ArticleInternational journal of health geographics2025
Enhancing elderly care services in high-density aging communities: a dual-dimensional GIS-SPO framework for spatial and temporal optimization.
Article in International journal of health geographics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
4 authors.
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Abstract
Amid rapid population ageing, integrating health and social care in high-density urban neighbourhoods remains a critical challenge. We propose a dual-dimensional “spatio-temporal efficiency–service perception” framework combining GIS with the Structure-Process-Outcome (SPO) model, and tested it in Sanqiao Sub-district, Wuhan, China. Barrier-free renovations increased 15-minute elderly care coverage from 71.5% to 86.2%. Regression analysis identified facility adequacy (β = 0.22) and staff empathy (β = 0.14) as key satisfaction drivers. However, non-spatial barriers persisted: counselling utilisation was only 47.2%, and care costs ≥ 22% of household income reduced uptake by 63%. The “renovation + micro-station” strategy achieved 95.8% policy compliance, 100% EHR interoperability, and cut service response time to < 10 min. The model offers a culturally adaptive, transferable blueprint for resource-constrained ageing cities, emphasising that spatial fixes must be coupled with financial and stigma-reduction interventions to achieve equitable care access.
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