ArticleInternational journal of environmental research and public health2019
Spatial Equity of Multilevel Healthcare in the Metropolis of Chengdu, China: A New Assessment Approach.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Assessing spatial equity in integrated health care facilities for older adults: a case study in the metropolis of Guangzhou, China.Frontiers in public health · 2026Article
- The analysis of factors influencing patient choice of healthcare providers between tertiary hospitals and community clinics.Frontiers in public health · 2025Article
- National-scale 1-km maps of hospital travel time and hospital accessibility in China.Scientific data · 2024Article
- An External Patient Healthcare Index (EPHI) for Simulating Spatial Tendencies in Healthcare Seeking Behavior.Frontiers in public health · 2022Article
- An equity and efficiency integrated grid-to-level 2SFCA approach: spatial accessibility of multilevel healthcare.International journal for equity in health · 2021Article
- Chinese women's attitudes towards postpartum interventions to prevent type 2 diabetes after gestational diabetes: a semi-structured qualitative study.Reproductive health · 2021Article
- An integrated analysis of spatial access to the three-tier healthcare delivery system in China: a case study of Hainan Island.International journal for equity in health · 2021Article
- Hierarchical two-step floating catchment area (2SFCA) method: measuring the spatial accessibility to hierarchical healthcare facilities in Shenzhen, China.International journal for equity in health · 2020Article
- Spatial Difference of Transit-Based Accessibility to Hospitals by Regions Using Spatially Adjusted ANOVA.International journal of environmental research and public health · 2019Article
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4 authors.
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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.
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