Exploring the temporal variations in accessibility to health services for older adults: A case study in Greater London

Zhang, Yuerong; Cao, Mengqiu; Cheng, Long; Gao, Xing; Vos, Jonas De

doi:10.1016/j.jth.2022.101334

Cited by 16 publications

(15 citation statements)

References 80 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are similarities and differences between the results of this study and other studies. In London, there is inequality in the access to general practitioner services for the elderly, which is mainly caused by the opening hours of hospitals [ 51 ]. In Vancouver, Seattle and Portland, there is significant inequality in the access to healthcare services for vulnerable groups, which is caused by the compactness of cities and traffic conditions [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

The Effect of the Referral System on the Accessibility of Healthcare Services: A Case Study of the Wuhan Metropolitan Development Zone

Chen

2022

IJERPH

View full text Add to dashboard Cite

The geographical accessibility of public healthcare institutions is the key factor affecting the equity of healthcare services. Based on the hierarchical medical system and referral system in China, we analyzed the referral accessibility of hospitals in the Wuhan Metropolitan Development Zone. Before the implementation of the referral system, only 7.91% of the total communities met the accessibility standard for secondary and tertiary hospitals, which meant that there was significant inequality in high-level healthcare. Moreover, 5.4% of the total communities did not meet the accessibility standard for primary hospitals, which meant that there were insufficient primary hospitals. After the implementation of the referral system, the proportions of communities meeting the accessibility standards for the first-stage referral, second-stage referral and cross-level referral were 92.6%, 99.9% and 98.3%, respectively. The results show that the referral system has improved the accessibility of healthcare, but it has not completely solved healthcare inequality. The first-stage referral accessibility of healthcare services in the northern, western and eastern groups does not meet the accessibility standard, which is due to the inefficient layout of secondary hospitals. The Wuhan government should construct secondary hospitals in these groups and primary hospitals in the central urban area and the southeastern, southern, western and eastern groups.

show abstract

Section: Discussionmentioning

confidence: 99%

The Effect of the Referral System on the Accessibility of Healthcare Services: A Case Study of the Wuhan Metropolitan Development Zone

Chen

2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Accessibility is mainly viewed as the potential for opportunities to interact ( Pereira, 2019 ), but it also involves land use, transport, and individual and temporal aspects ( Geurs and Van Wee, 2004 ). The most basic logic is the extent to which the interaction between land use and transportation helps elderly individuals participate in social activities at different times to improve their psychological wellbeing ( Zhang et al, 2022 ).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Psychological satisfaction with aspects of urban life (e.g., street usage) is an effective measure of a society’s ability to promote wellbeing and harmony. Psychological satisfaction of older adults is also widely regarded as a predictor of social inclusion because psychological satisfaction can be enhanced by increasing the mobility and independence of vulnerable groups within the built environment ( Chen et al, 2019 ; Zhang et al, 2022 ). Thus, many studies have explored the wellbeing of older adults in the development process of cities and regions from the perspectives of community support and health services ( Sexton and Bedford, 2016 ), family pressure ( Santis, 2012 ), voluntary or paid work ( Sagherian et al, 2021 ), and consumption and economy ( Delabastita et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Aging-friendly cities: Investigating the effects of street usage on the psychological satisfaction of older adults in megacities

Gao²,

Qiu³

et al. 2022

Front. Psychol.

Self Cite

View full text Add to dashboard Cite

The psychological satisfaction of older adults is an important evaluation standard for the construction of elder-friendly cities. Meanwhile, as important space carriers carrying the travel activities and social participation of older adults, streets are also of great significance to improve psychological wellbeing. However, few studies pay attention to the street usage of aging population, especially in the context of megacities. Moreover, the previous literature rarely distinguishes the types of streets. Thus, employing a mixed approach, we investigate the relationships between street usage and psychological satisfaction for older adults. Based on the survey in Shanghai, we find that a clear role for different usage indicators in the determination of subjective psychological satisfaction of older adults. More specially, the street usage and psychological satisfaction for older adults are strongly correlated, especially for living streets. Psychological satisfaction for older adults in different types of streets is not always positively related to the positive perception of street usage. The psychological satisfaction of different streets depends on different factors. By focusing on the case of a megacity, our study emphasizes the differences between different types of streets, which will be conducive to the proposal of practical planning policies. In addition, employing mixed research methods not only explains how different street usage affects the psychological welfare of older adults on a macro scale, but also emphasizes the inner world of respondents.

show abstract

“…This study contributes to the literature by (1) exploring the global association between built environment characteristics and older adults' propensity to walk, (2) spurring further understanding of the spatial heterogeneity in this connection, and (3) serving as a reference for studies exploring whether there is spatial heterogeneity between the built environment and people's travel patterns.…”

Section: Introductionmentioning

confidence: 99%

“…Population aging has become a pressing global concern (1). According to the United Nations, by 2030, 2050, and 2100, the number of the world's older populations (aged 65 years or above) will reach 1, 1.30, and 2.46 billion, respectively.…”

Section: Introductionmentioning

confidence: 99%

Spatially varying associations between the built environment and older adults' propensity to walk

Chao

Tang

Yang

2022

Front. Public Health

View full text Add to dashboard Cite

Population aging has become a severe issue facing most nations and areas worldwide—with Hong Kong being no exception. For older adults, walking is among the most well-liked travel modes, boosting their overall health and wellbeing. Some studies have confirmed that the built environment has a significant (spatially fixed) influence on older adults' walking behavior. However, little consideration has been given to the potential spatial heterogeneity in such influences. Hence, this study extracted data on older adults' (outdoor) walking behavior from the 2011 Hong Kong Travel Characteristics Survey and measured a series of built environment attributes based on geo-data (e.g., Google Street View imagery). Logistic regression and geographically weighted logistic regression models were developed to unveil the complicated (including spatially fixed and heterogeneous) association between the built environment and older adults' propensity to walk. We show that population density, land-use mix, street greenery, and access to bus stops are positively connected with the propensity to walk of older adults. Intersection density seems to impact walking propensity insignificantly. All built environment attributes have spatially heterogeneous effects on older adults' walking behavior. The percentage of deviance explained is heterogeneously distributed across space.

show abstract

Exploring the temporal variations in accessibility to health services for older adults: A case study in Greater London

Cited by 16 publications

References 80 publications

The Effect of the Referral System on the Accessibility of Healthcare Services: A Case Study of the Wuhan Metropolitan Development Zone

The Effect of the Referral System on the Accessibility of Healthcare Services: A Case Study of the Wuhan Metropolitan Development Zone

Aging-friendly cities: Investigating the effects of street usage on the psychological satisfaction of older adults in megacities

Spatially varying associations between the built environment and older adults' propensity to walk

Contact Info

Product

Resources

About