2: Health Geography and GIS

Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

by: Shirui Liu, Yaochen Qin, and Yanan Xu

Research Objectives:

  • Explore the spatial difference of accessibility of medical facilities in the study area, to enable analysis of the balance within and between townships
  • Use spatial statistics to quantify the spatial pattern of accessibility
  • Investigate what factors are influcencing accessibility in the study area – from the 3 aspects of: nature, society, and economy in the hope of revealing their spatial diversity
  • Hoping to use this study to provide a reference for the optimization of regional medical resource allocation, and layout planning of public medical facilities

Study Area

  • Henan province, interior China
  • Population is around 95.5 million people
  • Highest rural population in China
  • Considered to have low economic development
  • Study unit: unincorporated village
  • 1,609 rural townships
  • 5,321 hospitals

Methodology

  1. Spatial Accessibility Calculation
  2. Co-efficient of Variation statistic
  3. Moran’s I
  4. Regression Analysis (OLS then GWR)

Results

  • Eastern and central regions have good accessibility to medical facilities, while western regions have poor accessibility
  • Mountainous areas are at a disadvantage
  • All 6 indépendant variables show spatial variability

Rating: 7/10

 

Reference:

Liu, S., Qin, Y., & Xu, Y. (2019). Inequality and influencing factors of spatial accessibility of medical facilities in rural areas of china: A case study of Henan province. International Journal of Environmental Research and Public Health, 16(10), 1833.doi:10.3390/ijerph16101833