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Spatial Vertical Equity in Public General Hospitals: Towards a Sustainable Healthcare System

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  • Peiheng Yu

    (Department of Building and Real Estate, Research Institute of Sustainable Urban Development, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Izzy Yi Jian

    (School of Design, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Esther H. K. Yung

    (Department of Building and Real Estate, Research Institute of Sustainable Urban Development, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Edwin H. W. Chan

    (Department of Building and Real Estate, Research Institute of Sustainable Urban Development, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Man Sing Wong

    (Department of Land Surveying and Geo–Informatics, Research Institute for Land and Space, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Yiyun Chen

    (School of Resource and Environmental Science, Wuhan University, Wuhan 430079, China)

Abstract

The accessibility of public general hospitals is essential for the well-being of urban residents and for more equitable urban planning. However, public general hospitals and the associated spatial vertical equity are still not well known in developing countries. The objective of our study is to propose a theoretical framework to investigate the accessibility of public general hospitals and spatial vertical equity based on demographic dimensions. The main urban area of Wuhan is a suitable and representative example to explore this issue. An enhanced Gaussian two-step floating catchment area method, the Lorenz curve, and the Gini coefficient are employed in this study. The results indicate significant spatial heterogeneity in the accessibility of public general hospitals due to the dramatic transformation of urban planning and heterogeneous spatial structure. From a spatial vertical equity perspective, the spatial distribution of most public general hospitals does not take into account communities with a high proportion of minors and seniors. Compared with seniors, minors face more serious inequities in access to healthcare. The spatial distribution of only a few public general hospitals is prospective and inclined. Evidence-based policy implications are portrayed as a more equitable urban form and a sustainable healthcare system.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jlands:v:12:y:2023:i:8:p:1498-:d:1204822
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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. 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.
    3. 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.
    4. Gastwirth, Joseph L, 1972. "The Estimation of the Lorenz Curve and Gini Index," The Review of Economics and Statistics, MIT Press, vol. 54(3), pages 306-316, August.
    5. Lina Liu & Wei Xu & Yixuan Su & Xv Zhou & Daqing Gong, 2021. "Evaluation of Health Resource Allocation Efficiency Based on Data Envelopment Analysis 2014–2018 in Two Dimensions of Time-Region," Discrete Dynamics in Nature and Society, Hindawi, vol. 2021, pages 1-10, December.
    6. Milanovic, Branko, 1997. "A simple way to calculate the Gini coefficient, and some implications," Economics Letters, Elsevier, vol. 56(1), pages 45-49, September.
    7. Zhengna Song & Tinggan Yan & Yunjian Ge, 2018. "Spatial Equilibrium Allocation of Urban Large Public General Hospitals Based on the Welfare Maximization Principle: A Case Study of Nanjing, China," Sustainability, MDPI, vol. 10(9), pages 1-23, August.
    8. 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.
    9. 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.
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    2. Huihua Hu & Hua Shao & Yang Li & Mengfan Guan & Jiaxing Tong, 2025. "GIS-Based Analysis of Elderly Care Facility Distribution and Supply–Demand Coordination in the Yangtze River Delta," Land, MDPI, vol. 14(4), pages 1-24, March.

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