دورية أكاديمية
أعرض في EDS

An integrated analysis of spatial access to the three-tier healthcare delivery system in China: a case study of Hainan Island.

التفاصيل البيبلوغرافية
العنوان: An integrated analysis of spatial access to the three-tier healthcare delivery system in China: a case study of Hainan Island.
المؤلفون: Wang X; HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, No.17 People's South Road, Chengdu, 610041, China.; Institute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, No.17 People's South Road, Chengdu, China., Seyler BC; Department of Environment, Sichuan University, No.24 South Section 1, Yihuan Road, Chengdu, 610065, China., Han W; Health, Nutrition and Population Global Practice, World Bank, No.1 Jianguomenwai Street, Chaoyang district, Beijing, 100020, China., Pan J; HEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, No.17 People's South Road, Chengdu, 610041, China. panjie.jay@scu.edu.cn.; Institute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, No.17 People's South Road, Chengdu, China. panjie.jay@scu.edu.cn.
المصدر: International journal for equity in health [Int J Equity Health] 2021 Feb 12; Vol. 20 (1), pp. 60. Date of Electronic Publication: 2021 Feb 12.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2002-
مواضيع طبية MeSH: Catchment Area, Health* , Health Services Accessibility* , Primary Health Care*, China ; Humans ; Spatial Analysis ; Travel
مستخلص: Background: Access to healthcare is critical for the implementation of Universal Health Coverage. With the development of healthcare insurance systems around the world, spatial impedance to healthcare institutions has attracted increasing attention. However, most spatial access methodologies have been developed in Western countries, whose healthcare systems are different from those in Low- and Middle-Income Countries (LMICs).
Methods: Hainan Island was taken as an example to explore the utilization of modern spatial access techniques under China's specialized Three-Tier Health Care Delivery System. Healthcare institutions were first classified according to the three tiers. Then shortest travel time was calculated for each institution's tier, overlapped to identify eight types of multilevel healthcare access zones. Spatial access to doctors based on the Enhanced Two-Step Floating Catchment Area Method was also calculated.
Results: On Hainan Island, about 90% of the population lived within a 60-min service range for Tier 3 (hospital) healthcare institutions, 80% lived within 30 min of Tier 2 (health centers), and 75% lived within 15 min of Tier 1 (clinics). Based on local policy, 76.36% of the population living in 48.52% of the area were able to receive timely services at all tiers of healthcare institutions. The weighted average access to doctors was 2.31 per thousand residents, but the regional disparity was large, with 64.66% being contributed by Tier 3 healthcare institutions.
Conclusion: Spatial access to healthcare institutions on Hainan Island was generally good according to travel time and general abundance of doctors, but inequity between regions and imbalance between different healthcare institution tiers exist. Primary healthcare institutions, especially in Tier 2, should be strengthened.
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فهرسة مساهمة: Keywords: Enhanced two-step floating catchment area method (E2SFCA); Overlay analysis; Spatial access; Three-tier health care delivery system
تواريخ الأحداث: Date Created: 20210213 Date Completed: 20210913 Latest Revision: 20240330
رمز التحديث: 20240330
مُعرف محوري في PubMed: PMC7881625
DOI: 10.1186/s12939-021-01401-w
PMID: 33579289
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-9276
DOI:10.1186/s12939-021-01401-w