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Spatial Difference of Transit-Based Accessibility to Hospitals by Regions Using Spatially Adjusted ANOVA

Author

Listed:
  • Meijie Chen

    (School of Resource and Environment Science, Wuhan University, Wuhan 430079, China)

  • Yumin Chen

    (School of Resource and Environment Science, Wuhan University, Wuhan 430079, China)

  • Xiaoguang Wang

    (Department of Geography, Central Michigan University, 287 Dow Science Complex, Mount Pleasant, MI 48859, USA)

  • Huangyuan Tan

    (School of Resource and Environment Science, Wuhan University, Wuhan 430079, China)

  • Fenglan Luo

    (School of Resource and Environment Science, Wuhan University, Wuhan 430079, China)

Abstract

This paper proposes a spatial difference analysis method for evaluating transit-based accessibility to hospitals using spatially adjusted ANOVA. This method specializes in examining spatial variations of accessibility to hospitals by regions (i.e. administrative districts or subdistricts). The spatial lag model is applied to adjust traditional ANOVA, which reduces spatial dependency and avoids false rejection to null hypothesis. Multiple comparison methods are used for further detection of differences in accessibility between regions. After multiple comparison, accessibility within regions is classified into three levels. The study is conducted on two scales—administrative districts and subdistricts—to discuss spatial variations in macro and micro dimensions respectively in the central part of Wuhan, China. Accessibility is calculated by using a simple model and a gravity model. The final classification results showed that the spatially adjusted method is more reliable than the traditional non spatially adjusted one and the gravity model can better detect more hidden information about the inequal distribution of medical resources. It is also found that the subdistricts, which have significantly lower accessibility to hospitals than others, are mainly distributed in Hongshan and Qingshan district. Our study hopes to shed new lights in spatial difference analysis for accessibility and provide policy recommendations that would promote equality in provisions of public health services.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:11:p:1923-:d:235854
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    References listed on IDEAS

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    1. Griffith, Daniel A., 1992. "A spatially adjusted N-way ANOVA model," Regional Science and Urban Economics, Elsevier, vol. 22(3), pages 347-369, September.
    2. Manaugh, Kevin & Badami, Madhav G. & El-Geneidy, Ahmed M., 2015. "Integrating social equity into urban transportation planning: A critical evaluation of equity objectives and measures in transportation plans in North America," Transport Policy, Elsevier, vol. 37(C), pages 167-176.
    3. Langjiao Li & Qingyun Du & Fu Ren & Xiangyuan Ma, 2019. "Assessing Spatial Accessibility to Hierarchical Urban Parks by Multi-Types of Travel Distance in Shenzhen, China," IJERPH, MDPI, vol. 16(6), pages 1-23, March.
    4. 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.
    5. A D Cliff & J K Ord, 1975. "The Comparison of Means When Samples Consist of Spatially Autocorrelated Observations," Environment and Planning A, , vol. 7(6), pages 725-734, September.
    6. 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.
    7. Fayyaz, S. Kiavash & Liu, Xiaoyue Cathy & Porter, Richard J., 2017. "Dynamic transit accessibility and transit gap causality analysis," Journal of Transport Geography, Elsevier, vol. 59(C), pages 27-39.
    8. Allen, W. Bruce & Liu, Dong & Singer, Scott, 1993. "Accesibility measures of U.S. metropolitan areas," Transportation Research Part B: Methodological, Elsevier, vol. 27(6), pages 439-449, December.
    9. Hanna-Attisha, M. & LaChance, J. & Sadler, R.C. & Schnepp, A.C., 2016. "Elevated blood lead levels in children associated with the flint drinking water crisis: A spatial analysis of risk and public health response," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 283-290.
    10. Deboosere, Robbin & El-Geneidy, Ahmed, 2018. "Evaluating equity and accessibility to jobs by public transport across Canada," Journal of Transport Geography, Elsevier, vol. 73(C), pages 54-63.
    11. 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.
    12. Xueqian Song & Yongping Wei & Wei Deng & Shaoyao Zhang & Peng Zhou & Ying Liu & Jiangjun Wan, 2019. "Spatio-Temporal Distribution, Spillover Effects and Influences of China’s Two Levels of Public Healthcare Resources," IJERPH, MDPI, vol. 16(4), pages 1-18, February.
    13. Shuwei Wang & Lishan Sun & Jian Rong & Zifan Yang, 2014. "Transit Traffic Analysis Zone Delineating Method Based on Thiessen Polygon," Sustainability, MDPI, vol. 6(4), pages 1-12, April.
    14. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
    15. Shaoyao Zhang & Xueqian Song & Yongping Wei & Wei Deng, 2019. "Spatial Equity of Multilevel Healthcare in the Metropolis of Chengdu, China: A New Assessment Approach," IJERPH, MDPI, vol. 16(3), pages 1-15, February.
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