IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i7p1503-d158307.html
   My bibliography  Save this article

Use of an E2SFCA Method to Measure and Analyse Spatial Accessibility to Medical Services for Elderly People in Wuhan, China

Author

Listed:
  • Jing Luo

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    These authors contributed equally to this work.)

  • Guangping Chen

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    These authors contributed equally to this work.)

  • Chang Li

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China)

  • Bingyan Xia

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China)

  • Xuan Sun

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China)

  • Siyun Chen

    (Key Laboratory for Geographical Process Analysis and Simulation, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China
    The College of Urban and Environmental Sciences, Central China Normal University, No.152 Luoyu Road, Wuhan 430079, China)

Abstract

Current studies on measuring the accessibility of medical services for the elderly (AMSE) have ignored the potential competition among supply and demand and the distance decay laws. Hence, an enhanced two-step floating catchment area (E2SFCA) method (i.e., the road network-based Gaussian 2SFCA method) is proposed to calculate AMSE scores after considering different types of roads, including urban rail transit, freeways, major roads, minor roads and rural roads. Based on the first National Geographic Conditions Monitoring (NGCM) data, this study took Wuhan, China, as a case study and assessed the variation of AMSE using two different threshold times (i.e., Platinum Ten and Golden Hour). Next, global (i.e., sensitivity and hot spot analysis) and local analyses (i.e., three regional area internal comparisons) of AMSE scores were conducted to accurately identify details in the variation of spatial accessibility. It was observed that the E2SFCA method could be easily applied to measure AMSE. The results showed that 48.63% of the elderly population in Wuhan had a higher or the highest level of medical accessibility in “Platinum Ten”, while 72.97% had a higher or the highest level in the “Golden Hour”, and hot spots of AMSE scores were located in central urban areas and presented an enclosure structure using both threshold travel times, which could provide guidance to governments or planners on issues of spatial planning and identifying elderly medical services shortage areas.

