Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

doi:10.3390/ijgi10090615

	Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China
	Tao, Zhuolin 1,2; Han, Wenchao 3
刊名	ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION
	2021-09-01
卷号	10 期号:9 页码:16
关键词	healthcare service hierarchical system accessibility equality 2SFCA China
DOI	10.3390/ijgi10090615
通讯作者	Han, Wenchao(201631490013@mail.bnu.edu.cn)
英文摘要	The hierarchical healthcare system is widely considered to be a desirable mode of the delivery of healthcare services. It is expected that the establishment of a hierarchical healthcare system can help provide better and more equal healthcare accessibility. However, limited evidence has been provided on the impacts of a hierarchical healthcare system on healthcare accessibility. This study develops an improved Hierarchical two-step floating catchment area (2SFCA) method, which incorporates variable catchment area sizes, distance friction effects and utilization efficiency for facilities at different levels. Leveraging the Hierarchical 2SFCA method, various scenarios are set up to assess the accessibility impacts of a hierarchical healthcare system. The methods are applied in a case study of Shenzhen. The results reveal significant disparity and inequality in healthcare accessibility and also differences between various facility levels in Shenzhen. The overall healthcare accessibility and its equality can be significantly improved by fully utilizing existing facilities. It is also demonstrated that allocating additional supply to lower-level facilities can generate larger accessibility gains. Furthermore, allocating new supply to primary facilities would mitigate the inequality in healthcare accessibility, whereas inequality tends to be aggravated with new supply allocated to tertiary facilities. These impacts cannot be captured by traditional accessibility measures. This study demonstrates the pivotal role of primary facilities in the hierarchical healthcare system. It can contribute to the literature by providing transferable methods and procedures for measuring hierarchical healthcare accessibility and assessing accessibility impacts of a hierarchical healthcare system in developing countries.
资助项目	Key Laboratory of Regional Sustainable Development Modelling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences[KF2020-05]
WOS关键词	MODELS
WOS研究方向	Computer Science ; Physical Geography ; Remote Sensing
语种	英语
出版者	MDPI
WOS记录号	WOS:000700544100001
资助机构	Key Laboratory of Regional Sustainable Development Modelling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences
内容类型	期刊论文
源URL	[http://ir.igsnrr.ac.cn/handle/311030/166015]
专题	中国科学院地理科学与资源研究所
通讯作者	Han, Wenchao
作者单位	1.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, Key Lab Reg Sustainable Dev Modelling, Beijing 100101, Peoples R China 2.Beijing Normal Univ, Fac Geog Sci, 19 Xinjiekouwai Ave, Beijing 100875, Peoples R China 3.Chinese Res Inst Environm Sci, Beijing 100012, Peoples R China
推荐引用方式 GB/T 7714	Tao, Zhuolin,Han, Wenchao. Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China[J]. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION,2021,10(9):16.
APA	Tao, Zhuolin,&Han, Wenchao.(2021).Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China.ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION,10(9),16.
MLA	Tao, Zhuolin,et al."Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China".ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 10.9(2021):16.