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Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China
| Content Provider | MDPI |
|---|---|
| Author | Zhang, Jiawei Han, Peien Sun, Yan Zhao, Jingyu Yang, Li |
| Copyright Year | 2021 |
| Description | Primary health care has been emphasized as a pillar of China’s current round of health reforms throughout the previous decade. The purpose of this study is to analyze the accessibility of primary health care services in Beijing and to identify locations with a relative scarcity of health personnel. Seven ecological conservation districts, which are relatively underdeveloped, were selected in the study. The Gini coefficient and Lorenz curve, as well as the shortest trip time and modified two-step floating catchment area (M2SFCA) approach, are used to quantify inequalities in primary health care resources and spatial accessibility. The Gini coefficient of primary medical services was calculated as high as 0.705, showing a significant disparity in primary care services. A total of 81.22% of communities reached the nearest primary care institution within 15 min. The average accessibility of primary healthcare services, as measured by the number of health professionals per 1000 population, was 2.34 in the 1715 communities of seven ecological conservation districts. Three hundred and ninety-one communities (22.80%) were identified with relatively low accessibility. More primary health professionals should be allocated to Miyun, Mentougou, and Changping Districts. Overall, the primary healthcare resources were distributed unevenly in most districts. According to our study, expanding primary healthcare institutions, increasing the number of competent health professionals, and enhancing road networks will all be effective ways to increase spatial accessibility and reduce primary healthcare service disparity in Beijing. |
| Starting Page | 13182 |
| e-ISSN | 16604601 |
| DOI | 10.3390/ijerph182413182 |
| Journal | International Journal of Environmental Research and Public Health |
| Issue Number | 24 |
| Volume Number | 18 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-12-14 |
| Access Restriction | Open |
| Subject Keyword | International Journal of Environmental Research and Public Health Primary Health Care Spatial Accessibility Modified Two-step Floating Catchment Area (m2sfca) Method Primary Health Care Institutions Beijing |
| Content Type | Text |
| Resource Type | Article |