The Contributions of Population Distribution, Healthcare Resourcing, and Transportation Infrastructure to Spatial Accessibility of Health Care.
Population demand, healthcare resourcing, and transportation linkage are considered as major determinants of spatial access to health care. Temporal changes of the 3 determinants would result in gain or loss of spatial access to health care. As a remarkable milestone achieved by Targeted Poverty Red...
| Publicado en: | Inquiry (00469580) pp. 1 - 17 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Sage Publications Inc.
1/11/2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=161245222&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 161245222 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 1/11/2023 pid: 344 pub: Sage Publications Inc. artinfo: ui: 161245222 10.1177/00469580221146041 ppf: 1 ppct: 16 formats: tig: atl: The Contributions of Population Distribution, Healthcare Resourcing, and Transportation Infrastructure to Spatial Accessibility of Health Care. aug: au: Chen, Lingwei Chen, Ting Lan, Tianjiao Chen, Chu Pan, Jay affil: Sichuan University, Chengdu, Sichuan, China Fujian Medical University, Fuzhou, Fujian, China su: Health services accessibility Population geography Research funding Quality assurance Decision making Demography Poverty Rural health Transportation Health care rationing China sug: subj: China Health services accessibility Population geography Research funding Quality assurance Decision making Demography Poverty Rural health Transportation Health care rationing keyword: chain substitution method enhanced two-step floating catchment area (E2SFCA) method health services accessibility rural health ab: Population demand, healthcare resourcing, and transportation linkage are considered as major determinants of spatial access to health care. Temporal changes of the 3 determinants would result in gain or loss of spatial access to health care. As a remarkable milestone achieved by Targeted Poverty Reduction Project launched in China, the significant improvements in spatial access to health care served as an ideal context for investigating the relative contributions of these 3 determinants to the changes in spatial access to health care in a rural county. A national level poverty-stricken county, Chishui county from Guizhou province, China, was chosen as our study area. The enhanced two-step floating catchment area model and the chain substitution method were employed for analysis. The relative contributions of the 3 determinants demonstrated variations with villages. The relative contributions of healthcare resourcing were positive in all villages as indicated by sharp increases in healthcare resources. Population changes and transportation infrastructure expansion had both negative and positive effects on spatial access to health care for different villages. Decisionmakers should take into account the duration of travel time spent between where people live, where transport hubs are located, and where healthcare services are delivered in the process of formulating policies toward rural healthcare planning. For villages with poorly-established infrastructure, the optimization of population distribution and healthcare resourcing should be considered as the priority. A stronger marginal effect would be induced by transportation infrastructure expansion with increased spatial accessibility. This study provides empirical evidences to inform healthcare planning in low- and middle-income countries. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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