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Enhancing Spatial Allocation of Pediatric Medical Facilities for Reduced Travel-Related CO 2 Emissions: A Case Study in Tianjin, China

Author

Listed:
  • Hongjie Dong

    (School of Architecture, Tianjin University, Tianjin 300072, China)

  • He Zhang

    (School of Architecture, Tianjin University, Tianjin 300072, China)

  • Rui Wang

    (School of Architecture, Tianjin University, Tianjin 300072, China)

  • Yutong Zhang

    (School of Architecture, Tianjin University, Tianjin 300072, China)

  • Yuxue Zhang

    (School of Architecture, Tianjin University, Tianjin 300072, China)

  • Lisha Zhang

    (School of Architecture, Tianjin University, Tianjin 300072, China)

Abstract

Due to the limited availability of medical facilities and the urgency and irreplaceability of medical-seeking behaviors, the transportation processes used to access these resources inherently result in high carbon emissions. Unfortunately, pediatric medical facilities are among the least substitutable destinations, making it challenging to reduce travel-related CO 2 emissions by traditional means such as decreasing travel frequency or optimizing transportation means. This study proposes enhancing the spatial allocation of pediatric medical facilities to effectively reduce travel-related CO 2 emissions. This study selects 27 hospitals with pediatric departments in Tianjin as the research subject. It introduces a model for measuring travel-related CO 2 emissions for pediatric medical-seeking, STIRPAT, and ridge regression models as well as conducts simulations under various scenarios to test the hypotheses. Therefore, methods for enhancing the spatial allocation of pediatric medical facilities are proposed. The results show that (1) travel-related CO 2 emissions for pediatric medical-seeking are the highest in the city center, outpatient-related CO 2 emissions surpass inpatient ones, and children’s hospital-related CO 2 emissions are higher than those related to comprehensive hospitals, from which potential carbon reduction points can be explored; (2) children’s hospitals with multibranch and composite functional allocations can significantly reduce CO 2 emissions; (3) comprehensive hospitals can further alleviate CO 2 emissions from children’s hospitals by enhancing the medical level, transportation infrastructure, population distribution, and other spatial environmental factors; (4) from the perspective of low-carbon travel and equity, a spatial allocation strategy should be adopted for children’s hospitals that includes multiple branches and composite functions, while comprehensive hospitals should focus on service capacity, parity, supply–demand ratio, and the population density of children.

Suggested Citation

  • Hongjie Dong & He Zhang & Rui Wang & Yutong Zhang & Yuxue Zhang & Lisha Zhang, 2025. "Enhancing Spatial Allocation of Pediatric Medical Facilities for Reduced Travel-Related CO 2 Emissions: A Case Study in Tianjin, China," Land, MDPI, vol. 14(1), pages 1-29, January.
    • Handle: RePEc:gam:jlands:v:14:y:2025:i:1:p:71-:d:1558916
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    References listed on IDEAS

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    1. Linggui Liu & Yi Zhao & Han Lyu & Sining Chen & Yuheng Tu & Shuyun Huang, 2023. "Spatial Accessibility and Equity Evaluation of Medical Facilities Based on Improved 2SFCA: A Case Study in Xi’an, China," IJERPH, MDPI, vol. 20(3), pages 1-19, January.
    2. Zhicheng Zheng & Haoming Xia & Shrinidhi Ambinakudige & Yaochen Qin & Yang Li & Zhixiang Xie & Lijun Zhang & Haibin Gu, 2019. "Spatial Accessibility to Hospitals Based on Web Mapping API: An Empirical Study in Kaifeng, China," Sustainability, MDPI, vol. 11(4), pages 1-14, February.
    3. Sharma, Gajanand & Patil, Gopal R., 2024. "Urban spatial structure and equity for urban services through the lens of accessibility," Transport Policy, Elsevier, vol. 146(C), pages 72-90.
    4. Yun Liu & Qingxia Kong & Shasha Yuan & Joris van de Klundert, 2018. "Factors influencing choice of health system access level in China: A systematic review," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-21, August.
    5. Xie, Rui & Fang, Jiayu & Liu, Cenjie, 2017. "The effects of transportation infrastructure on urban carbon emissions," Applied Energy, Elsevier, vol. 196(C), pages 199-207.
    6. Nai Yang & Shiyi Chen & Weilu Hu & Zhongheng Wu & Yi Chao, 2016. "Spatial Distribution Balance Analysis of Hospitals in Wuhan," IJERPH, MDPI, vol. 13(10), pages 1-16, September.
    7. Mudan Yan & Mengjia Zhi & Yue Xu & Linlin Hu & Yuanli Liu, 2022. "Inpatient Satisfaction with Nursing Care and Its Impact Factors in Chinese Tertiary Hospitals: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    8. Peiheng Yu & Izzy Yi Jian & Esther H. K. Yung & Edwin H. W. Chan & Man Sing Wong & Yiyun Chen, 2023. "Spatial Vertical Equity in Public General Hospitals: Towards a Sustainable Healthcare System," Land, MDPI, vol. 12(8), pages 1-15, July.
    9. Wu, Dongyu & Zhang, Yingheng & Xiang, Qiaojun, 2024. "Could improving public transport accessibility reduce road traffic carbon dioxide emissions? A simulation-based counterfactual analysis," Journal of Transport Geography, Elsevier, vol. 119(C).
    10. He Zhang & Jingyi Peng & Dahlia Yu & Lie You & Rui Wang, 2021. "Carbon Emission Governance Zones at the County Level to Promote Sustainable Development," Land, MDPI, vol. 10(2), pages 1-20, February.
    11. Jin Li & Jie Li & Jian Huang, 2022. "Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    12. Min Cheng & Li Tao & Yuejiao Lian & Weiwei Huang, 2021. "Measuring Spatial Accessibility of Urban Medical Facilities: A Case Study in Changning District of Shanghai in China," IJERPH, MDPI, vol. 18(18), pages 1-18, September.
    13. Yanbing Zeng & Yuanyuan Wan & Zhipeng Yuan & Ya Fang, 2021. "Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors," IJERPH, MDPI, vol. 18(6), pages 1-18, March.
    14. He Zhang & Jingyi Peng & Rui Wang & Yuanyuan Guo & Jing He & Dahlia Yu & Jianxun Zhang, 2023. "Efficiency and Potential Evaluation to Promote Differentiated Low-Carbon Management in Chinese Counties," IJERPH, MDPI, vol. 20(4), pages 1-19, February.
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