ArticleInternational journal of environmental research and public health2022
Facility or Transport Inequality? Decomposing Healthcare Accessibility Inequality in 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 8 papers.
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Who cites it
8 citing papers in PubMed.
- Spatial Accessibility and Supply-Demand Mismatch of Primary Healthcare Facilities in the Main Urban Area of Guangzhou.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Uneven integration of health in China's territorial spatial planning 2035.BMC public health · 2026Article
- Coupling coordination and regional health equity: an empirical study of economic, social, and healthcare systems in Zhejiang Province, China.Frontiers in public health · 2025Article
- Urban and rural disparities in general hospital accessibility within a Chinese metropolis.Scientific reports · 2024Article
- Using drivers and transmission pathways to identify SARS-like coronavirus spillover risk hotspots.Nature communications · 2023Article
- 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
- Spatial and Socioeconomic Inequalities in Accessibility to Healthcare Services in South Korea.Healthcare (Basel, Switzerland) · 2022Article
- Evaluating Effects of Dynamic Interventions to Control COVID-19 Pandemic: A Case Study of Guangdong, China.International journal of environmental research and public health · 2022Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Accessibility to healthcare services is crucial for residents' wellbeing. Numerous studies have revealed significant spatial inequality in healthcare accessibility across various contexts. However, it still remains unclear whether the inequality is caused by the unbalanced spatial distribution of healthcare facilities or by unequal transport access to them. This study decomposes inequality in healthcare accessibility into facility- and transport-driven inequality by comparing scenarios of healthcare accessibility, which consider various combinations of multidimensional components of accessibility using different distance measures. Using a case study in Shenzhen, this study reveals that both facility distribution and transport access substantially contribute to spatial inequality in healthcare accessibility. Facility distribution accounts for 61.3% and 50.8% of the overall accessibility inequality for driving and transit modes, respectively. The remaining inequality is induced by imbalanced mobility provided by transport networks. Furthermore, the impact of transport component on healthcare accessibility is unevenly distributed. This study highlights that both facility- and transport-related countermeasures should be considered to improve the accessibility and equality of healthcare services. It provides transferable methods for quantitatively decomposing facility- and transport-driven inequality in accessibility to healthcare or other facilities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.