Assessing spatial accessibility of community hospitals for the elderly in Beijing, China

Jingya LUAN, Yuhong TIAN, Chi Yung JIM, Xu LIU, Mengxuan YAN, Lizhu WU

Research output: Contribution to journalArticlespeer-review

Abstract

Accessibility of health services signifies the quality and equitability of universal health provision. The hierarchical medical system recently implemented in China offers the policy instruments to improve medical services to the elderly in an aging society. As the critical primary care gateway, accessibility to community hospitals has significant impacts on people’s health. However, current research has paid little attention to spatial accessibility within walking distance of community hospitals, especially for the elderly. This study selected four districts with different urbanization levels in the rapidly developing Beijing metropolis. The spatial interaction model was applied to measure the accessibility of community hospitals for the elderly at the community level. An attractiveness index was computed based on key hospital traits. The results showed that: (1) community hospitals could cover 82.66% of elderly residents, and 77.63% of the communities were within walking distance. The served elderly proportion was relatively high in central urban areas and low in the suburbs. (2) The attractiveness indices of hospitals varied notably between districts, with higher values in more urbanized areas. (3) The spatial accessibility for the elderly of hospitals differed significantly between the four districts, with a descending gradient from central to suburban and rural areas, as indicated by the Gini coefficients and Lorenz curves. (4) The accessibility index was strongly related to the served elderly population and the hospital–residence distance. The findings provide policy directions to the government, including providing more primary-care resources to suburban and rural areas, building new community hospitals in identified provision gaps, upgrading some clinics to hospitals in rural areas, and planning hospitals according to the projected trend of the elderly population in terms of quantity and distribution. The considerable provision disparity between core urban, suburban and rural areas can be addressed by refined spatial health planning informed by research. Copyright © 2023 by the authors.

Original languageEnglish
Article number890
JournalInternational Journal of Environmental Research and Public Health
Volume20
Issue number1
DOIs
Publication statusPublished - Jan 2023

Citation

Luan, J., Tian, Y., Jim, C. Y., Liu, X., Yan, M., & Wu, L. (2023). Assessing spatial accessibility of community hospitals for the elderly in Beijing, China. International Journal of Environmental Research and Public Health, 20(1). Retrieved from https://doi.org/10.3390/ijerph20010890

Keywords

  • Spatial accessibility
  • Aged population
  • Spatial interaction model (SIM)
  • Community hospital
  • Health equity
  • Beijing

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