ArticleInternational journal for equity in health2020
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data.
Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Spatial accessibility analysis of vaccination units in Gansu Province, China (2025).Human vaccines & immunotherapeutics · 2026Article
- Spatial accessibility and equity of traditional Chinese medicine hospitals in Eastern China: application of improved two-step floating catchment area method.Frontiers in public health · 2026Article
- Knowledge, Attitude, and Practice Towards Urticaria in an Online Sample of the Chinese General Population.Acta dermato-venereologica · 2025Article
- Co-evolution of private and public hospitals: spatiotemporal disparities, geospatial interactions, and social determinants over 19 years in Sichuan, China.Frontiers in public health · 2025Article
- Spatial accessibility modeling to healthcare facilities in the case of health shocks of Midnapore municipality, India.GeoJournal · 2023Article
- Observational
- Facility or Transport Inequality? Decomposing Healthcare Accessibility Inequality in Shenzhen, China.International journal of environmental research and public health · 2022Article
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11 authors.
Funding
Abstract
backgroundThe Chinese government proposed the "XIAO BING BU CHU CUN, DA BING BU CHU XIAN" initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is that citizens should be able to access county hospitals' services conveniently and impartially. However, little research has been done on the actual levels of the spatial accessibility of citizens to county hospitals in Western China. Therefore, we aimed to measure the spatial accessibility to county hospitals for county residents and to identify any regional disparities in Shaanxi Province in Western China.
methodsWe implemented a novel method - involving utilizing navigation data from the AutoNavi web mapping system (knows as Gaode map in Chinese) - to assess the time and distance from villages and neighborhoods to the county hospitals. The navigation data were collected by request through an application-programming-interface using a web crawler (web data extraction tool) in Python. The shortest driving time and distance were extracted from the navigation data. The travel impedance to the nearest provider (TINP) indicator was used to measure spatial accessibility.
resultsThe results show that county residents in Western China's Shaanxi Province have poor spatial accessibility to county hospitals. Only 68.8% of villages and neighborhoods are within 60 min travel time (based on driving mode) to a county hospital, while 13.4% of such villages and neighborhoods are beyond 90 min travel time. Moreover, a significant within-province disparity exists, with residents in the central area enjoying the best accessibility to county hospitals, while the northern and southern areas still need improvements in accessibility.
conclusionsFocused health resource planning is required to improve the spatial accessibility to county hospitals and to eliminate regional disparities. Further studies are called for to integrate the navigation data of web mapping systems with GIS methods to the measure spatial accessibility of health facilities in more complex contexts.
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