Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis

Abstract Investigating spatial accessibility of township to medical resources in provincial China is critical for policymakers to plan a more effective distribution of medical resources. However, accessibility of township to medical resources in provincial China has not been well studied. Accessibil...

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Main Authors: Asad Aziz, Jun Li, Shinan Hu, Ruishan Hu
Format: Article
Language:English
Published: Springer 2022-03-01
Series:Computational Urban Science
Subjects:
Online Access:https://doi.org/10.1007/s43762-022-00037-y
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author Asad Aziz
Jun Li
Shinan Hu
Ruishan Hu
author_facet Asad Aziz
Jun Li
Shinan Hu
Ruishan Hu
author_sort Asad Aziz
collection DOAJ
description Abstract Investigating spatial accessibility of township to medical resources in provincial China is critical for policymakers to plan a more effective distribution of medical resources. However, accessibility of township to medical resources in provincial China has not been well studied. Accessibility of townships to hospitals in urban areas was calculated by Enhanced Two-step Floating Catchment Area (E2SFCA) by different age and urbanizing groups. Cold and hot spot analysis was used to recognize medical-shortage townships. The results showed that average percent of 65 + and 0–14 age groups in townships with below-average accessibility were 11.55% and 20.38%, higher than those in townships with above-average accessibility by 2 and 3.8 percentage points significantly, and when urbanization level fell from above 0.7 to 0.3–0.7 or below 0.3, accessibility declined by 27.39% or 51.32% significantly. There were 34 physiological medical-shortage townships with both significantly low accessibility and high percent of 65 + or 0–14 age group, and 13 economic medical-shortage townships with both significantly low accessibility and urbanization level. According to the results, spatial accessibility of children on the provincial or county boundaries in northern Anhui and elders and rural population in mountainous western and southern Anhui needed more attention from policymakers.
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spelling doaj.art-c15bdf1023c74006925fcc06f8364c442022-12-21T22:49:39ZengSpringerComputational Urban Science2730-68522022-03-012111210.1007/s43762-022-00037-ySpatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysisAsad Aziz0Jun Li1Shinan Hu2Ruishan Hu3Department of Geography, University of GujratBusiness School of Anhui University of TechnologySchool of Transportation Science and Engineering, Beihang UniversityInstitute of Geographic Sciences and Natural Resources Research, Chinese Academy of SciencesAbstract Investigating spatial accessibility of township to medical resources in provincial China is critical for policymakers to plan a more effective distribution of medical resources. However, accessibility of township to medical resources in provincial China has not been well studied. Accessibility of townships to hospitals in urban areas was calculated by Enhanced Two-step Floating Catchment Area (E2SFCA) by different age and urbanizing groups. Cold and hot spot analysis was used to recognize medical-shortage townships. The results showed that average percent of 65 + and 0–14 age groups in townships with below-average accessibility were 11.55% and 20.38%, higher than those in townships with above-average accessibility by 2 and 3.8 percentage points significantly, and when urbanization level fell from above 0.7 to 0.3–0.7 or below 0.3, accessibility declined by 27.39% or 51.32% significantly. There were 34 physiological medical-shortage townships with both significantly low accessibility and high percent of 65 + or 0–14 age group, and 13 economic medical-shortage townships with both significantly low accessibility and urbanization level. According to the results, spatial accessibility of children on the provincial or county boundaries in northern Anhui and elders and rural population in mountainous western and southern Anhui needed more attention from policymakers.https://doi.org/10.1007/s43762-022-00037-yAge and urban–rural inequalitiesGISMedical-shortage areaSpatial accessibilityTownship
spellingShingle Asad Aziz
Jun Li
Shinan Hu
Ruishan Hu
Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
Computational Urban Science
Age and urban–rural inequalities
GIS
Medical-shortage area
Spatial accessibility
Township
title Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
title_full Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
title_fullStr Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
title_full_unstemmed Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
title_short Spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in Anhui, China- a GIS analysis
title_sort spatial accessibility of township to county hospital and its disparity among age and urbanizing groups in anhui china a gis analysis
topic Age and urban–rural inequalities
GIS
Medical-shortage area
Spatial accessibility
Township
url https://doi.org/10.1007/s43762-022-00037-y
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