Articlenpj health systems2025
Travel-time accessibility and adaptive spatial planning solutions for the healthcare system.
Article in npj health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed.
- Inequities in urban emergency medical services.npj health systems · 2026Article
- Optimizing Territorial Healthcare Networks with a Capacity-Constrained Hub-And-Spoke Allocation Algorithm: The Province of L'Aquila Case Study.Healthcare (Basel, Switzerland) · 2026Article
- Accessibility to medical institutions in Aichi Prefecture: A geographic information systems-based analysis.PloS one · 2026Article
- Mobility-informed hospital siting for accessible and lower-carbon healthcare travel: an ensemble learning study in Tianjin, China.Frontiers in public health · 2026Article
- Disparities in spatial access to healthcare facilities for pregnant women: a case study of a hilly region in India.BMC pregnancy and childbirth · 2025Article
- Exploring the coupling dynamics between accessibility of tourist attractions and tourism demand in Anhui Province.PloS one · 2025Article
- Hospital Closures Increase Emergency Care Travel Time: Rural-Urban Disparities.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Ensuring equitable healthcare access remains a significant challenge, particularly in rural areas where aging populations face increasing barriers due to facility closures. This study employs a GIS-based spatial network model to assess hospital accessibility, integrate road characteristics, and estimate travel times across all officially registered population nodes in a region. Analyzing disparities by age composition, we identify high-risk exclusion areas and propose an optimized model prioritizing vulnerable populations. Through four optimization scenarios, we evaluate the impact of hospital reductions on territorial accessibility. Findings reveal significant gaps, disproportionately affecting elderly and remote communities. Strategic hospital redistribution can enhance system efficiency and equity. This research highlights the value of GIS-based approaches in healthcare planning, providing data-driven strategies for optimizing hospital distribution and informing evidence-based policymaking.
Identifiers
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Registered trials
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.