Assessment of spatial accessibility of primary health care services in Beijing, China


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Int J Environ Public Health Res. Dec 14, 2021; 18 (24): 13182. doi: 10.3390 / ijerph182413182.


Primary health care has been highlighted as a mainstay of the current round of health reform in China throughout the past decade. The aim of this study is to analyze the accessibility of primary health care services in Beijing and identify places where there is a relative shortage of health personnel. Seven relatively undeveloped ecological conservation districts were selected for the study. The Gini coefficient and Lorenz curve, as well as the shortest journey time and the two-stage modified floating catchment area (M2SFCA) approach, are used to quantify inequalities in health care resources. primary and spatial accessibility. The Gini coefficient for primary health care services was calculated up to 0.705, showing a significant disparity in primary health care services. A total of 81.22% of communities reached the nearest primary care facility within 15 minutes. The average accessibility of primary health care services, as measured by the number of health professionals per 1,000 population, was 2.34 in 1,715 communities in seven ecological conservation districts. Three hundred and ninety-one communities (22.80%) were identified with relatively poor accessibility. More primary health professionals should be assigned to Miyun, Mentougou and Changping districts. Overall, primary health care resources were unevenly distributed in most districts. According to our study, expanding primary health care facilities, increasing the number of skilled health professionals and improving road networks will all be effective ways of increasing spatial accessibility and reducing disparities. between primary health care services in Beijing.

PMID:34948789 | DO I:10.3390 / ijerph182413182

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Shanta Harris

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