Medical accessibility of affordable housing and commercial housing in Xiamen from the perspective of equity

doi:10.7523/j.ucas.2023.059

Abstract

Abstract: The rational planning and equitable allocation of medical facilities are closely related to public health and social justice. This paper takes Xiamen as an example and combines real-time traffic data from Baidu Maps to measure the medical accessibility of affordable housing and commercial housing by driving and public transportation, and explores the spatial equity of medical services for different housing groups by analyzing the differences in accessibility between the two types of housing and their characteristics under different zoning and transportation modes in the city. The results indicate that: 1) Compared with commercial housing, affordable housing is more disadvantaged in terms of site selection and the construction of supporting medical facilities in the surrounding area; 2) Regardless of the travel mode and regional scale, the accessibility of affordable housing is lower than that of commercial housing, and the spatial inequity between the two is more obvious in the peripheral urban areas and when using public transportation; 3) Even in the core urban areas where medical facilities are adequate, the accessibility of housing is better, and the spatial equity of medical care is better by car, the spatial inequity of medical services exists when using public transportation. The results of the study reflect the uneven and biased spatial allocation of medical facilities among different housing types in Xiamen, and also show the lower spatial equity of medical services faced by people living in affordable housing in the peripheral urban areas and are more dependent on public transportation. The relevant government departments should focus on strengthening the construction of medical facilities around affordable housing in the peripheral urban areas, and pay attention to the construction of the public transportation system around affordable housing. In addition, when planning new affordable housing in the future, the fairness of site selection should be emphasized, and the planning of public service facilities should be done at the same time to put the concept of social equity into practice in planning.

Key words: affordable housing, commercial housing, medical accessibility, public transportation, spatial equity

CLC Number:

TU984.1

LIU Wenhui, ZHANG Guoqin, WANG Yang. Medical accessibility of affordable housing and commercial housing in Xiamen from the perspective of equity[J]. Journal of University of Chinese Academy of Sciences, 2025, 42(2): 186-198.

