ArticleInternational journal of environmental research and public health2022
Evaluations of Spatial Accessibility and Equity of Multi-Tiered Medical System: A Case Study of Shenzhen, China.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Spatial heterogeneity in area-level environmental context of hospital-based congenital structural anomaly burden in Southwest China: a retrospective study from a provincial pediatric referral center.World journal of pediatrics : WJP · 2026Article
- Measuring children's spatial accessibility to urban park green spaces.Scientific reports · 2026Article
- Impact of the Tiered-Network Healthcare Policy (TNHP) on the health resource allocation, patients flow and service efficiencies of Primary Healthcare Institutions (PHCIs) in China: an interrupted time series study.BMC health services research · 2026Article
- Knowledge, attitudes and practices of clinicians in Shenzhen regarding pediatric streptococcal pharyngitis diagnosis and treatment.Frontiers in cellular and infection microbiology · 2026Article
- Spatial Accessibility and Equity Evaluation of Medical Facilities Based on Improved 2SFCA: A Case Study in Xi'an, China.International journal of environmental research and public health · 2023Article
- Resource Allocation Equity in the China's Rural Three-Tier Healthcare System.International journal of environmental research and public health · 2022Article
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Authors and funding
5 authors.
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Abstract
The Chinese government has implemented a medical system reform to improve the equity of healthcare resources since 2009. We selected Shenzhen as our study area and evaluated the accessibility and equity of the multi-tiered medical system in China using a novel multi-tiered two-step floating catchment area (MT2SFCA) method. We proposed the benchmark and applied the independent variables of travel time and facility attractiveness, along with a combination of the two factors, as tolerances to determine the new logistic cumulative distribution decay functions. Community health centers (CHCs) and hospitals were included while integrating their features. Results revealed that the MT2SFCA method was able to determine the particular advantages of CHCs and hospitals in the multi-tiered medical system. The CHCs offset the lower accessibility of hospitals in suburban areas and hospitals balanced the regional inequity caused by the CHC. Travel time is the main consideration of patients who have access to CHCs, whereas facility features are the main considerations of patients who have access to hospitals. Notably, both CHCs and hospitals are crucial for the whole multi-tiered medical system. Finally, we suggested modifications in different travel modes, weights of contributing factors, and the validation of decay functions to improve the MT2SFCA method.
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