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Spatial-Performance Evaluation of Primary Health Care Facilities: Evidence from Xi’an, China

Author

Listed:
  • Dan Zhao

    (Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, College of Urban and Environmental Science, Northwest University, Xi’an 710127, China)

  • Liu Shao

    (Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, College of Urban and Environmental Science, Northwest University, Xi’an 710127, China)

  • Jianwei Li

    (Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, College of Urban and Environmental Science, Northwest University, Xi’an 710127, China)

  • Lina Shen

    (Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, College of Urban and Environmental Science, Northwest University, Xi’an 710127, China)

Abstract

Primary health care (PHC) facilities play a significant role in constructing a “people-oriented city” to promote sustainable urban development. However, existing studies exhibit gaps in the spatial-performance evaluation of PHC facilities at the block scale and in identifying spatial association types between facilities and the population. Therefore, we examined the elderly population, who rely heavily on PHC facilities, and developed a spatial-performance evaluation model for PHC facilities at the block scale using the Ga2SFCA method and the bivariate spatial autocorrelation method. The results revealed an evident concentric pattern and spatial mismatch between the accessibility of facilities and the elderly population. Facilities in the central area were inadequate due to the excessive density of the elderly population, whereas medical services in suburban areas were unsustainable due to poor accessibility. From a spatial-justice perspective, the spatial-performance evaluation at the block scale can identify spatial correlation types and distribution characteristics between PHC facilities and the elderly population.

Suggested Citation

  • Dan Zhao & Liu Shao & Jianwei Li & Lina Shen, 2024. "Spatial-Performance Evaluation of Primary Health Care Facilities: Evidence from Xi’an, China," Sustainability, MDPI, vol. 16(7), pages 1-14, March.
    • Handle: RePEc:gam:jsusta:v:16:y:2024:i:7:p:2838-:d:1365976
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    References listed on IDEAS

    as
    1. Linggui Liu & Yi Zhao & Han Lyu & Sining Chen & Yuheng Tu & Shuyun Huang, 2023. "Spatial Accessibility and Equity Evaluation of Medical Facilities Based on Improved 2SFCA: A Case Study in Xi’an, China," IJERPH, MDPI, vol. 20(3), pages 1-19, January.
    2. 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.
    3. Xiaofang Pan & Mei-Po Kwan & Lin Yang & Shunping Zhou & Zejun Zuo & Bo Wan, 2018. "Evaluating the Accessibility of Healthcare Facilities Using an Integrated Catchment Area Approach," IJERPH, MDPI, vol. 15(9), pages 1-21, September.
    4. 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.
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