Spatial accessibility of primary health care in China: A case study in Sichuan Province

Social Science & Medicine
Xiuli WangJay Pan

Abstract

Access to primary health care is considered a fundamental right and an important facilitator of overall population health. Township health centers (THCs) and Community health centers (CHCs) serve as central hubs of China's primary health care system and have been emphasized during recent health care reforms. Accessibility of these hubs is poorly understood and a better understanding of the current situation is essential for proper decision making. This study assesses spatial access to health care provided by primary health care institutions (THCs/CHCs) in Sichuan Province as a microcosm in China. The Nearest-Neighbor method, Enhanced Two-Step Floating Catchment Area (E2SFCA) method, and Gini Coefficient are utilized to represent travel impedance, spatial accessibility, and disparity of primary health care resources (hospital beds, doctors, and health professionals). Accessibilities and Gini Coefficients are correlated with social development indexes (GDP, ethnicity, etc.) to identify influencing factors. Spatial access to primary health care is better in southeastern Sichuan compared to northwestern Sichuan in terms of shorter travel time, higher spatial accessibility, and lower inequity. Social development indexes all showed s...Continue Reading

Citations

Feb 13, 2019·International Journal of Environmental Research and Public Health·Shaoyao ZhangWei Deng
Jan 23, 2020·International Journal for Equity in Health·Xuexin Yu, Wei Zhang
Feb 20, 2019·International Journal of Environmental Research and Public Health·Xueqian SongJiangjun Wan
Jan 18, 2019·International Journal of Environmental Research and Public Health·Xiaokun GuBoming Xie
Sep 20, 2019·International Journal of Environmental Research and Public Health·Wei HuMo Su
Mar 19, 2020·International Journal of Environmental Research and Public Health·Kaili ZhongFei Long
May 3, 2019·Israel Journal of Health Policy Research·B Adini
May 28, 2019·International Journal of Environmental Research and Public Health·Shirui LiuYanan Xu
Aug 14, 2019·International Journal of Environmental Research and Public Health·Yongqing DongLiman Ding
Oct 31, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Qingling Jiang, Jay Pan
Nov 26, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Tianjiao Lan, Jay Pan
Nov 4, 2020·Journal of General Internal Medicine·Chao WangZuxun Lu
Dec 31, 2020·International Journal of Environmental Research and Public Health·Kan WangXing Dang
Jan 16, 2021·International Journal of Environmental Research and Public Health·Jianqiang XuHongtao Wu
Jan 20, 2021·Geospatial Health·Xuefeng TangJay Pan
Jul 15, 2021·International Journal for Equity in Health·Xuexin YuJersey Liang

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