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. 2022 Apr 21:10:863571.
doi: 10.3389/fpubh.2022.863571. eCollection 2022.

Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta

Zaijun Li  1 , Meijuan Hu  2
Affiliations

Spatio-Temporal Disparity and Driving Forces of the Supply Level of Healthcare Service in the Yangtze River Delta

Zaijun Li et al. Front Public Health. .

Abstract

The equalization of healthcare supply is not only related to the people's need for a better life, but can also provide a strong guarantee for the high-quality and sustainable development of the Yangtze River Delta integration. By using exploratory spatial analysis techniques, this study analyzed the spatio-temporal evolution characteristics and heterogeneous influence effects of the supply level of healthcare service in the Yangtze River Delta from 2007 to 2019. It was found that the supply level of healthcare service in the Yangtze River Delta had improved significantly. The differences in the supply level of healthcare service between cities had tended to narrow without polarization, and the supply level of healthcare service generally showed a high spatial pattern in the south delta and low spatial pattern in the north delta. The higher the supply level of healthcare service was, the weaker the interannual variability was. The supply level of healthcare service in the Yangtze River Delta region presented obvious spatial association and differentiated tendency of local high and low spatial clusters. The relative length and curvature of the supply level of healthcare service in the Yangtze River Delta generally presented a spatial pattern with low values in the northeast and high values in the southwest. Population density and urban-rural income gap generally exhibited negative spatio-temporal impact on the supply level of healthcare service across most cities. On the other hand, urbanization level and per capita disposable income generally had positive spatio-temporal impact on the supply level of healthcare service across most cities. Per capita gross domestic product (GDP) showed an increasingly positive spatio-temporal impact on the supply level of healthcare service across most cities. While per capita fiscal expenditure exhibited significantly negative impact on the supply level of healthcare service across most cities in space.

Keywords: Yangtze River Delta; geographically and temporally weighted regression (GTWR); spatio-temporal association; spatio-temporal evolution; the supply level of healthcare service.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Kernel density estimation of the supply level of healthcare service.
Figure 2
Figure 2
The variation and Gini coefficients of the supply level of healthcare service.
Figure 3
Figure 3
The coefficient of variation (CV) and Gini coefficient of the supply level of healthcare service.
Figure 4
Figure 4
Local spatial association pattern of healthcare service supply in (A) 2007, (B) 2013, and (C) 2019.
Figure 5
Figure 5
Spatial evolution characteristics of healthcare service supply levels in (A) relative length and (B) curvature.
Figure 6
Figure 6
Temporal varying effects of different variables on the supply level of healthcare service.
Figure 7
Figure 7
Spatial heterogenous effects of different variables on the supply level of healthcare service.
See this image and copyright information in PMC

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