{"title":"从公平视角审视分级医疗服务的空间和社会异质性:中国上海中心城区案例研究","authors":"","doi":"10.1016/j.cities.2024.105394","DOIUrl":null,"url":null,"abstract":"<div><p>Achieving equal access to healthcare is an essential goal of the Sustainable Development Goals and a key criterion for building healthy communities. In this study, we examine the spatial and social heterogeneities of accessing hierarchical healthcare services through the lens of equity in the central urban area of Shanghai. The BFCA method is applied to analyze the accessibility to healthcare with various levels of services and via travel modes from communities and identify communities with a spatial mismatch. The relationship between factors, including socio-economic factors, health status, medical choice, and accessing healthcare services are examined using a multi-nominal logistic model. The results show that 1) Accessing healthcare performs a spatial mismatch and core-periphery disparity in the central urban area. 2) The lacking the accessibility to high-tier healthcare and a walkable environment are two main spatial equity issues, especially the latter one. 3) The inequities of access to healthcare facilities are systematic differences in factors including age, family income, family expenditure, medical choice, and health status. The results highlight the geographic and demographic disparities in healthcare services through the lens of equity and provide suggestions to improve the healthcare coverage and develop a sustainable and healthy-oriented city.</p></div>","PeriodicalId":48405,"journal":{"name":"Cities","volume":null,"pages":null},"PeriodicalIF":6.0000,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Examining the spatial and social heterogeneities of accessing hierarchical healthcare services through the lens of equity: A case study of the central urban area in Shanghai, China\",\"authors\":\"\",\"doi\":\"10.1016/j.cities.2024.105394\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Achieving equal access to healthcare is an essential goal of the Sustainable Development Goals and a key criterion for building healthy communities. In this study, we examine the spatial and social heterogeneities of accessing hierarchical healthcare services through the lens of equity in the central urban area of Shanghai. The BFCA method is applied to analyze the accessibility to healthcare with various levels of services and via travel modes from communities and identify communities with a spatial mismatch. The relationship between factors, including socio-economic factors, health status, medical choice, and accessing healthcare services are examined using a multi-nominal logistic model. The results show that 1) Accessing healthcare performs a spatial mismatch and core-periphery disparity in the central urban area. 2) The lacking the accessibility to high-tier healthcare and a walkable environment are two main spatial equity issues, especially the latter one. 3) The inequities of access to healthcare facilities are systematic differences in factors including age, family income, family expenditure, medical choice, and health status. The results highlight the geographic and demographic disparities in healthcare services through the lens of equity and provide suggestions to improve the healthcare coverage and develop a sustainable and healthy-oriented city.</p></div>\",\"PeriodicalId\":48405,\"journal\":{\"name\":\"Cities\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":6.0000,\"publicationDate\":\"2024-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cities\",\"FirstCategoryId\":\"96\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0264275124006085\",\"RegionNum\":1,\"RegionCategory\":\"经济学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"URBAN STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cities","FirstCategoryId":"96","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0264275124006085","RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"URBAN STUDIES","Score":null,"Total":0}
Examining the spatial and social heterogeneities of accessing hierarchical healthcare services through the lens of equity: A case study of the central urban area in Shanghai, China
Achieving equal access to healthcare is an essential goal of the Sustainable Development Goals and a key criterion for building healthy communities. In this study, we examine the spatial and social heterogeneities of accessing hierarchical healthcare services through the lens of equity in the central urban area of Shanghai. The BFCA method is applied to analyze the accessibility to healthcare with various levels of services and via travel modes from communities and identify communities with a spatial mismatch. The relationship between factors, including socio-economic factors, health status, medical choice, and accessing healthcare services are examined using a multi-nominal logistic model. The results show that 1) Accessing healthcare performs a spatial mismatch and core-periphery disparity in the central urban area. 2) The lacking the accessibility to high-tier healthcare and a walkable environment are two main spatial equity issues, especially the latter one. 3) The inequities of access to healthcare facilities are systematic differences in factors including age, family income, family expenditure, medical choice, and health status. The results highlight the geographic and demographic disparities in healthcare services through the lens of equity and provide suggestions to improve the healthcare coverage and develop a sustainable and healthy-oriented city.
期刊介绍:
Cities offers a comprehensive range of articles on all aspects of urban policy. It provides an international and interdisciplinary platform for the exchange of ideas and information between urban planners and policy makers from national and local government, non-government organizations, academia and consultancy. The primary aims of the journal are to analyse and assess past and present urban development and management as a reflection of effective, ineffective and non-existent planning policies; and the promotion of the implementation of appropriate urban policies in both the developed and the developing world.