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Evaluating Spatial Accessibility to General Hospitals with Navigation and Social Media Location Data: A Case Study in Nanjing

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  • Tianlu Qian

    (Jiangsu Provincial Key Laboratory of Geographic Information Science and Technology, Key Laboratory for Land Satellite Remote Sensing Applications of Ministry of Natural Resources, School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China)

  • Jie Chen

    (School of Architecture and Surveying Engineering, Datong University, Datong 037009, China)

  • Ang Li

    (Jiangsu Provincial Key Laboratory of Geographic Information Science and Technology, Key Laboratory for Land Satellite Remote Sensing Applications of Ministry of Natural Resources, School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China)

  • Jiechen Wang

    (Jiangsu Provincial Key Laboratory of Geographic Information Science and Technology, Key Laboratory for Land Satellite Remote Sensing Applications of Ministry of Natural Resources, School of Geography and Ocean Science, Nanjing University, Nanjing 210023, China
    Jiangsu Center for Collaborative Innovation in Geographical Information Resource Development and Application, Nanjing University, Nanjing 210023, China)

  • Dingtao Shen

    (Changjiang River Scientific Research Institute, Changjiang Water Resources Commission, Wuhan 430010, China)

Abstract

Spatial accessibility to general hospitals is an important indicator of the convenience and ability of residents to obtain medical services. Therefore, developing a model for measuring accessibility to general hospitals by multiple transportation modes is necessary. In this study, considering that the increase in travel time will reduce the attractiveness of general hospitals, we used the Two-Step Floating Catchment Area with the Gaussian attenuation function, in which the supply was presented by capacity of hospitals (i.e., number of beds), and the demand was presented by population in each grid derived with social media data mapping real-time locations of active users. The Gaussian Two-Step Floating Catchment Area (Ga2SFCA) simulates the attenuation tendency of the general hospital service capabilities over transit time. To obtain a highly precise understanding of accessibility to hospitals, transit time on Baidu Maps’ navigation service was used as the impedance condition, and the study area was divided into 1 square kilometer grids as the basic unit of research. Taking Nanjing city as a case study, it is found that the accessibility distribution shape changes from a multi-centered circular pattern to a multi-peak distribution, as the time threshold increases. By comparing the accessibility among 11 districts varying from main urban area to suburbs, the accessibility to general hospitals in Nanjing is significantly regionally unbalanced in both travel modes. By calculating and mapping the Modal Accessibility Gap (MAG) of the two travel modes, different modes of transportation resulted in different general hospital accessibility distributions. Generally, private car is superior in access to general hospitals to public transit in most areas. In the central area, public traffic may not contribute to the access to medical services as much as we thought, rather it plays a role in areas far from hospitals along metro lines and bus routes.

Suggested Citation

  • Tianlu Qian & Jie Chen & Ang Li & Jiechen Wang & Dingtao Shen, 2020. "Evaluating Spatial Accessibility to General Hospitals with Navigation and Social Media Location Data: A Case Study in Nanjing," IJERPH, MDPI, vol. 17(8), pages 1-16, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2752-:d:346329
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    References listed on IDEAS

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    1. Medda, Francesca, 2012. "Land value capture finance for transport accessibility: a review," Journal of Transport Geography, Elsevier, vol. 25(C), pages 154-161.
    2. Shearer, Cindy & Rainham, Daniel & Blanchard, Chris & Dummer, Trevor & Lyons, Renee & Kirk, Sara, 2015. "Measuring food availability and accessibility among adolescents: Moving beyond the neighbourhood boundary," Social Science & Medicine, Elsevier, vol. 133(C), pages 322-330.
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    Cited by:

    1. Shang, Qingxue & Guo, Xiaodong & Li, Jichao & Wang, Tao, 2022. "Post-earthquake health care service accessibility assessment framework and its application in a medium-sized city," Reliability Engineering and System Safety, Elsevier, vol. 228(C).
    2. Linlin Zhang & Xiaobin Zhang & Huiling Huang & Liang Zhang & Huan Li, 2022. "Spatial Accessibility of Multiple Facilities for Affordable Housing Neighborhoods in Harbin, China," Land, MDPI, vol. 11(11), pages 1-19, October.
    3. Ying Liu & Han Gu & Yuyu Shi, 2022. "Spatial Accessibility Analysis of Medical Facilities Based on Public Transportation Networks," IJERPH, MDPI, vol. 19(23), pages 1-15, December.
    4. Kan Wang & Jianjun Bai & Xing Dang, 2020. "Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China," IJERPH, MDPI, vol. 18(1), pages 1-20, December.

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