IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i1p890-d1024253.html
   My bibliography  Save this article

Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China

Author

Listed:
  • Jingya Luan

    (State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Natural Resources, Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China)

  • Yuhong Tian

    (State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Natural Resources, Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China)

  • Chi Yung Jim

    (Department of Social Sciences, Education University of Hong Kong, Hong Kong, China)

  • Xu Liu

    (China Academy of Urban Planning and Design (CAUPD), Beijing 100005, China)

  • Mengxuan Yan

    (State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Natural Resources, Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China)

  • Lizhu Wu

    (State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Natural Resources, Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China)

Abstract

Accessibility of health services signifies the quality and equitability of universal health provision. The hierarchical medical system recently implemented in China offers the policy instruments to improve medical services to the elderly in an aging society. As the critical primary care gateway, accessibility to community hospitals has significant impacts on people’s health. However, current research has paid little attention to spatial accessibility within walking distance of community hospitals, especially for the elderly. This study selected four districts with different urbanization levels in the rapidly developing Beijing metropolis. The spatial interaction model was applied to measure the accessibility of community hospitals for the elderly at the community level. An attractiveness index was computed based on key hospital traits. The results showed that: (1) community hospitals could cover 82.66% of elderly residents, and 77.63% of the communities were within walking distance. The served elderly proportion was relatively high in central urban areas and low in the suburbs. (2) The attractiveness indices of hospitals varied notably between districts, with higher values in more urbanized areas. (3) The spatial accessibility for the elderly of hospitals differed significantly between the four districts, with a descending gradient from central to suburban and rural areas, as indicated by the Gini coefficients and Lorenz curves. (4) The accessibility index was strongly related to the served elderly population and the hospital–residence distance. The findings provide policy directions to the government, including providing more primary-care resources to suburban and rural areas, building new community hospitals in identified provision gaps, upgrading some clinics to hospitals in rural areas, and planning hospitals according to the projected trend of the elderly population in terms of quantity and distribution. The considerable provision disparity between core urban, suburban and rural areas can be addressed by refined spatial health planning informed by research.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:1:p:890-:d:1024253
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/890/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/1/890/
    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. 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.
    3. Meihan Jin & Lu Liu & De Tong & Yongxi Gong & Yu Liu, 2019. "Evaluating the Spatial Accessibility and Distribution Balance of Multi-Level Medical Service Facilities," IJERPH, MDPI, vol. 16(7), pages 1-19, March.
    4. 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.
    5. Xiaokun Gu & Lufa Zhang & Siyuan Tao & Boming Xie, 2019. "Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai," IJERPH, MDPI, vol. 16(2), pages 1-16, January.
    6. Huotari, Tiina & Antikainen, Harri & Keistinen, Timo & Rusanen, Jarmo, 2017. "Accessibility of tertiary hospitals in Finland: A comparison of administrative and normative catchment areas," Social Science & Medicine, Elsevier, vol. 182(C), pages 60-67.
    7. Lei Zhu & Shuang Zhong & Wei Tu & Jing Zheng & Shenjing He & Junzhe Bao & Cunrui Huang, 2019. "Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China," IJERPH, MDPI, vol. 16(2), pages 1-15, January.
    8. 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.
    9. Siyao Gao & Yang Cheng, 2020. "Older People’s Perception of Changes in Their Living Environment after Relocation: A Case Study in Beijing, China," IJERPH, MDPI, vol. 17(6), pages 1-19, March.
    10. T J Fik & G F Mulligan, 1998. "Functional Form and Spatial Interaction Models," Environment and Planning A, , vol. 30(8), pages 1497-1507, August.
    11. Yun Liu & Qingxia Kong & Shasha Yuan & Joris van de Klundert, 2018. "Factors influencing choice of health system access level in China: A systematic review," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-21, August.
    12. 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.
    13. 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)

    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. Min Cheng & Li Tao & Yuejiao Lian & Weiwei Huang, 2021. "Measuring Spatial Accessibility of Urban Medical Facilities: A Case Study in Changning District of Shanghai in China," IJERPH, MDPI, vol. 18(18), pages 1-18, September.
    2. 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.
    3. 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.
    4. Peiheng Yu & Izzy Yi Jian & Esther H. K. Yung & Edwin H. W. Chan & Man Sing Wong & Yiyun Chen, 2023. "Spatial Vertical Equity in Public General Hospitals: Towards a Sustainable Healthcare System," Land, MDPI, vol. 12(8), pages 1-15, July.
    5. Yue Liu & Yuwei Su & Xiaoyu Li, 2022. "Analyzing the Spatial Equity of Walking-Based Chronic Disease Pharmacies: A Case Study in Wuhan, China," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
    6. 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).
    7. 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).
    8. Kan Wang & Jianjun Bai & Xing Dang, 2020. "Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China," IJERPH, MDPI, vol. 18(1), pages 1-20, December.
    9. 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.
    10. Jia, Peng & Wang, Youfa & Yang, Min & Wang, Limin & Yang, Xuchao & Shi, Xinyu & Yang, Lijian & Wen, Jin & Liu, Yi & Yang, Maokang & Xin, Junguo & Zhang, Fengying & Jiang, Lihua & Chi, Chunhua & Zhang,, 2022. "Inequalities of spatial primary healthcare accessibility in China," Social Science & Medicine, Elsevier, vol. 314(C).
    11. 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.
    12. Ting Chen & Jay Pan, 2022. "The Effect of Spatial Access to Primary Care on Potentially Avoidable Hospitalizations of the Elderly: Evidence from Chishui City, China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 160(2), pages 645-665, April.
    13. 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.
    14. Jinhui Ma & Haijing Huang & Daibin Liu, 2023. "Influences of Spatial Accessibility and Service Capacity on the Utilization of Elderly-Care Facilities: A Case Study of the Main Urban Area of Chongqing," IJERPH, MDPI, vol. 20(6), pages 1-19, March.
    15. Jin Li & Jie Li & Jian Huang, 2022. "Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    16. 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).
    17. 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).
    18. Min Weng & Tingting Liu & Mengjun Kang, 2017. "Liver cancer mapping based on actual medical treatment choices," Journal of Maps, Taylor & Francis Journals, vol. 13(1), pages 124-129, January.
    19. Huanhuan Zhu & Lin Pan & Yiji Li & Huiming Jin & Qian Wang & Xin Liu & Cong Wang & Peng Liao & Xinyang Jiang & Luo Li, 2021. "Spatial Accessibility Assessment of Prehospital EMS with a Focus on the Elderly Population: A Case Study in Ningbo, China," IJERPH, MDPI, vol. 18(19), pages 1-17, September.
    20. Gerardo Carpentieri & Carmen Guida & Houshmand E. Masoumi, 2020. "Multimodal Accessibility to Primary Health Services for the Elderly: A Case Study of Naples, Italy," Sustainability, MDPI, vol. 12(3), pages 1-15, January.

    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:20:y:2023:i:1:p:890-:d:1024253. 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.