ArticleInternational journal for equity in health2024
Spatial accessibility and equity of primary healthcare in Zhejiang, China.
Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 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
- [Spatial accessibility and optimization of pediatric healthcare resources in Beijing].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Perspectives and Requirements of Patients with Prostate Cancer on Mobile Health Interventions During Androgen Deprivation Therapy: A Descriptive Qualitative Study.Journal of clinical nursing · 2026Article
- Regional disparities in access to coordinated health care in Poland: development and application of an accessibility index.BMC health services research · 2026Article
- Spatial disparities in elderly care institution accessibility: integrating real-time navigation data and the elderly's preferences in Fuzhou, China.BMC 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
- Comparing disparities in geographic proximity to exercise-based cardiac rehabilitation before and after decentralisation of services: a repeated cross-sectional study using individual-level register data.International journal for equity in health · 2025Article
- Acceptance of healthcare services based on the large language model in China: a national cross-sectional study.BMC public health · 2025Article
- Co-evolution of private and public hospitals: spatiotemporal disparities, geospatial interactions, and social determinants over 19 years in Sichuan, China.Frontiers in public health · 2025Article
- Spatial optimization of hierarchical healthcare facilities driven by multi-source data: a case study of Shenyang, China.Frontiers in public health · 2025Article
- Coupling coordination and regional health equity: an empirical study of economic, social, and healthcare systems in Zhejiang Province, China.Frontiers in public health · 2025Article
- Knowledge, attitudes, and practices of COPD patients regarding acute exacerbations of COPD.Frontiers in medicine · 2025Article
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5 authors.
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Abstract
backgroundEnhancing the accessibility and equity of primary healthcare (PHC) is a crucial objective of China's healthcare reform. However, spatial barriers remain a significant factor contributing to the inequitable access to PHC services among residents.
objectiveThis study aims to quantify the spatial accessibility (SA) and evaluate the equity of PHC resources in a pilot province for healthcare reform, and its municipalities, thereby providing insights that can be generalized to the broader context of China.
methodsThe study used the navigation function provided by Gaode Map to estimate the time it takes for residents to visit PHC institutions. The two-step floating catchment area (2SFCA) method, weighted by a Gaussian function, was employed to measure the SA of PHC institutions, general practitioners (GPs), and beds across various residential areas. The Gini coefficient was utilized to assess disparities in SA among different regions. Additionally, Getis-Ord Gi* analysis was conducted to visualize these spatial disparities.
resultsThe study analyzed 25,601 residential and 1,451 healthcare points in Zhejiang Province, revealing significant disparities in SA of PHC. Urban residents reached PHC institutions faster than rural ones (7.05 ± 4.7 min vs. 9.17 ± 7.78 min, P < 0.001). Within 30 min, 98.4% of residential points and 99.1% of the population accessed PHC institutions. Disparities in PHC resources were notable, with Lishui having the highest SA for institutions and GPs, and Shaoxing for beds. Equity assessment showed high inequity for institutions (Gini 0.553), moderate for beds (Gini 0.497), and reasonable for GPs (Gini 0.332). Getis-Ord Gi* analysis demonstrated that areas further from urban centers were more likely to exhibit clusters of hotspots or cold spots.
conclusionThe study highlights substantial disparities in SA of PHC and equity across Zhejiang, underscoring the need for strategic resource distribution. Future research should include diverse transportation modes and more precise demand point data to enhance understanding of accessibility dynamics.
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