References

[1] 李烨, 焦怡雪, 高恒, 等. 我国保障性住房建设情况与特征研究[J]. 城市发展研究, 2020, 27(7): 19-25. DOI:10.3969/j.issn.1006-3862.2020.07.004.
[2] 李永玲. 厦门市保障性社区公共服务设施配套情况及交通可达性分析[D]. 福建厦门: 厦门大学, 2014.
[3] 龚岳, 禤铃沂, 孙珊, 等. 公租房公共设施空间可达性研究: 以深圳为例[J]. 北京大学学报(自然科学版), 2020, 56(6): 1113-1121. DOI:10.13209/j.0479-8023.2020.102.
[4] 王小万. 居民健康与医疗服务需求及利用的理论与实证研究[D]. 长沙: 中南大学, 2005.
[5] Ouyang W, Wang B Y, Tian L, et al. Spatial deprivation of urban public services in migrant enclaves under the context of a rapidly urbanizing China: an evaluation based on suburban Shanghai[J]. Cities, 2017, 60: 436-445. DOI: 10.1016/j.cities.2016.06.004.
[6] 刘影, 郭莉, 刘倩, 等. 公平视角下的城市医疗荒漠研究: 以深圳市为例[J].住区, 2020(5): 60-67. DOI:10.3969/j.issn.1674-9073.2020.05.009.
[7] 余珮珩, 陈奕云, 汤坤, 等. 基于年龄结构的综合医院分布的空间公平研究: 以武汉市主城区为例[J]. 地域研究与开发, 2021, 40(3): 56-62. DOI:10.3969/j.issn.1003-2363.2021.03.010.
[8] Cheng G, Zeng X K, Duan L, et al. Spatial difference analysis for accessibility to high level hospitals based on travel time in Shenzhen, China[J]. Habitat International, 2016, 53: 485-494. DOI: 10.1016/j.habitatint.2015.12.023.
[9] Gao Y, He Q S, Liu Y L, et al. Imbalance in spatial accessibility to primary and secondary schools in China: guidance for education sustainability[J]. Sustainability, 2016, 8(12): 1236. DOI:10.3390/su8121236.
[10] Guo Y Q, Chan C H, Yip P S F. Spatial variation in accessibility of libraries in Hong Kong[J]. Library & Information Science Research, 2017, 39(4): 319-329. DOI:10.1016/j.lisr.2017.11.007.
[11] Salarvandian F, Hosseini S A, Moradi A, et al. Assessing the spatial distribution of sports spaces within walking distance in Tehran [J]. International Journal of Urban Sciences, 2020, 24(4):557-577. DOI:10.1080/12265934.2019.1710552.
[12] Hansen W G. How accessibility shapes land use[J]. Journal of the American Institute of Planners, 1959,25(2):73-76.DOI:10.1080/01944365908978307.
[13] Ingram D R.The concept of accessibility: a search for an operational form[J]. Regional Studies, 1971, 5(2): 101-107. DOI:10.1080/09595237100185131.
[14] Wang F H. Measurement, optimization, and impact of health care accessibility: a methodological review[J]. Annals of the Association of American Geographers. Association of American Geographers, 2012, 102(5): 1104-1112. DOI: 10.1080/00045608.2012.657146.
[15] 陶印华, 申悦. 医疗设施可达性空间差异及其影响因素: 基于上海市户籍与流动人口的对比[J]. 地理科学进展, 2018, 37(8): 1075-1085. DOI:10.18306/dlkxjz.2018.08.007.
[16] 许婧雪, 张文忠, 谌丽, 等. 基于弱势群体需求的北京服务设施可达性集成研究[J]. 人文地理, 2019, 34(2): 64-71. DOI:10.13959/j.issn.1003-2398.2019.02.009.
[17] 伏润得, 张新焕, 杨德刚. 新疆医疗卫生资源配置空间公平分析[J]. 中国科学院大学学报, 2023, 40(1): 69-78. DOI: 10.7523/j.ucas.2021.0001.
[18] 郭建科, 邱煜焜, 王方雄, 等. 基于城市公共交通可达性的医疗服务空间分异及均等化: 以大连市为例[J].公路交通科技, 2019, 36(4): 135-143. DOI:10.3969/j.issn.1002-0268.2019.04.019.
[19] 徐丰, 张琦, 牛继强, 等. 基于可达性的郑州市医疗资源空间均等化研究[J]. 地域研究与开发, 2021, 40(5): 37-43. DOI:10.3969/j.issn.1003-2363.2021.05.007.
[20] 高军波, 张欣怡, 胡功琴, 等. 信阳市区医疗设施可达性评价及空间优化研究 [J]. 信阳师范学院学报(自然科学版), 2022, 35(2): 224-229. DOI:10.3969/j.issn.1003-0972.2022.02.009.
[21] 张纯, 李晓宁, 满燕云. 北京城市保障性住房居民的就医可达性研究: 基于GIS网络分析方法 [J]. 人文地理, 2017, 32(2): 59-64. DOI: 10.13959/j.issn.1003-2398.2017.02.009.
