Resisting the heat wave: Revealing inequalities in matching between heat exposure risk and healthcare services in a megacity

Abstract

Climate warming and the growing urban heat island effect are exacerbating the unequal public health crisis in megacities, and thus it is important to assess the equity of matching relationship between the healthcare services and the heat exposure risk. We selected 255 census units in Tianjin city for the study, and calculated a heat exposure index based on the universal thermal climate index (UTCI) and constructed a comprehensive urban healthcare services evaluation system to measure the degree of mismatch between the two. The results showed the following. (1) The heat exposure risk and healthcare services followed an increasing pattern from the Outer suburb area (OSA) to the Metropolitan development area (MDA) and then to the Main urban area (MUA). (2) The overall imbalance in matching was low in the OSA, whereas the healthcare services were relatively insufficient in the MDA, and the heat exposure risk and healthcare services were relatively balanced in the MUA. (3) The degree of matching between the core and peripheral parts of the MUA was severely polarized, with an overall pattern of excess healthcare in the core area and a high risk of heat exposure in the peripheral areas. The results can provide effective guidance for rationalizing the allocation of healthcare resources from a heat exposure perspective, and provide a policy basis for risk management and fund investment.