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Equitable City in an Aging Society: Public Transportation-Based Primary Care Accessibility in Seoul, Korea

Author

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  • Yoonchae Yoon

    (Department of Urban Planning, Hanyang University, Seoul 04763, Korea)

  • Jina Park

    (Department of Urban Planning and Engineering, Hanyang University, Seoul 04763, Korea)

Abstract

The development of an equitable city has been the primary goal of recent urban planning. Whereas previous urban planning has addressed problems caused by urbanization and population growth, current urban planning must closely consider demographic changes such as an aging society. An aging population, characterized by an increased need for regular healthcare and a growing reliance on public transport, can pose a major challenge to equitable cities. Thus, it is necessary to scrutinize the medical and public transportation links in urban planning strategies to create a more equitable city in an aging society. This study analyzed primary care accessibility for older adults using public transportation in Seoul and considered whether it is socially and economically equitable. Primary care accessibility was derived using the modified 2SFCA model and the Seoul Public Transportation API and social equity was analyzed using the concentration index and concentration curve. The results showed that primary care accessibility of the elderly is related to public transportation mobility, medical facilities and the distribution of elderly populations, revealing both social and economic inequality. This analysis suggests the need for integrated urban planning for an equitable city in an aging society, with implications for efficient resource distribution.

Suggested Citation

  • Yoonchae Yoon & Jina Park, 2022. "Equitable City in an Aging Society: Public Transportation-Based Primary Care Accessibility in Seoul, Korea," Sustainability, MDPI, vol. 14(16), pages 1-17, August.
    • Handle: RePEc:gam:jsusta:v:14:y:2022:i:16:p:9902-:d:885146
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    References listed on IDEAS

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    1. Bocarejo S., Juan Pablo & Oviedo H., Daniel Ricardo, 2012. "Transport accessibility and social inequities: a tool for identification of mobility needs and evaluation of transport investments," Journal of Transport Geography, Elsevier, vol. 24(C), pages 142-154.
    2. Freiria, Susana & Tavares, Alexandre O. & Julião, Rui Pedro, 2019. "The benefits of a link-based assessment of health services accessibility: Unveiling gaps in Central Region of Portugal," Land Use Policy, Elsevier, vol. 87(C).
    3. Paul L. Delamater, 2018. "Comment on “A Conceptual Framework for Quality Healthcare Accessibility: a Scalable Approach for Big Data Technologies”," Information Systems Frontiers, Springer, vol. 20(2), pages 303-309, April.
    4. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    5. Kakwani, Nanok C, 1977. "Measurement of Tax Progressivity: An International Comparison," Economic Journal, Royal Economic Society, vol. 87(345), pages 71-80, March.
    6. Miloslava Plachkinova & Au Vo & Rahul Bhaskar & Brian Hilton, 2018. "A conceptual framework for quality healthcare accessibility: a scalable approach for big data technologies," Information Systems Frontiers, Springer, vol. 20(2), pages 289-302, April.
    7. Wong, R.C.P. & Szeto, W.Y. & Yang, Linchuan & Li, Y.C. & Wong, S.C., 2018. "Public transport policy measures for improving elderly mobility," Transport Policy, Elsevier, vol. 63(C), pages 73-79.
    8. Yenisetty, Pavan Teja & Bahadure, Pankaj, 2021. "Assessing accessibility to ASFs from bus stops using distance measures: Case of two Indian cities," Land Use Policy, Elsevier, vol. 108(C).
    9. Wolfgang Lutz & Warren Sanderson & Sergei Scherbov, 2008. "The coming acceleration of global population ageing," Nature, Nature, vol. 451(7179), pages 716-719, February.
    10. Owen O’Donnell & Stephen O’Neill & Tom Van Ourti & Brendan Walsh, 2016. "conindex: Estimation of concentration indices," Stata Journal, StataCorp LP, vol. 16(1), pages 112-138, March.
    11. McGreevy, Michael & Harris, Patrick & Delaney-Crowe, Toni & Fisher, Matt & Sainsbury, Peter & Riley, Emily & Baum, Fran, 2020. "How well do Australian government urban planning policies respond to the social determinants of health and health equity?," Land Use Policy, Elsevier, vol. 99(C).
    12. Gesler, Wil, 1986. "The uses of spatial analysis in medical geography: A review," Social Science & Medicine, Elsevier, vol. 23(10), pages 963-973, January.
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