Spatial equity of healthcare resource in Xinjiang

doi:10.7523/j.ucas.2021.0001

Abstract

Abstract: The spatial equity of medical and healthcare resource help to improve social equity, increase residents’ happiness, and achieve the goal of “equal access to public services”. Based on OpenStreetMap dataset and Python scripts, extending accessibility calculation method to a large area, this study explored the spatial equity characteristics and influencing factors of medical and healthcare resource of Xinjiang Uygur Autonomous Region. The results indicate that: 1) From a demographic perspective, the equity of medical resource allocation in Xinjiang tends to be further improved; 2) On basic medical services, only 38.5% settlements-distance costs of nearest medical institutions are within 5km, and 20.1% beyond 10km. And there are significant differences in the equity of medical resource allocation in both cities and counties. The spatial allocation of basic medical services in some regions needs to be further optimized, especially in some border counties; 3) Even, some settlements have no medical institutions within 120km, having a shortage of basic medical services. And, there is significant spatial imbalance between rural area and city area; 4) Average distance costs of nearest tertiary A-level hospital of all settlements is 70.05km. Access to tertiary A-level hospital medical services has a large gap between different areas; 5) At present, the spatial equality of Xinjiang is mainly influenced by the construction of professional medical team and regional economic development.

Key words: medical and health resources, OpenStreetMap, spatial equity, distance cost

CLC Number:

F293.3

FU Runde, ZHANG Xinhuan, YANG Degang. Spatial equity of healthcare resource in Xinjiang[J]. Journal of University of Chinese Academy of Sciences, 2023, 40(1): 69-78.

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