Accessibility assessment of medical services in suburban plains and mountainous villages of Beijing:An investigation-based 2SFCA study
10.3969/j.issn.1674-2982.2024.07.009
- VernacularTitle:北京市山区与平原郊区村级医疗服务可达性评价
- Author:
Hao-Peng LIU
1
;
Cheng-Yu MA
;
Yan-Bin YANG
;
Wei-Zhen LIAO
;
Si-Yu LYU
Author Information
1. 首都医科大学公共卫生学院 北京 100069
- Keywords:
Spatial accessibility;
Two-step floating catchment area method;
Village clinic;
Health resource allocation
- From:
Chinese Journal of Health Policy
2024;17(7):65-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study evaluates the accessibility and equity of healthcare resources in deep mountain,shallow mountain,and plain suburban areas,taking Huairou,Mentougou,and Tongzhou districts of Beijing as examples,to identify factors contributing to the imbalance in resource allocation.Methods:Accessibility of healthcare services in the sample areas was measured using village-level health survey data and the Two-Step Floating Catchment Area(2SFCA)method.Equity of resource allocation was assessed using the Gini coefficient among other methods.Factors influencing imbalance were identified using the Geodetector and Spatial Lag Model.Results:The average accessibility scores for Huairou,Mentougou,and Tongzhou were 202.06,179.68,and 187.02,respectively.The Gini coefficients were 0.48,0.37,and 0.24,respectively.GDP,population density,and altitude were significant factors affecting accessibility.Conclusions and Suggestions:In Beijing,both plain and mountainous rural areas exhibited a spatial clustering of healthcare accessibility,higher near the city and lower in the suburbs,with plains performing better than mountains.Healthcare equity was ranked as plains>shallow mountains>deep mountains.Policies covering full healthcare services improved equity.It is recommended to strengthen the construction of village healthcare facilities and medical teams,improve the linkage of medical services at all rural levels,and enhance the willingness of villagers to seek primary care.Furthermore,gradual improvement of transportation and internet infrastructure is suggested to enhance the accessibility of online and offline medical services for villagers.
