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. 2019 Jan 15;16(2):225.
doi: 10.3390/ijerph16020225.

Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai

Xiaokun Gu  1   2 , Lufa Zhang  3   4 , Siyuan Tao  5 , Boming Xie  6
Affiliations

Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai

Xiaokun Gu et al. Int J Environ Res Public Health. .

Abstract

Spatial accessibility is an important factor for planning healthcare services to maintain a quality life for the metropolitan area. The metropolitan suburb is a special area for its location and rapidly changing population during urbanization. Taking Qingpu district, a suburb of Shanghai as a case, this study evaluated the spatial accessibility to healthcare services of 203 villages and neighborhoods based on the Two-Step Floating Catchment Area (2SFCA) method by ArcGIS software. The result shows that the spatial accessibility in the whole district is quite uneven under lower thresholds, and the spatial differences are beyond the traditional zoning of East Qingpu, New City and West Qingpu. The worst accessibility was mainly distributed at the edges of Jinze, Liantang and Zhujiajiao, while the best accessibility was mainly distributed in the New City and the region close around it. The average value of the spatial accessibility in Qingpu is 2.84, with a reach equal under 90 min threshold by bus index of 2.85, or an under 60 min threshold by self-driving index of 2.70. Secondly, the difference shows a new pattern, that is the spatial accessibility could be affected by both the New City and the Central City. Thirdly, the transportation mode, urbanization, the density of road network and bus lines, as well as the number of doctors in each healthcare service would directly affect the spatial accessibility. Lastly, in order to improve the spatial accessibility in metropolitan suburbs, greater effort is needed in increasing the numbers of bus stations and doctors, especially the areas which are farthest from the New City or the Central City, such as Jinze, and Lian Tang town in Qingpu. We acknowledge that the public transportation is vital to the accessibility to healthcare services. We also emphasize that healthcare services should be planned based on the anticipated future trends of population agglomeration. Our results for Shanghai are applicable to other big cities that are experiencing similar rapid urbanization in China, or other developing countries in Southeast Asia, South Asia, South America and Africa.

Keywords: 2SFCA; Shanghai; healthcare services; metropolitan suburb; spatial accessibility; urban governance.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Sub-districts and healthcare services distribution in Qingpu.
Figure 2
Figure 2
Population density of 203 evaluation units in Qingpu.
Figure 3
Figure 3
The road network in Qingpu.
Figure 4
Figure 4
The bus lines in Qingpu.
Figure 5
Figure 5
Spatial accessibility by bus under thresholds of (a) 30, (b) 45, (c) 60 and (d) 90 min.
Figure 6
Figure 6
Spatial accessibility by self-driving under thresholds of (a) 20, (b) 30, (c) 40 and (d) 60 min.
See this image and copyright information in PMC

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