Xiping Yang, Lin Luo, Jiayu Liu, Hongfei Chen, Junyi Li
{"title":"评估通过新建医院改善城市居民医疗服务可及性的情况:中国西安案例研究","authors":"Xiping Yang, Lin Luo, Jiayu Liu, Hongfei Chen, Junyi Li","doi":"10.1007/s12061-024-09611-9","DOIUrl":null,"url":null,"abstract":"<div><p>Recently, several big cities have been faced with rapid expansion of the population in China, ultimately leading to unprecedented pressure on urban healthcare facilities. Thus, new healthcare facilities are established to meet residents’ increasing demand for healthcare. Under the current circumstances, an essential task was to evaluate the improvement of these new facilities to residents’ healthcare accessibility. In this study, the rapid development city of Xi’an, China was employed as the case study, and the Gaussian-based 2SFCA method was utilized to measure the spatial distribution of high-level healthcare accessibility by private cars and public transit. The change in accessibility could be obtained by quantifying the difference in accessibility before and after establishment of the new hospitals. Furthermore, the improvement in equity in healthcare accessibility was measured using the Gini coefficient. Finally, the contribution of each new hospital to healthcare accessibility was evaluated from the perspectives of population coverage, average improvement of each bed, and improvement of the Gini coefficient. The results show that the areas with significant improvement are scalloped to the periphery of the study area, especially in the communities near the new hospitals. What’s more, a slight improvement could also be observed in the equity of healthcare accessibility after the construction of the new hospitals. These results could provide guidance for optimizing and allocating healthcare facilities.</p></div>","PeriodicalId":46392,"journal":{"name":"Applied Spatial Analysis and Policy","volume":"18 1","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Improvement of Healthcare Accessibility for Urban Residents via the Construction of New Hospitals: A Case Study of Xi’an, China\",\"authors\":\"Xiping Yang, Lin Luo, Jiayu Liu, Hongfei Chen, Junyi Li\",\"doi\":\"10.1007/s12061-024-09611-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Recently, several big cities have been faced with rapid expansion of the population in China, ultimately leading to unprecedented pressure on urban healthcare facilities. Thus, new healthcare facilities are established to meet residents’ increasing demand for healthcare. Under the current circumstances, an essential task was to evaluate the improvement of these new facilities to residents’ healthcare accessibility. In this study, the rapid development city of Xi’an, China was employed as the case study, and the Gaussian-based 2SFCA method was utilized to measure the spatial distribution of high-level healthcare accessibility by private cars and public transit. The change in accessibility could be obtained by quantifying the difference in accessibility before and after establishment of the new hospitals. Furthermore, the improvement in equity in healthcare accessibility was measured using the Gini coefficient. Finally, the contribution of each new hospital to healthcare accessibility was evaluated from the perspectives of population coverage, average improvement of each bed, and improvement of the Gini coefficient. The results show that the areas with significant improvement are scalloped to the periphery of the study area, especially in the communities near the new hospitals. What’s more, a slight improvement could also be observed in the equity of healthcare accessibility after the construction of the new hospitals. 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Evaluating the Improvement of Healthcare Accessibility for Urban Residents via the Construction of New Hospitals: A Case Study of Xi’an, China
Recently, several big cities have been faced with rapid expansion of the population in China, ultimately leading to unprecedented pressure on urban healthcare facilities. Thus, new healthcare facilities are established to meet residents’ increasing demand for healthcare. Under the current circumstances, an essential task was to evaluate the improvement of these new facilities to residents’ healthcare accessibility. In this study, the rapid development city of Xi’an, China was employed as the case study, and the Gaussian-based 2SFCA method was utilized to measure the spatial distribution of high-level healthcare accessibility by private cars and public transit. The change in accessibility could be obtained by quantifying the difference in accessibility before and after establishment of the new hospitals. Furthermore, the improvement in equity in healthcare accessibility was measured using the Gini coefficient. Finally, the contribution of each new hospital to healthcare accessibility was evaluated from the perspectives of population coverage, average improvement of each bed, and improvement of the Gini coefficient. The results show that the areas with significant improvement are scalloped to the periphery of the study area, especially in the communities near the new hospitals. What’s more, a slight improvement could also be observed in the equity of healthcare accessibility after the construction of the new hospitals. These results could provide guidance for optimizing and allocating healthcare facilities.
期刊介绍:
Description
The journal has an applied focus: it actively promotes the importance of geographical research in real world settings
It is policy-relevant: it seeks both a readership and contributions from practitioners as well as academics
The substantive foundation is spatial analysis: the use of quantitative techniques to identify patterns and processes within geographic environments
The combination of these points, which are fully reflected in the naming of the journal, establishes a unique position in the marketplace.
RationaleA geographical perspective has always been crucial to the understanding of the social and physical organisation of the world around us. The techniques of spatial analysis provide a powerful means for the assembly and interpretation of evidence, and thus to address critical questions about issues such as crime and deprivation, immigration and demographic restructuring, retailing activity and employment change, resource management and environmental improvement. Many of these issues are equally important to academic research as they are to policy makers and Applied Spatial Analysis and Policy aims to close the gap between these two perspectives by providing a forum for discussion of applied research in a range of different contexts
Topical and interdisciplinaryIncreasingly government organisations, administrative agencies and private businesses are requiring research to support their ‘evidence-based’ strategies or policies. Geographical location is critical in much of this work which extends across a wide range of disciplines including demography, actuarial sciences, statistics, public sector planning, business planning, economics, epidemiology, sociology, social policy, health research, environmental management.
FocusApplied Spatial Analysis and Policy will draw on applied research from diverse problem domains, such as transport, policing, education, health, environment and leisure, in different international contexts. The journal will therefore provide insights into the variations in phenomena that exist across space, it will provide evidence for comparative policy analysis between domains and between locations, and stimulate ideas about the translation of spatial analysis methods and techniques across varied policy contexts. It is essential to know how to measure, monitor and understand spatial distributions, many of which have implications for those with responsibility to plan and enhance the society and the environment in which we all exist.
Readership and Editorial BoardAs a journal focused on applications of methods of spatial analysis, Applied Spatial Analysis and Policy will be of interest to scholars and students in a wide range of academic fields, to practitioners in government and administrative agencies and to consultants in private sector organisations. The Editorial Board reflects the international and multidisciplinary nature of the journal.