Suggested Citation

  • Jing Luo & Guangping Chen & Chang Li & Bingyan Xia & Xuan Sun & Siyun Chen, 2018. "Use of an E2SFCA Method to Measure and Analyse Spatial Accessibility to Medical Services for Elderly People in Wuhan, China," IJERPH, MDPI, vol. 15(7), pages 1-17, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1503-:d:158307
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/7/1503/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/7/1503/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    2. Nemet, Gregory F. & Bailey, Adrian J., 2000. "Distance and health care utilization among the rural elderly," Social Science & Medicine, Elsevier, vol. 50(9), pages 1197-1208, May.
    3. Wolfgang Lutz & Warren Sanderson & Sergei Scherbov, 2008. "The coming acceleration of global population ageing," Nature, Nature, vol. 451(7179), pages 716-719, February.
    4. Jung In Kim & Devini Manouri Senaratna & Jacobo Ruza & Calvin Kam & Sandy Ng, 2015. "Feasibility Study on an Evidence-Based Decision-Support System for Hospital Site Selection for an Aging Population," Sustainability, MDPI, vol. 7(3), pages 1-15, March.
    5. Mavoa, Suzanne & Witten, Karen & McCreanor, Tim & O’Sullivan, David, 2012. "GIS based destination accessibility via public transit and walking in Auckland, New Zealand," Journal of Transport Geography, Elsevier, vol. 20(1), pages 15-22.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Hongbin Shi & Miao Zhou & Nana Kong & Yongling Zhang & Xin Li, 2023. "A Study on the Accessibility of the Emergency Medical Services for Urban Kindergartens and Nursing Homes Based on Urban Pluvial Flooding Scenarios," Sustainability, MDPI, vol. 15(13), pages 1-12, July.
    2. Xintao Liu & Ziwei Lin & Jianwei Huang & He Gao & Wenzhong Shi, 2021. "Evaluating the Inequality of Medical Service Accessibility Using Smart Card Data," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    3. Lei Zhu & Shuang Zhong & Wei Tu & Jing Zheng & Shenjing He & Junzhe Bao & Cunrui Huang, 2019. "Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China," IJERPH, MDPI, vol. 16(2), pages 1-15, January.
    4. Lan Ma & Nianxue Luo & Taili Wan & Chunchun Hu & Mingjun Peng, 2018. "An Improved Healthcare Accessibility Measure Considering the Temporal Dimension and Population Demand of Different Ages," IJERPH, MDPI, vol. 15(11), pages 1-19, October.
    5. Wei Hu & Lin Li & Mo Su, 2019. "Spatial Inequity of Multi-Level Healthcare Services in a Rapid Expanding Immigrant City of China: A Case Study of Shenzhen," IJERPH, MDPI, vol. 16(18), pages 1-16, September.
    6. Meijie Chen & Yumin Chen & Xiaoguang Wang & Huangyuan Tan & Fenglan Luo, 2019. "Spatial Difference of Transit-Based Accessibility to Hospitals by Regions Using Spatially Adjusted ANOVA," IJERPH, MDPI, vol. 16(11), pages 1-20, May.
    7. Yongqing Dong & Liping Fu & Ronghui Tan & Liman Ding, 2019. "The Dilemma of Medical Reimbursement Policy in Rural China: Spatial Variability between Reimbursement Region and Medical Catchment Area," IJERPH, MDPI, vol. 16(16), pages 1-18, August.
    8. Maimaitizunong Keyimu & Zulihuma Abulikemu & Aishanjiang Abudurexiti, 2024. "Quantitative Evaluation of the Equity of Public Service Facility Layout in Urumqi City for Sustainable Development," Sustainability, MDPI, vol. 16(12), pages 1-15, June.
    9. Jiayi Zhang & Yingzi Chen & Yaqi Hu & Lina Lai, 2023. "Spatial Equality of Urban Care Facilities from the Perspective of Refinement: An Example from Changchun, China," Land, MDPI, vol. 12(9), pages 1-20, August.
    10. Amritpal Kaur Khakh & Victoria Fast & Rizwan Shahid, 2019. "Spatial Accessibility to Primary Healthcare Services by Multimodal Means of Travel: Synthesis and Case Study in the City of Calgary," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
    11. Shirui Liu & Yaochen Qin & Yanan Xu, 2019. "Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province," IJERPH, MDPI, vol. 16(10), pages 1-16, May.
    12. Ren, Jingqiu & Earl, Ryan & Amaral, Ernesto F. L., 2022. "Novel Healthcare Model, Continuation of Inequality: Exploring the Role of Micro Hospitals in Texas Healthcare Access Through Demographic Spatial Modeling," OSF Preprints ev6r2, Center for Open Science.
    13. Meihan Jin & Lu Liu & De Tong & Yongxi Gong & Yu Liu, 2019. "Evaluating the Spatial Accessibility and Distribution Balance of Multi-Level Medical Service Facilities," IJERPH, MDPI, vol. 16(7), pages 1-19, March.
    14. Bangyu Liu & Ning Qiu & Tianjie Zhang, 2023. "Accessibility of Elderly Care Facilities Based on Social Stratification: A Case Study in Tianjin, China," Sustainability, MDPI, vol. 15(2), pages 1-12, January.
    15. Jabrullah Ab Hamid & Muhamad Hanafiah Juni & Rosliza Abdul Manaf & Sharifah Norkhadijah Syed Ismail & Poh Ying Lim, 2023. "Spatial Accessibility of Primary Care in the Dual Public–Private Health System in Rural Areas, Malaysia," IJERPH, MDPI, vol. 20(4), pages 1-21, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elizabeth T Cafiero-Fonseca & Andrew Stawasz & Sydney T Johnson & Reiko Sato & David E Bloom, 2017. "The full benefits of adult pneumococcal vaccination: A systematic review," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-23, October.
