Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data
Abstract Background The Chinese government proposed the “XIAO BING BU CHU CUN, DA BING BU CHU XIAN” initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is tha...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-06-01
|
Series: | International Journal for Equity in Health |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12939-020-01217-0 |
id |
doaj-e79cdd4f11e94ee8b33a61bfac334e9e |
---|---|
record_format |
Article |
spelling |
doaj-e79cdd4f11e94ee8b33a61bfac334e9e2020-11-25T02:25:04ZengBMCInternational Journal for Equity in Health1475-92762020-06-0119111310.1186/s12939-020-01217-0Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation dataChi Shen0Zhongliang Zhou1Sha Lai2Li Lu3Wanyue Dong4Min Su5Jian Zhang6Xinyu Wang7Qiwei Deng8Yaru Chen9Xi Chen10School of Public Policy and Administration, Xi’an Jiaotong UniversitySchool of Public Policy and Administration, Xi’an Jiaotong UniversitySchool of Public Policy and Administration, Xi’an Jiaotong UniversityTeam IETO, Bordeaux Population Health Research Center, University de BordeauxSchool of Public Health, Health Science Center, Xi’an Jiaotong UniversitySchool of Public Administration, Inner Mongolia UniversitySchool of Public Policy and Administration, Xi’an Jiaotong UniversitySchool of Public Health, Health Science Center, Xi’an Jiaotong UniversitySchool of Public Health, Health Science Center, Xi’an Jiaotong UniversityCentre for HealthCare Innovation Research, Cass Business School & School of Health Sciences, City, University of LondonDepartment of Health Policy and Management, Yale School of Public HealthAbstract Background The Chinese government proposed the “XIAO BING BU CHU CUN, DA BING BU CHU XIAN” initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is that citizens should be able to access county hospitals’ services conveniently and impartially. However, little research has been done on the actual levels of the spatial accessibility of citizens to county hospitals in Western China. Therefore, we aimed to measure the spatial accessibility to county hospitals for county residents and to identify any regional disparities in Shaanxi Province in Western China. Methods We implemented a novel method – involving utilizing navigation data from the AutoNavi web mapping system (knows as Gaode map in Chinese) – to assess the time and distance from villages and neighborhoods to the county hospitals. The navigation data were collected by request through an application-programming-interface using a web crawler (web data extraction tool) in Python. The shortest driving time and distance were extracted from the navigation data. The travel impedance to the nearest provider (TINP) indicator was used to measure spatial accessibility. Results The results show that county residents in Western China’s Shaanxi Province have poor spatial accessibility to county hospitals. Only 68.8% of villages and neighborhoods are within 60 min travel time (based on driving mode) to a county hospital, while 13.4% of such villages and neighborhoods are beyond 90 min travel time. Moreover, a significant within-province disparity exists, with residents in the central area enjoying the best accessibility to county hospitals, while the northern and southern areas still need improvements in accessibility. Conclusions Focused health resource planning is required to improve the spatial accessibility to county hospitals and to eliminate regional disparities. Further studies are called for to integrate the navigation data of web mapping systems with GIS methods to the measure spatial accessibility of health facilities in more complex contexts.http://link.springer.com/article/10.1186/s12939-020-01217-0Spatial accessibilityCounty hospitalsWeb crawlerNavigation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chi Shen Zhongliang Zhou Sha Lai Li Lu Wanyue Dong Min Su Jian Zhang Xinyu Wang Qiwei Deng Yaru Chen Xi Chen |
spellingShingle |
Chi Shen Zhongliang Zhou Sha Lai Li Lu Wanyue Dong Min Su Jian Zhang Xinyu Wang Qiwei Deng Yaru Chen Xi Chen Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data International Journal for Equity in Health Spatial accessibility County hospitals Web crawler Navigation |
author_facet |
Chi Shen Zhongliang Zhou Sha Lai Li Lu Wanyue Dong Min Su Jian Zhang Xinyu Wang Qiwei Deng Yaru Chen Xi Chen |
author_sort |
Chi Shen |
title |
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data |
title_short |
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data |
title_full |
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data |
title_fullStr |
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data |
title_full_unstemmed |
Measuring spatial accessibility and within-province disparities in accessibility to county hospitals in Shaanxi Province of Western China based on web mapping navigation data |
title_sort |
measuring spatial accessibility and within-province disparities in accessibility to county hospitals in shaanxi province of western china based on web mapping navigation data |
publisher |
BMC |
series |
International Journal for Equity in Health |
issn |
1475-9276 |
publishDate |
2020-06-01 |
description |
Abstract Background The Chinese government proposed the “XIAO BING BU CHU CUN, DA BING BU CHU XIAN” initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is that citizens should be able to access county hospitals’ services conveniently and impartially. However, little research has been done on the actual levels of the spatial accessibility of citizens to county hospitals in Western China. Therefore, we aimed to measure the spatial accessibility to county hospitals for county residents and to identify any regional disparities in Shaanxi Province in Western China. Methods We implemented a novel method – involving utilizing navigation data from the AutoNavi web mapping system (knows as Gaode map in Chinese) – to assess the time and distance from villages and neighborhoods to the county hospitals. The navigation data were collected by request through an application-programming-interface using a web crawler (web data extraction tool) in Python. The shortest driving time and distance were extracted from the navigation data. The travel impedance to the nearest provider (TINP) indicator was used to measure spatial accessibility. Results The results show that county residents in Western China’s Shaanxi Province have poor spatial accessibility to county hospitals. Only 68.8% of villages and neighborhoods are within 60 min travel time (based on driving mode) to a county hospital, while 13.4% of such villages and neighborhoods are beyond 90 min travel time. Moreover, a significant within-province disparity exists, with residents in the central area enjoying the best accessibility to county hospitals, while the northern and southern areas still need improvements in accessibility. Conclusions Focused health resource planning is required to improve the spatial accessibility to county hospitals and to eliminate regional disparities. Further studies are called for to integrate the navigation data of web mapping systems with GIS methods to the measure spatial accessibility of health facilities in more complex contexts. |
topic |
Spatial accessibility County hospitals Web crawler Navigation |
url |
http://link.springer.com/article/10.1186/s12939-020-01217-0 |
work_keys_str_mv |
AT chishen measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT zhongliangzhou measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT shalai measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT lilu measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT wanyuedong measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT minsu measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT jianzhang measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT xinyuwang measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT qiweideng measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT yaruchen measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata AT xichen measuringspatialaccessibilityandwithinprovincedisparitiesinaccessibilitytocountyhospitalsinshaanxiprovinceofwesternchinabasedonwebmappingnavigationdata |
_version_ |
1724852921190842368 |