and private hospitals in Sichuan, China: The influence of the private sector on the healthcare geography in China," Social Science & Medicine, Elsevier, vol. 170(C), pages 35-45.
    2. Nai Yang & Shiyi Chen & Weilu Hu & Zhongheng Wu & Yi Chao, 2016. "Spatial Distribution Balance Analysis of Hospitals in Wuhan," IJERPH, MDPI, vol. 13(10), pages 1-16, September.
    3. Shah, Tayyab Ikram & Milosavljevic, Stephan & Bath, Brenna, 2017. "Determining geographic accessibility of family physician and nurse practitioner services in relation to the distribution of seniors within two Canadian Prairie Provinces," Social Science & Medicine, Elsevier, vol. 194(C), pages 96-104.
    4. 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.
    5. Antonio Páez & Ruben Gertes Mercado & Steven Farber & Catherine Morency & Matthew Roorda, 2010. "Relative Accessibility Deprivation Indicators for Urban Settings: Definitions and Application to Food Deserts in Montreal," Urban Studies, Urban Studies Journal Limited, vol. 47(7), pages 1415-1438, June.
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    Cited by:

    1. 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.
    2. 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).
    3. Zhichang Cai & ChengHe Guan & An Trinh & Bo Zhang & Zhibin Chen & Sumeeta Srinivasan & Chris Nielsen, 2022. "Satisfactions on Self-Perceived Health of Urban Residents in Chengdu, China: Gender, Age and the Built Environment," Sustainability, MDPI, vol. 14(20), pages 1-17, October.
    4. Zeinab Neisani Samani & Ali Asghar Alesheikh & Mohammad Karimi & Najmeh Neysani Samany & Sayeh Bayat & Aynaz Lotfata & Chiara Garau, 2024. "Advancing Urban Healthcare Equity Analysis: Integrating Public Participation GIS with Fuzzy Best–Worst Decision-Making," Sustainability, MDPI, vol. 16(5), pages 1-17, February.

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