ArticleInquiry : a journal of medical care organization, provision and financing
The Contributions of Population Distribution, Healthcare Resourcing, and Transportation Infrastructure to Spatial Accessibility of Health Care.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed, 104 citations in OpenAlex.
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- Drug price trends, regional disparities, and supply shortages under China's National Volume-Based Procurement: a nationwide analysis (2018-2024).BMC health services research · 2026Article
- Effect of a Community-Based Enhancement Program on Emergency Assistance and Marine Patient Transfer Coordination Competency Among Community Health Volunteers on the Remote Islands of Southern Thailand: Quasi-Experimental Study.Asian/Pacific Island nursing journal · 2026Article
- Beyond health economics: economic growth, artificial intelligence, and environmental externalities in shaping life expectancy.Frontiers in public health · 2026Article
- Using DHIS2 routine data for health system preparedness in resource-limited settings: A Bayesian predictive approach in Bangladesh.PLOS global public health · 2026Article
- Cost-effectiveness of two major population-based breast cancer screening programmes in China: a model-based economic evaluation.BMJ public health · 2026Article
- Toward sustainable healthy living in South Africa: the asymmetric effects of clean energy, natural resources and institutional quality.Frontiers in public health · 2026Article
- Impact of the compact county medical service community policy on healthcare resource allocation and healthcare service utilization in village clinics: a difference-in-differences analysis in rural Sichuan, China.Frontiers in public health · 2026Article
- Carbon emission governance and public health efficiency in transitional China: Regional differences and spatial aggregation.PloS one · 2026Article
- A high-resolution geospatial analysis of radiation therapy access in the Philippines.Ecancermedicalscience · 2026Article
- The Effect of Personalized Oral Health Education on Oral Hygiene Behavior and Periodontal Health: A Meta-Analysis and Systematic Review.International journal of dentistry · 2026Review
- Leveraging blockchain with zero knowledge proofs in wearable health technologies for personalized healthcare.Scientific reports · 2025Article
- Exploring service providers' perspectives on facilitators and barriers to contraceptive uptake among women: implications for policy reform in Ghana.Contraception and reproductive medicine · 2025Article
- Spatial Distribution of COVID-19 Diagnostic Services in Mopani District, Limpopo Province, South Africa.Public health challenges · 2025Article
- Spatial accessibility evaluation and clustering analysis of primary healthcare within 15 min circles in a northern Chinese megacity.Scientific reports · 2025Article
- Observational
- Digital Transformation of Medical Services in Romania: Does the Healthcare System Meet the Current Needs of Patients?Healthcare (Basel, Switzerland) · 2025Article
- Showing up for no-shows: Why transportation equity matters.Paediatrics & child health · 2025Article
- Analysis of Determinant Factors and Mechanisms in Early Childhood Care Services: A Qualitative Study in the Asturian Context (Spain).Children (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Population demand, healthcare resourcing, and transportation linkage are considered as major determinants of spatial access to health care. Temporal changes of the 3 determinants would result in gain or loss of spatial access to health care. As a remarkable milestone achieved by Targeted Poverty Reduction Project launched in China, the significant improvements in spatial access to health care served as an ideal context for investigating the relative contributions of these 3 determinants to the changes in spatial access to health care in a rural county. A national level poverty-stricken county, Chishui county from Guizhou province, China, was chosen as our study area. The enhanced two-step floating catchment area model and the chain substitution method were employed for analysis. The relative contributions of the 3 determinants demonstrated variations with villages. The relative contributions of healthcare resourcing were positive in all villages as indicated by sharp increases in healthcare resources. Population changes and transportation infrastructure expansion had both negative and positive effects on spatial access to health care for different villages. Decisionmakers should take into account the duration of travel time spent between where people live, where transport hubs are located, and where healthcare services are delivered in the process of formulating policies toward rural healthcare planning. For villages with poorly-established infrastructure, the optimization of population distribution and healthcare resourcing should be considered as the priority. A stronger marginal effect would be induced by transportation infrastructure expansion with increased spatial accessibility. This study provides empirical evidences to inform healthcare planning in low- and middle-income countries.
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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.