Exploring the inequality in fine-grained primary healthcare accessibility in Macau based on high-resolution geospatial data under the 15-minute city framework

IF 4 2区地球科学 Q1 GEOGRAPHY

Applied Geography Pub Date : 2024-11-21 DOI:10.1016/j.apgeog.2024.103473

Dong Liu , Jianying Wang , Jiangyu Song , Mei-Po Kwan , Dingzhong Fang , Toshinori Ariga , Yang Chen , Serge Stinckwich

{"title":"Exploring the inequality in fine-grained primary healthcare accessibility in Macau based on high-resolution geospatial data under the 15-minute city framework","authors":"Dong Liu , Jianying Wang , Jiangyu Song , Mei-Po Kwan , Dingzhong Fang , Toshinori Ariga , Yang Chen , Serge Stinckwich","doi":"10.1016/j.apgeog.2024.103473","DOIUrl":null,"url":null,"abstract":"<div><div>Primary healthcare (PHC) acts as a cornerstone of public health. The 15-min city concept, advocating convenient access to essential urban services such as PHC within a 15-min walk, has gained traction globally. However, there remains a lack of understanding regarding the 15-min accessibility to PHC services, crucial for physically vulnerable individuals requiring regular medical attention. Previous healthcare accessibility studies often use the traditional floating catchment area (FCA) method, which overlooks demand and service supply inflation within catchment areas, potentially leading to inaccuracies in accessibility estimates. This study addresses the gap in understanding fine-grained 15-min accessibility to PHC services by employing an enhanced two-step floating catchment area (E2SFCA) method, which considers the inflation effect. Additionally, our study incorporates hot spot analysis (Getis-Ord Gi∗), bivariate local Moran's I (Bi-LISA), and the Gini index to reveal inter- and intra-parish accessibility inequalities across the 7 parishes in Macau. Findings highlight Nossa Senhora de Fátima parish as having the highest concentration of low-income public housing estates and significant inter- and intra-parish 15-min PHC accessibility inequalities. This emphasizes the need for policymakers to consider integrating PHC facilities when developing public housing estates for low-income residents.</div></div>","PeriodicalId":48396,"journal":{"name":"Applied Geography","volume":"174 ","pages":"Article 103473"},"PeriodicalIF":4.0000,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Geography","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0143622824002789","RegionNum":2,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GEOGRAPHY","Score":null,"Total":0}

引用次数: 0

Abstract

Primary healthcare (PHC) acts as a cornerstone of public health. The 15-min city concept, advocating convenient access to essential urban services such as PHC within a 15-min walk, has gained traction globally. However, there remains a lack of understanding regarding the 15-min accessibility to PHC services, crucial for physically vulnerable individuals requiring regular medical attention. Previous healthcare accessibility studies often use the traditional floating catchment area (FCA) method, which overlooks demand and service supply inflation within catchment areas, potentially leading to inaccuracies in accessibility estimates. This study addresses the gap in understanding fine-grained 15-min accessibility to PHC services by employing an enhanced two-step floating catchment area (E2SFCA) method, which considers the inflation effect. Additionally, our study incorporates hot spot analysis (Getis-Ord Gi∗), bivariate local Moran's I (Bi-LISA), and the Gini index to reveal inter- and intra-parish accessibility inequalities across the 7 parishes in Macau. Findings highlight Nossa Senhora de Fátima parish as having the highest concentration of low-income public housing estates and significant inter- and intra-parish 15-min PHC accessibility inequalities. This emphasizes the need for policymakers to consider integrating PHC facilities when developing public housing estates for low-income residents.

查看原文本刊更多论文

基于 15 分钟城市框架下的高分辨率地理空间数据，探索澳门基层医疗服务可及性的不平等现象

初级卫生保健（PHC）是公共卫生的基石。15 分钟城市 "概念提倡在步行 15 分钟内方便地获得基本城市服务，如初级保健服务，这一概念已在全球范围内得到推广。然而，人们对 15 分钟内获得初级保健服务的可及性仍然缺乏了解，而这对于需要定期就医的身体弱势群体来说至关重要。以往的医疗服务可及性研究通常使用传统的浮动集水区（FCA）方法，这种方法忽略了集水区内的需求和服务供应膨胀，可能导致可及性估算不准确。本研究采用增强型两步浮动集水区法（E2SFCA），考虑了通货膨胀效应，从而弥补了在了解 15 分钟内初级保健服务可及性方面的不足。此外，我们的研究还结合了热点分析（Getis-Ord Gi∗）、双变量本地莫兰指数（Bi-LISA）和基尼系数，以揭示澳门 7 个教区之间和教区内部的无障碍程度不平等。研究结果表明，花地玛堂区是低收入公共屋邨最集中的地区，而且堂区之间和堂区内15分钟初级保健服务的可及性存在明显的不平等。这强调了政策制定者在为低收入居民开发公共屋邨时考虑整合初级保健设施的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Applied Geography GEOGRAPHY-

CiteScore

8.00

自引率

2.00%

发文量

134

期刊介绍： Applied Geography is a journal devoted to the publication of research which utilizes geographic approaches (human, physical, nature-society and GIScience) to resolve human problems that have a spatial dimension. These problems may be related to the assessment, management and allocation of the world physical and/or human resources. The underlying rationale of the journal is that only through a clear understanding of the relevant societal, physical, and coupled natural-humans systems can we resolve such problems. Papers are invited on any theme involving the application of geographical theory and methodology in the resolution of human problems.