IDEAS home Printed from https://ideas.repec.org/a/gam/jlands/v11y2022i5p640-d802621.html
   My bibliography  Save this article

An Equity Evaluation on Accessibility of Primary Healthcare Facilities by Using V2SFCA Method: Taking Fukuoka City, Japan, as a Case Study

Author

Listed:
  • Mengge Du

    (Graduate School of Human-Environment Studies, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan)

  • Shichen Zhao

    (Faculty of Human-Environment Studies, Kyushu University, 744 Motooka Nishi-ku, Fukuoka 819-0395, Japan)

Abstract

The primary healthcare facilities are among the most basic needs of the residents, huge in quantity and widespread. Their distributions are directly related to people’s health, which affects the sustainable development of cities. The accessibility calculation of primary level healthcare facilities and the equity evaluation of accessibility from the perspective of medical service category and urban population is very important for the decision-making of layout and configuration but has been ignored for a long time. This study took the primary healthcare facilities of Fukuoka city in Japan as research objects; it first used the variable two-step floating catchment area (V2SFCA) method to calculate the healthcare catchment areas (HCAs) of medical service providers and the population catchment area (PCAs) of medical demand locations, and then obtained the accessibility to primary healthcare facilities. Finally, the spatial disparities of accessibility were evaluated from three aspects: overall space distribution by using Global and Local Moran’s I, service quality, and the population to be served. The results showed that HCAs were from 500 m to 6400 m, PCAs ranged from 500 m to 3000 m, the use of variable catchments can improve the accuracy of accessibility assessment results; the accessibility of primary healthcare facilities was clustered and had significant spatial differences, which were high in urban center and low in suburban area; the obvious differences in the accessibility distribution characteristics of clinics in differential diagnosis and treatment departments led to different degrees of unsaturation in the types of medical services obtained by residents; although the elderly’s demand for basic medical care was many times higher than that of other age groups, the accessibility in high-demand areas was generally low, and the situation in severely high-demand areas was more serious. This work puts forward a multi-dimensional realistic evaluation system for equality accessibility of primary healthcare facilities, providing the data support for the medical resources and facilities’ allocation and the intensive land use.

Suggested Citation

  • Mengge Du & Shichen Zhao, 2022. "An Equity Evaluation on Accessibility of Primary Healthcare Facilities by Using V2SFCA Method: Taking Fukuoka City, Japan, as a Case Study," Land, MDPI, vol. 11(5), pages 1-22, April.
    • Handle: RePEc:gam:jlands:v:11:y:2022:i:5:p:640-:d:802621
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2073-445X/11/5/640/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2073-445X/11/5/640/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jiangang Shi & Wei Miao & Hongyun Si & Ting Liu, 2021. "Urban Vitality Evaluation and Spatial Correlation Research: A Case Study from Shanghai, China," Land, MDPI, vol. 10(11), pages 1-15, November.
    2. Horev, Tuvia & Pesis-Katz, Irena & Mukamel, Dana B., 2004. "Trends in geographic disparities in allocation of health care resources in the US," Health Policy, Elsevier, vol. 68(2), pages 223-232, May.
    3. Jared Hewko & Karen E Smoyer-Tomic & M John Hodgson, 2002. "Measuring Neighbourhood Spatial Accessibility to Urban Amenities: Does Aggregation Error Matter?," Environment and Planning A, , vol. 34(7), pages 1185-1206, July.
    4. Christian Spreafico & Davide Russo, 2020. "Exploiting the Scientific Literature for Performing Life Cycle Assessment about Transportation," Sustainability, MDPI, vol. 12(18), pages 1-24, September.
    5. Shihang Fu & Yaolin Liu & Ying Fang, 2021. "Measuring the Differences of Public Health Service Facilities and Their Influencing Factors," Land, MDPI, vol. 10(11), pages 1-15, November.
    6. Páez, Antonio & Scott, Darren M. & Morency, Catherine, 2012. "Measuring accessibility: positive and normative implementations of various accessibility indicators," Journal of Transport Geography, Elsevier, vol. 25(C), pages 141-153.
    7. Lasser, K.E. & Himmelstein, D.U. & Woolhandler, S., 2006. "Access to care, health status, and health disparities in the United States and Canada: Results of a Cross-National Population Based Survey," American Journal of Public Health, American Public Health Association, vol. 96(7), pages 1300-1307.
    8. Goddard, Maria & Smith, Peter, 2001. "Equity of access to health care services: : Theory and evidence from the UK," Social Science & Medicine, Elsevier, vol. 53(9), pages 1149-1162, November.
    9. Dahao Zhang & Guojun Zhang & Chunshan Zhou, 2021. "Differences in Accessibility of Public Health Facilities in Hierarchical Municipalities and the Spatial Pattern Characteristics of Their Services in Doumen District, China," Land, MDPI, vol. 10(11), pages 1-17, November.
    10. Shaojun Liu & Yao Long & Ling Zhang & Hao Liu, 2021. "Quantifying and Characterizing Urban Leisure Activities by Merging Multiple Sensing Big Data: A Case Study of Nanjing, China," Land, MDPI, vol. 10(11), pages 1-20, November.
    11. Teresa Sá Marques & Miguel Saraiva & Diogo Ribeiro & Ana Amante & Duarte Silva & Paulo Melo, 2020. "Accessibility to services of general interest in polycentric urban system planning: the case of Portugal," European Planning Studies, Taylor & Francis Journals, vol. 28(6), pages 1068-1094, June.
    12. Ada Wolny & Marek Ogryzek & Ryszard Źróbek, 2019. "Towards Sustainable Development and Preventing Exclusions—Determining Road Accessibility at the Sub-Regional and Local Level in Rural Areas of Poland," Sustainability, MDPI, vol. 11(18), pages 1-21, September.
    13. Jiří Malý, 2018. "Questioning territorial cohesion: (Un)equal access to services of general interest," Papers in Regional Science, Wiley Blackwell, vol. 97(2), pages 323-343, June.
    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. Sheng Zhang & Shimin Xu & Da Wan & Hui Liu & Lin Zhao & Lian Guo & Juan Ren, 2023. "Equalization Measurement and Optimization of the Public Cultural Facilities Distribution in Tianjin Central Area," Sustainability, MDPI, vol. 15(6), pages 1-22, March.
    2. Katarina Mostarac & Petar Mostarac & Zvonko Kavran & Dragana Šarac, 2022. "Determining Optimal Locations of Postal Access Points Based on Simulated Annealing," Sustainability, MDPI, vol. 14(14), pages 1-17, July.
    3. Zongni Gu & Xiaolong Luo & Yanru Chen & Xiaoman Liu & Chenrui Xiao & Yifan Liang, 2022. "Density, Diversity, and Design: Evaluating the Equity of the Elderly Communities in Three Measures of the Built Environment," Land, MDPI, vol. 11(11), pages 1-17, November.