    2. Yun-Sook Jung & Taejun Park & Eun-Kyong Kim & Seong-Hwa Jeong & Young-Eun Lee & Min-Jeong Cho & Keun-Bae Song & Youn-Hee Choi, 2022. "Influence of Chewing Ability on Elderly Adults’ Cognitive Functioning: The Mediating Effects of the Ability to Perform Daily Life Activities and Nutritional Status," IJERPH, MDPI, vol. 19(3), pages 1-11, January.
    3. Pilar García-Gómez & Sergi Jiménez-Martín & Judit Vall Castelló, 2014. "Financial Incentives, Health, and Retirement in Spain," NBER Chapters, in: Social Security Programs and Retirement Around the World: Disability Insurance Programs and Retirement, pages 455-495, National Bureau of Economic Research, Inc.
    4. Chen, Shaopei & Claramunt, Christophe & Ray, Cyril, 2014. "A spatio-temporal modelling approach for the study of the connectivity and accessibility of the Guangzhou metropolitan network," Journal of Transport Geography, Elsevier, vol. 36(C), pages 12-23.
    5. Hugo Benítez-Silva & Eva Cárceles-Poveda & Selçuk Eren, 2011. "Effects of Legal and Unauthorized Immigration on the U.S. Social Security System," Working Papers wp250, University of Michigan, Michigan Retirement Research Center.
    6. Woorim Kim & Kyu-Tae Han & Seungju Kim, 2021. "Do Patients Residing in Provincial Areas Transport and Spend More on Cancer Treatment in Korea?," IJERPH, MDPI, vol. 18(17), pages 1-11, September.
    7. Yixuan Liu & Liumeng Li & Guomei Miao & Xinyan Yang & Yinghui Wu & Yanling Xu & Yonghong Gao & Yongzhi Zhan & Yiwei Zhong & Shujuan Yang, 2021. "Relationship between Children’s Intergenerational Emotional Support and Subjective Well-Being among Middle-Aged and Elderly People in China: The Mediation Role of the Sense of Social Fairness," IJERPH, MDPI, vol. 19(1), pages 1-12, December.
    8. Mellow, Jeff & Schlager, Melinda D. & Caplan, Joel M., 2008. "Using GIS to evaluate post-release prisoner services in Newark, New Jersey," Journal of Criminal Justice, Elsevier, vol. 36(5), pages 416-425, September.
    9. Mihajlo (Michael) Jakovljevic & Laura Romeu-Gordo & Mira Vukovic & Maja Krstic, 2017. "Gender-Specific Health-Seeking Behavior and Income Status among the Elderly Citizens of Serbia," Eastern European Business and Economics Journal, Eastern European Business and Economics Studies Centre, vol. 3(1), pages 67-86.
    10. Tanya Suhoy & Yotam Sofer, 2019. "Getting to Work in Israel: Locality and Individual Effects," Bank of Israel Working Papers 2019.02, Bank of Israel.
    11. Lingzhi Li & Jingfeng Yuan & Kathy O. Roper & Zhipeng Zhou, 2017. "A Multi-Stakeholder Delphi Study to Determine Key Space Management Components for Elderly Facilities in China," Sustainability, MDPI, vol. 9(9), pages 1-19, September.
    12. Feifei Bu & Alasdair Rutherford, 2019. "Dementia, home care and institutionalisation from hospitals in older people," European Journal of Ageing, Springer, vol. 16(3), pages 283-291, September.
    13. Felipe Vásquez & Gibran Vita & Daniel B. Müller, 2018. "Food Security for an Aging and Heavier Population," Sustainability, MDPI, vol. 10(10), pages 1-19, October.
    14. Ranković Plazinić, Biljana & Jović, Jadranka, 2018. "Mobility and transport potential of elderly in differently accessible rural areas," Journal of Transport Geography, Elsevier, vol. 68(C), pages 169-180.
    15. Lissy La Paix & Karst Geurs, 2015. "Scenarios for measuring station-based impedances in a national transport model," ERSA conference papers ersa15p1310, European Regional Science Association.
    16. Andreas Irmen, 2021. "Automation, growth, and factor shares in the era of population aging," Journal of Economic Growth, Springer, vol. 26(4), pages 415-453, December.
    17. Zhouying Song, 2022. "The geography of online shopping in China and its key drivers," Environment and Planning B, , vol. 49(1), pages 259-274, January.
    18. Barahimi, Amir Hossein & Eydi, Alireza & Aghaie, Abdolah, 2021. "Multi-modal urban transit network design considering reliability: multi-objective bi-level optimization," Reliability Engineering and System Safety, Elsevier, vol. 216(C).
    19. Tianlu Qian & Zheng Fu & Jie Chen & Shujie Qin & Changbai Xi & Jiechen Wang, 2023. "Evaluating multiscale and multimodal transport inequalities in Chinese cities with massive open-source path data," Journal of Geographical Systems, Springer, vol. 25(2), pages 237-264, April.
    20. Ruqin Yang & Yaolin Liu & Yanfang Liu & Hui Liu & Wenxia Gan, 2019. "Comprehensive Public Transport Service Accessibility Index—A New Approach Based on Degree Centrality and Gravity Model," Sustainability, MDPI, vol. 11(20), pages 1-20, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1503-:d:158307. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.