Two-Step Floating Catchment Area Model-Based Evaluation of Community Care Facilities’ Spatial Accessibility in Xi’an, China

Liu, Sunwei; Wang, Yupeng; Zhou, Dian; Kang, Yitong

doi:10.3390/ijerph17145086

Cited by 35 publications

(39 citation statements)

References 75 publications

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“…Among different aspects of AFCC, age-friendly facilities are proved to be an essential factor related to SUD. Liu et al [41] stressed that providing enough community-based care facilities has been the main task for Xi'an's SUD. Zaman and Thornton found that building an age-friendly environment and facilities can facilitate Unley's SUD goal by fulfilling citizens' dignity and equality in a healthy environment [42].…”

Section: Age-friendly and Sustainable Development-an Integration Perspectivementioning

confidence: 99%

Achieving Sustainable Urban Development with an Ageing Population: An “Age-Friendly City and Community” Approach

et al. 2021

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The ageing population tends to be seen as a burden of cities’ future development. Thus, the public funds for older residents’ wellbeing are at risk of being cut back under the economic austerity due to the prevalent neoliberalism policy atmosphere. However, some cities set good examples to turn their older citizens into active contributors to sustainable urban development (SUD) by developing age-friendly cities and communities (AFCC). Taking Hong Kong as an example, this study aims to raise a strategy for policymakers, especially at the municipal level, to incorporate the concept of AFCC in SUD. Data were retrieved for our analysis from a published report of the Hong Kong Public Policy Research Fund project. A total of 15 AFCC and SUD policy factors were identified by using factor analysis. The correlations between these policy factors were evaluated and visualised in a synergetic effect network. According to the network, this study indicates that developing the silver hair market can be a suitable entry point to realise SUD by adopting an AFCC development. Isolation prevention, social sustainability and low-energy-consumption development are the supportive policy factors for the silver hair market. Specifically, respect, discrimination prevention, communication and information, age-friendly facilities, environmental safety and public transportation accessibility are five AFCC policy factors incorporated in the policy integration to enhance older residents’ wellbeing further. This study is an innovative attempt to develop a comprehensive model for the synergy between sustainable urban development and an age-friendly city and community using a correlation network. This study also provides a reference for other city governments to respond to population ageing positively.

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Section: Age-friendly and Sustainable Development-an Integration Perspectivementioning

confidence: 99%

Achieving Sustainable Urban Development with an Ageing Population: An “Age-Friendly City and Community” Approach

et al. 2021

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“…First, this study compensates for the limitations of previous studies, some of which took only spatial factors into consideration [40,47,57,58] or positioned population demand at the geometrically weighted center points of the population [18,47,48]. The limitations of exact locations of the population demand were addressed by using BSA data to solve problems of MAUP.…”

Section: Discussionmentioning

confidence: 99%

“…Tao et al [40] sought to optimize the allocation of elder care facilities, using the current spatial distribution of the elderly population in Beijing, China, and a model developed to ensure maximum equity. Liu et al [48] integrated a two-step floating catchment area (2SFCA) method and a potential model to assess a better search radius. This study demonstrated that 600 m is close to the real travel distance of the elderly in Xi'an, China.…”

Section: Optimization Of Community-based Care Resourcesmentioning

confidence: 99%

Integrating Socioeconomic Status and Spatial Factors to Improve the Accessibility of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation

Tseng

2021

IJERPH

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Health promotion empowers people, communities, and societies to take charge of their own health and quality of life. To strengthen community-based support, increase resource accessibility, and achieve the ideal of aging, this study targets the question of maximum equity with minimum values, taking distances and spatial and non-spatial factors into consideration. To compare disparities in the accessibility of community care resources and the optimization of allocation, methods for community care resource capacity were examined. This study also investigates units based on basic statistical area (BSA) to improve the limitation of larger reference locations (administrative districts) that cannot reflect the exact locations of people. The results show the capacity redistribution of each service point within the same total capacity, and the proposed method brings the population distribution of each demand to the best accessibility. Finally, the grading system of assessing accessibility scarcity allows the government to effectively categorize the prior improvement areas to achieve maximum equity under the same amount of care resources. There are 2046 (47.26%) and 396 (9.15%) BSAs that should be improved before and after optimization, respectively. Therefore, integrating socioeconomic status and spatial factors to assess accessibility of community-based care resources could provide comprehensive consideration for equal allocation.

