ArticleInternational journal of environmental research and public health2022
Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19.
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 9 papers.
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9 citing papers in PubMed.
- Evaluation of equity and efficiency in health resource allocation in underdeveloped county areas: empirical research from Guangxi, China.BMC health services research · 2026Article
- Spatial equity in the allocation of lifesaving resources: a cross-sectional spatial evaluation of automated external defibrillators in four first-tier Chinese cities.International journal of health geographics · 2026Article
- Spatiotemporal heterogeneity and multiscale social influencing factors of syphilis in the mainland of China, 2005-2022.iScience · 2026Article
- 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
- Spatial accessibility and equity of primary healthcare in Zhejiang, China.International journal for equity in health · 2024Article
- Unraveling the drivers of inequality in primary health-care resource distribution: Evidence from Guangzhou, China.Heliyon · 2024Article
- Does a new case-based payment system promote the construction of the ordered health delivery system? Evidence from a pilot city in China.International journal for equity in health · 2024Article
- Big data-driven spatio-temporal heterogeneity analysis of Beijing's catering service industry during the COVID-19 pandemic.Scientific reports · 2024Article
- Analysis of Regional Differences, Dynamic Evolution, and Influencing Factors of Medical Service Levels in Guangzhou Under the Health China Strategy.Risk management and healthcare policy · 2024Article
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Abstract
Optimizing the allocation of basic medical services and ensuring their equity are necessary to improve the ability to respond to public health emergencies and promote health equity in the context of COVID-19. This study aims to analyze the equity of Guangzhou's basic medical service and identify areas where health resources are relatively scarce. The spatial distribution and patterns of basic medical services were analyzed using kernel density analysis and standard deviation ellipse. The equity was analyzed using the Gini coefficient and Lorenz curve in terms of population and geographical area, respectively. Considering the medical demand and supply sides, the Gaussian two-step floating catchment area method was used to analyze the accessibility to different levels of medical institutions. The kernel density analysis and standard deviation ellipse showed that the spatial distribution of medical and health resources in Guangzhou is unevenly distributed, and high-level hospitals and medical resources are mainly concentrated in the centrum. From the perspective of population, Guangzhou's medical equity is generally reasonable. The accessibility of medical institutions differs with different levels, and the tertiary medical institutions have the best accessibility, while the unclassified, primary, and secondary medical institutions generally have lower accessibility. The accessibility of districts in Guangzhou varies greatly. Areas in the center are most accessible to basic medical services, while accessibility in outskirt areas has gradually decreased. Conclusion: The quantity of per capita medical and health resources in Guangzhou, as evidenced by basic medical services, is sufficient, but the spatial distribution is unequal. The developed city center enjoys more adequate healthcare resources than the distant suburbs. Primary healthcare should be built, especially in distant suburbs, to strengthen basic medical service equity in Guangzhou.
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