[22] 曾文, 向梨丽, 张小林. 南京市社区服务设施可达性的空间格局与低收入社区空间剥夺研究[J]. 人文地理, 2017, 32(1):73-81. DOI:10.13959/j.issn.1003-2398.2017.01.011.
[23] 程顺祺, 祁新华, 金星星, 等. 国内外公共服务设施空间布局研究进展[J]. 热带地理, 2016, 36(1): 122-131. DOI:10.13284/j.cnki.rddl.002795.
[24] 彭菁, 罗静, 熊娟, 等. 国内外基本公共服务可达性研究进展[J]. 地域研究与开发, 2012, 31(2): 20-25. DOI:10.3969/j.issn.1003-2363.2012.02.005.
[25] 宋正娜, 陈雯, 张桂香, 等. 公共服务设施空间可达性及其度量方法[J]. 地理科学进展, 2010, 29(10): 1217-1224. DOI:10.11820/dlkxjz.2010.10.009.
[26] 吴建军, 孔云峰, 李斌. 基于GIS的农村医疗设施空间可达性分析: 以河南省兰考县为例[J]. 人文地理, 2008(5): 37-42. DOI:10.13959/j.issn.1003-2398.2008.05.006.
[27] 叶明武, 王军, 刘耀龙, 等. 基于GIS的上海中心城区公园避难可达性研究[J]. 地理与地理信息科学, 2008, 24(2): 96-98, 103.
[28] 柳泽, 杨宏宇, 熊维康, 等. 基于改进两步移动搜索法的县域医疗卫生服务空间可达性研究 [J]. 地理科学, 2017, 37(5): 728-737. DOI:10.13249/j.cnki.sgs.2017.05.010.
[29] 杨雅钧, 许燕婷, 陈兰, 等. 基于GIS的福州市就医资源空间分布及其可达性度量[J]. 亚热带资源与环境学报, 2018, 13(3): 88-94. DOI: 10.19687/j.cnki.1673-7105.2018.03.012.
[30] 张金萍, 林丹, 周向丽, 等. 基于改进3SFCA的乡村地区公共医疗设施空间可达性与公平性评价: 以海口市为例[J]. 地理科学进展, 2022, 41(4): 636-647. DOI: 10.18306/dlkxjz.2022.04.008.
[31] Wang F H, Xu Y Q. Estimating O-D travel time matrix by Google Maps API: implementation, advantages, and implications[J]. Annals of GIS, 2011, 17(4):199-209.DOI: 10.1080/19475683.2011.625977.
[32] Niu Q, Wang Y, Xia Y, et al. Detailed assessment of the spatial distribution of urban parks according to day and travel mode based on web mapping API: a case study of main parks in Wuhan[J]. International Journal of Environmental Research and Public Health, 2018,15(8): 1725. DOI:10.3390/ijerph15081725.
[33] Zheng Z C, Xia H M, Ambinakudige S, et al. Spatial accessibility to hospitals based on web mapping API: an empirical study in Kaifeng, China [J]. Sustainability,2019,11(4):1160.DOI:10.3390/su11041160.
[34] 郭琛琛, 梁娟珠. 基于网络地图的多交通模式医疗设施可达性分析[J]. 地球信息科学学报, 2022, 24(3): 483-494. DOI: 10.12082/dqxxkx.2022.210260.
[35] 杨赞, 张蔚, 易成栋, 等. 公共租赁住房的可支付性和可达性研究: 以北京为例[J]. 城市发展研究, 2013,20(10):69-74. DOI:10.3969/j.issn.1006-3862.2013.10.012.
[36] 段芳, 崔光灿. 公共住房居住融合与公共服务设施可达性研究: 基于上海市廉租住房项目的实证分析[J]. 华东师范大学学报(哲学社会科学版), 2020, 52(3): 169-179, 184. DOI: 10.16382/j.cnki.1000-5579.2020.03.016.
[37] 朱文健, 邓圆圆, 李星星. 轨道交通出行下保障性住房空间布局探讨: 基于深圳的观察[J]. 城市规划, 2023, 47(3): 85-96. DOI: 10.11819/cpr20221707a.
[38] 殷一鸣, 胡宏. 居住分异视角下居民活动空间健康资源差异研究: 以南京市为例[J]. 现代城市研究, 2021, 36(10): 63-72. DOI: 10.3969/j.issn.1009-6000.2021.10.010.
[39] 朱乐. 保障性住房布局的社会公平绩效评价体系: 基于南京市多源数据的实证研究[J]. 城市规划, 2022, 46(9): 93-105. DOI:10.11819/cpr20220905a.
[40] 赵千钧, 张国钦, 崔胜辉. 对中小城市在城市化过程中的主体地位及城市效率研究的思考[J]. 中国科学院院刊, 2009, 24(4): 386-393. DOI:10.3969/j.issn.1000-3045.2009.04.003.
[41] 张治意, 邓睿. 基于百度地图API的景区分布格局及可达性分析: 以重庆市为例[J]. 福建师范大学学报(自然科学版), 2021, 37(3): 68-76. DOI:10. 12046/j.issn.1000-5277.2021.03.010.
[42] Zhang C, Man J. Examining job accessibility of the urban poor by urban metro and bus: a case study of Beijing[J]. Urban Rail Transit, 2015,1(4): 183-193. DOI:10.1007/s40864-015-0026-5.
[43] Huerta Munoz U, Källestål C. Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda[J]. International Journal of Health Geographics, 2012, 11: 40. DOI:10.1186/1476-072X-11-40.