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“…Through the above research, in order to improve the spatial balance of accessibility in Shaanxi and provide reference for the development of public health in other inland areas of the world, the following are suggested: (1) To solve the problem of insufficient medical resources, the government should promote investment, attract or encourage through policy more medical institutions and talents to flow into inland areas, and expand medical servicecapacity, improving the level of accessibility to medical services, so as to alleviate the competition pressure of medical resources. (2) In order to solve the problem of polarization of medical-service accessibility and high cost of medical treatment for residents in remote areas, it is necessary to increase the construction of basic transportation networks, especially the road networks in mountainous and hilly areas like Shaannan and Shaanbei, and transfer financial investment from the construction of high-level and large-scale road networks to the improvement of low-level and small-scale road networks. The government should promote the trickle-down effect of central cities, guide the inflow of some medical resources to the underdeveloped areas, and evacuate agglomeration centers to achieve a balance among regions.…”

Section: Policy Suggestionmentioning

confidence: 99%

“…At present, the actual medical behavior of Chinese residents is mainly affected by the different medical needs caused by disease types. Therefore, the accurate and reasonable evaluation of the current state of medical services on the basis of actual medical needs of residents to guide policy formulation in order to promote the rational and equitable distribution of medical facilities and maximize social benefits is in line with people’s wishes, which is an important means to maintain economic development and social stability [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China

Wang

Bai

Dang

2020

IJERPH

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The contradiction between the supply and demand of public medical resources in China is serious. On the basis of the “graded diagnosis and treatment” model, the Chinese government divides the medical grade and adjusts the allocation of medical facilities so as to alleviate the adverse impact of these issues on residents’ health. Although the government tries to guide residents’ medical treatment according to the level of medical facilities, there are differences between residents’ medical treatment mode and policy rules in reality. Therefore, it is of great significance to explore spatial differences in accessibility to medical services for residents on the basis of the actual medical behavior. This article takes Shaanxi province as the research area, and uses the improved node cost network analysis method with the space-time distance model and the two-step floating catchment area method, respectively, to analyze the spatial differences of accessibility to three-level medical services and evaluate the equity of accessibility in different areas and groups in Shaanxi. Results showed that the overall level of accessibility to primary medical services in the province is good, and spatial distribution is balanced; the polarization of accessibility to secondary and tertiary medical services is a serious issue, and within the research area, a band-shaped multicore spatial structure was formed with the built-up areas of various cities as high-level centers of accessibility. Provincial residents have poor equity to access three-level medical services, and the equity of accessibility to primary medical services is better than that to highly specialized medical services. There is no obvious gap between accessibility to three-level medical services for the aging and the nonaging populations in Shaanxi, but the unfair phenomenon between agricultural and the nonagricultural populations is prominent. In addition, this article found that the improvement in traffic conditions can produce space-time convergence and effectively weaken spatial deprivation. Therefore, developing public transportation is an effective approach to improve the equity of accessibility to medical services.

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Two-Step Floating Catchment Area Model-Based Evaluation of Community Care Facilities’ Spatial Accessibility in Xi’an, China

Cited by 35 publications

References 75 publications

Achieving Sustainable Urban Development with an Ageing Population: An “Age-Friendly City and Community” Approach

Achieving Sustainable Urban Development with an Ageing Population: An “Age-Friendly City and Community” Approach

Integrating Socioeconomic Status and Spatial Factors to Improve the Accessibility of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation

Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China

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