ArticleFrontiers in public health2024
Spatial accessibility and equity of community healthcare: unraveling the impact of varying time and transport mode.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Spatial accessibility and equity analysis of designated medical insurance pharmacies in China.BMC health services research · 2026Article
- High-Resolution dataset on elderly care facility accessibility and inequality in 21 Chinese cities (2020).Scientific data · 2026Article
- Mobile signaling big data, healthcare-seeking flows, and multidimensional healthcare access in Shanghai: implications for healthcare supply-demand matching and medical security governance.Frontiers in public health · 2026Article
- Urban mobility resilience and spatial-temporal equity under public health crises: longitudinal evidence from China's ride-hailing sector (2019-2024).Frontiers in public health · 2026Article
- Mobility-informed hospital siting for accessible and lower-carbon healthcare travel: an ensemble learning study in Tianjin, China.Frontiers in public health · 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
- Enhancing patient accessibility of primary care: the redesign of Italian territorial medicine.Health care management science · 2025Article
- IMPACT AND HEALTHCARE UTILIZATION PATTERNS OF AN ORTHOPEDIC TELEMEDICINE PROGRAM IN BRAZIL.Acta ortopedica brasileira · 2025Article
- Optimizing spatial accessibility and equity of hierarchical older adult care facilities using a multi-modal two-step floating catchment area method: a case study of Lin'an District, Hangzhou.Frontiers in public health · 2025Article
- Disparities in public transit access to healthcare in Austin, Texas.Frontiers in public health · 2025Article
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5 authors.
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Abstract
Background: Achieving a higher level of accessibility and equity to community healthcare services has become a major concern for health service delivery from the perspectives of health planners and policy makers in China. Methods: In this study, we introduced a comprehensive door-to-door (D2D) model, integrating it with the open OD API results for precise computation of accessibility to community hospitals over different transport modes. For the D2D public transit mode, we computed the temporal variation and standard deviation of accessibility at different times of the day. Additionally, accessibility values for D2D riding mode, D2D driving mode, and simple driving mode were also computed for comparison. Moreover, we introduced Lorenz curve and Gini index to assess the differences in equity of community healthcare across different times and transport modes. Results: The D2D public transit mode exhibits noticeable fluctuations in accessibility and equity based on the time of day. Accessibility and equity were notably influenced by traffic flow between 8 AM and 11 AM, while during the period from 12 PM to 10 PM, the open hours of community hospitals became a more significant determinant in Nanjing. The moments with the most equitable and inequitable overall spatial layouts were 10 AM and 10 PM, respectively. Among the four transport modes, the traditional simple driving mode exhibited the smallest equity index, with a Gini value of only 0.243. In contrast, the D2D riding mode, while widely preferred for accessing community healthcare services, had the highest Gini value, reaching 0.472. Conclusion: The proposed method combined the D2D model with the open OD API results is effective for accessibility computation of real transport modes. Spatial accessibility and equity of community healthcare experience significant fluctuations influenced by time variations. The transportation mode is also a significant factor affecting accessibility and equity level. These results are helpful to both planners and scholars that aim to build comprehensive spatial accessibility and equity models and optimize the location of public service facilities from the perspective of different temporal scales and a multi-mode transport system.
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