    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. Bo-Sin Tang & Kenneth KH Wong & Kenneth SS Tang & Siu Wai Wong, 2021. "Walking accessibility to neighbourhood open space in a multi-level urban environment of Hong Kong," Environment and Planning B, , vol. 48(5), pages 1340-1356, June.
    2. Jiansheng Wu & Tengyun Yi & Han Wang & Hongliang Wang & Jiayi Fu & Yuhao Zhao, 2022. "Evaluation of Medical Carrying Capacity for Megacities from a Traffic Analysis Zone View: A Case Study in Shenzhen, China," Land, MDPI, vol. 11(6), pages 1-19, June.
    3. 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).
    4. Laia Palència & Albert Espelt & Maica Rodríguez-Sanz & Katia B. Rocha & M. Isabel Pasarín & Carme Borrell, 2013. "Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 211-219, April.
    5. Michiel N. Daams & Paolo Veneri, 2017. "Living Near to Attractive Nature? A Well-Being Indicator for Ranking Dutch, Danish, and German Functional Urban Areas," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 133(2), pages 501-526, September.
    6. Peige Song & Yajie Zhu & Xi Mao & Qi Li & Lin An, 2013. "Assessing Spatial Accessibility to Maternity Units in Shenzhen, China," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.
    7. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    8. Chen, Zhuo & Roy, Kakoli & Haddix, Anne C. & Thacker, Stephen B., 2010. "Factors associated with differences in mortality and self-reported health across states in the United States," Health Policy, Elsevier, vol. 94(3), pages 203-210, March.
    9. Eric Delattre & Anne-Laure Samson, 2012. "Stratégies de localisation des médecins généralistes français : mécanismes économiques ou hédonistes ?," Économie et Statistique, Programme National Persée, vol. 455(1), pages 115-142.
    10. Wang, Chih-Hao & Chen, Na, 2015. "A GIS-based spatial statistical approach to modeling job accessibility by transportation mode: case study of Columbus, Ohio," Journal of Transport Geography, Elsevier, vol. 45(C), pages 1-11.
    11. Edmund Zolnik, 2020. "A longitudinal analysis of the effect of public rail infrastructure on proximate residential property transactions," Urban Studies, Urban Studies Journal Limited, vol. 57(8), pages 1620-1641, June.
    12. Khalili, Fatemeh Bagheri & Antunes, António Pais & Mohaymany, Afshin Shariat, 2020. "Evaluating interregional freight accessibility conditions through the combination of centrality and reliability measures," Journal of Transport Geography, Elsevier, vol. 83(C).
    13. He Liu & Xueming Li, 2022. "Understanding the Driving Factors for Urban Human Settlement Vitality at Street Level: A Case Study of Dalian, China," Land, MDPI, vol. 11(5), pages 1-20, April.
    14. Andrea L. Sparks & Neil Bania & Laura Leete, 2011. "Comparative Approaches to Measuring Food Access in Urban Areas," Urban Studies, Urban Studies Journal Limited, vol. 48(8), pages 1715-1737, June.
    15. Christopher Higgins & Pavlos Kanaroglou, 2018. "Rapid transit, transit-oriented development, and the contextual sensitivity of land value uplift in Toronto," Urban Studies, Urban Studies Journal Limited, vol. 55(10), pages 2197-2225, August.
    16. van Wee, Bert, 2016. "Accessible accessibility research challenges," Journal of Transport Geography, Elsevier, vol. 51(C), pages 9-16.
    17. Jacobson, Jerry Owen & Robinson, Paul & Bluthenthal, Ricky N., 2007. "A multilevel decomposition approach to estimate the role of program location and neighborhood disadvantage in racial disparities in alcohol treatment completion," Social Science & Medicine, Elsevier, vol. 64(2), pages 462-476, January.
    18. Boisjoly, Geneviève & El-Geneidy, Ahmed, 2016. "Daily fluctuations in transit and job availability: A comparative assessment of time-sensitive accessibility measures," Journal of Transport Geography, Elsevier, vol. 52(C), pages 73-81.
    19. Chih-Hao Wang & Na Chen, 2021. "A multi-objective optimization approach to balancing economic efficiency and equity in accessibility to multi-use paths," Transportation, Springer, vol. 48(4), pages 1967-1986, August.
    20. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, 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:jlands:v:11:y:2022:i:5:p:640-:d:802621. 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.