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Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China

Spatial accessibility to medical resources is an integral component of universal health coverage. However, research evaluating the spatial accessibility of healthcare services at the community level in China remains limited. We assessed the community-level spatial access to beds, doctors, and nurses...

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Autores principales: Zhu, Lei, Zhong, Shuang, Tu, Wei, Zheng, Jing, He, Shenjing, Bao, Junzhe, Huang, Cunrui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352203/
https://www.ncbi.nlm.nih.gov/pubmed/30654500
http://dx.doi.org/10.3390/ijerph16020242
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author Zhu, Lei
Zhong, Shuang
Tu, Wei
Zheng, Jing
He, Shenjing
Bao, Junzhe
Huang, Cunrui
author_facet Zhu, Lei
Zhong, Shuang
Tu, Wei
Zheng, Jing
He, Shenjing
Bao, Junzhe
Huang, Cunrui
author_sort Zhu, Lei
collection PubMed
description Spatial accessibility to medical resources is an integral component of universal health coverage. However, research evaluating the spatial accessibility of healthcare services at the community level in China remains limited. We assessed the community-level spatial access to beds, doctors, and nurses at general hospitals and identified the shortage areas in Shenzhen, one of the fastest growing cities in China. Based on hospital and population data from 2016, spatial accessibility was analyzed using several methods: shortest path analysis, Gini coefficient, and enhanced 2-step floating catchment area (E2SFCA). The study found that 99.9% of the residents in Shenzhen could get to the nearest general hospital within 30 min. Healthcare supply was much more equitable between populations than across communities in the city. E2SFCA scores showed that the communities with the best and worst hospital accessibility were found in the southwest and southeast of the city, respectively. State-owned public hospitals still dominated the medical resources supply market and there was a clear spatial accessibility disparity between private and public healthcare resources. The E2SFCA scores supplement more details about resource disparity over space than do crude provider-to-population ratios (PPR) and can help improve the efficiency of the distribution of medical resources.
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spelling pubmed-63522032019-02-01 Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China Zhu, Lei Zhong, Shuang Tu, Wei Zheng, Jing He, Shenjing Bao, Junzhe Huang, Cunrui Int J Environ Res Public Health Article Spatial accessibility to medical resources is an integral component of universal health coverage. However, research evaluating the spatial accessibility of healthcare services at the community level in China remains limited. We assessed the community-level spatial access to beds, doctors, and nurses at general hospitals and identified the shortage areas in Shenzhen, one of the fastest growing cities in China. Based on hospital and population data from 2016, spatial accessibility was analyzed using several methods: shortest path analysis, Gini coefficient, and enhanced 2-step floating catchment area (E2SFCA). The study found that 99.9% of the residents in Shenzhen could get to the nearest general hospital within 30 min. Healthcare supply was much more equitable between populations than across communities in the city. E2SFCA scores showed that the communities with the best and worst hospital accessibility were found in the southwest and southeast of the city, respectively. State-owned public hospitals still dominated the medical resources supply market and there was a clear spatial accessibility disparity between private and public healthcare resources. The E2SFCA scores supplement more details about resource disparity over space than do crude provider-to-population ratios (PPR) and can help improve the efficiency of the distribution of medical resources. MDPI 2019-01-16 2019-01 /pmc/articles/PMC6352203/ /pubmed/30654500 http://dx.doi.org/10.3390/ijerph16020242 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhu, Lei
Zhong, Shuang
Tu, Wei
Zheng, Jing
He, Shenjing
Bao, Junzhe
Huang, Cunrui
Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title_full Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title_fullStr Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title_full_unstemmed Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title_short Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China
title_sort assessing spatial accessibility to medical resources at the community level in shenzhen, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352203/
https://www.ncbi.nlm.nih.gov/pubmed/30654500
http://dx.doi.org/10.3390/ijerph16020242
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