Inequalities of spatial primary healthcare accessibility in China

北京 地理 中国 不平等 集水区 中国大陆 人口 人口普查 医疗保健 地理编码 社会经济学 流域 区域科学 地图学 经济增长 环境卫生 医学 社会学 数学分析 经济 考古 数学
作者
Peng Jia,Youfa Wang,Min Yang,Limin Wang,Zutao Ouyang,Xinyu Shi,Lijian Yang,Jin Wen,Yi Liu,Maokang Yang,Junguo Xin,Fengying Zhang,Lihua Jiang,Chunhua Chi,Luxia Zhang,Xudong Ma,Xiao Ma,Li Zhao,Weimin Li
出处
期刊:Social Science & Medicine [Elsevier BV]
卷期号:314: 115458-115458 被引量:31
标识
DOI:10.1016/j.socscimed.2022.115458
摘要

A key step to the establishment of a tiered healthcare system is equitable access to basic primary healthcare services for all. However, no quantitative research on the national status quo of primary healthcare accessibility in China exists. We filled this gap by estimating spatial accessibility to primary healthcare centers (PHCs) and mapping its inequality across the mainland China. Four national datasets during 2015-2018, including administrative boundaries, residential communities, points-of-interest (including PHCs), and road networks, were collected to calculate the distance to the nearest PHC for each community. Five other national datasets including census, elevation, land use, vegetation, and nightlight, were collected to model 100m × 100 m population grids, based on which geographical modeling was used to calculate PHC accessibility of each community. Inequalities in PHC accessibility across China were described with concentration indices. About 44% of communities across China representing approximately 30% of the overall population had no access to PHCs within their 6-km catchment areas; about 78% of communities across China representing approximately 68.4% of the overall population had no access to PHCs within their 1.5-km catchment areas. Some municipalities/provinces like Shanghai, Beijing, Tianjin, Jiangsu, Shandong, and Zhejiang generally had higher proximity to the nearest PHCs, while others like Tibet, Guizhou, and Guangxi had lower proximity to the nearest PHCs. However, assuming similar basic service capacity across all PHCs, Shanghai, Tianjin, and Chongqing showed the lowest PHC accessibility due to high population density. Variations in PHC accessibility existed, with more inequalities observed in the north and northeastern provinces and less inequalities in southwestern and south-central provinces. This study demonstrates primary healthcare accessibility and inequality at province and city levels, and identifies communities with lower proximity and accessibility to PHCs in China. It would serve as a starting point to facilitate precise healthcare planning and preparedness for health emergencies in China.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
xiaohongmao完成签到,获得积分10
2秒前
5秒前
qweerrtt完成签到,获得积分10
12秒前
12秒前
与共发布了新的文献求助10
13秒前
carly完成签到 ,获得积分10
14秒前
颢懿完成签到 ,获得积分10
17秒前
量子星尘发布了新的文献求助10
18秒前
20秒前
ljc完成签到 ,获得积分10
21秒前
Java完成签到,获得积分10
25秒前
27秒前
鲤鱼安青完成签到 ,获得积分10
29秒前
29秒前
dollarpuff完成签到 ,获得积分10
32秒前
32秒前
mmmmmMM完成签到,获得积分10
39秒前
luckweb完成签到,获得积分10
45秒前
猫的毛完成签到 ,获得积分10
46秒前
nicky完成签到 ,获得积分10
47秒前
麦子完成签到 ,获得积分10
48秒前
48秒前
Wilson完成签到 ,获得积分10
49秒前
luckweb发布了新的文献求助10
49秒前
49秒前
53秒前
56秒前
传奇3应助wujiwuhui采纳,获得10
58秒前
开心寄松完成签到,获得积分10
1分钟前
北宫完成签到 ,获得积分10
1分钟前
wansida完成签到,获得积分10
1分钟前
QXS完成签到 ,获得积分10
1分钟前
1分钟前
菠萝完成签到 ,获得积分10
1分钟前
领导范儿应助Villanellel采纳,获得10
1分钟前
wintersss完成签到,获得积分10
1分钟前
尹尹发布了新的文献求助10
1分钟前
量子星尘发布了新的文献求助10
1分钟前
zzzzzz完成签到 ,获得积分10
1分钟前
坦率的枕头完成签到,获得积分10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038066
求助须知:如何正确求助?哪些是违规求助? 3575779
关于积分的说明 11373801
捐赠科研通 3305584
什么是DOI,文献DOI怎么找? 1819239
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022