Spatial access to residential care resources in Beijing, China

BackgroundAs the population is ageing rapidly in Beijing, the residential care sector is in a fast expansion process with the support of the municipal government. Understanding spatial accessibility to residential care resources by older people supports the need for rational allocation of care resources in future planning.MethodsBased on population data and data on residential care resources, this study uses two Geographic Information System (GIS) based methods – shortest path analysis and a two-step floating catchment area (2SFCA) method to analyse spatial accessibility to residential care resources.ResultsSpatial accessibility varies as the methods and considered factors change. When only time distance is considered, residential care resources are more accessible in the central city than in suburban and exurban areas. If care resources are considered in addition to time distance, spatial accessibility is relatively poor in the central city compared to the northeast to southeast side of the suburban and exurban areas. The resources in the northwest to southwest side of the city are the least accessible, even though several hotspots of residential care resources are located in these areas.ConclusionsFor policy making, it may require combining various methods for a comprehensive analysis. The methods used in this study provide tools for identifying underserved areas in order to improve equity in access to and efficiency in allocation of residential care resources in future planning.

[1]  Harold S. Luft,et al.  Correlation of Travel Time on Roads versus Straight Line Distance , 1995, Medical care research and review : MCRR.

[2]  Alun E. Joseph,et al.  Accessibility and Utilization: Geographical Perspectives on Health Care Delivery , 1984 .

[3]  D. Phillips,et al.  Moral dilemmas and the management of private residential homes: the impact of care in the community reforms in the UK , 2000, Ageing and Society.

[4]  Matthew Richard McGrail,et al.  Measuring spatial accessibility to primary care in rural areas: Improving the effectiveness of the two-step floating catchment area method , 2009 .

[5]  Xun Shi,et al.  Spatial Access and Local Demand for Major Cancer Care Facilities in the United States , 2012 .

[6]  H S Luft,et al.  The sensitivity of conditional choice models for hospital care to estimation technique. , 1990, Journal of health economics.

[7]  M. Rosenberg Accessibility to health care , 1983 .

[8]  Z. Lei Measurement of Spatial Accessibility to Health Care Facilities and Defining Health Professional Shortage Areas Based on Improved Potential Model——A Case Study of Rudong County in Jiangsu Province , 2010 .

[9]  G. Smith,et al.  Geographical change in residential care provision for the elderly in England, 1988-93. , 1998, Health and Place.

[10]  Fahui Wang,et al.  Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas. , 2005, Health & place.

[11]  Fahui Wang,et al.  Measurement, Optimization, and Impact of Health Care Accessibility: A Methodological Review , 2012, Annals of the Association of American Geographers. Association of American Geographers.

[12]  Fahui Wang,et al.  Measures of Spatial Accessibility to Health Care in a GIS Environment: Synthesis and a Case Study in the Chicago Region , 2003, Environment and planning. B, Planning & design.

[13]  D. Phillips,et al.  Policy issues in the private health sector: examples from long-term care in the U.K. , 1996, Social science & medicine.

[14]  Xu Jiangan Spatial Accessibility and Equity of Parks in Shanghai , 2009 .

[15]  Xun Shi,et al.  Selection of bandwidth type and adjustment side in kernel density estimation over inhomogeneous backgrounds , 2010, Int. J. Geogr. Inf. Sci..

[16]  Hairong Li,et al.  Access to residential care in Beijing, China: making the decision to relocate to a residential care facility , 2011, Ageing and Society.

[17]  Wei Luo,et al.  Variable catchment sizes for the two-step floating catchment area (2SFCA) method. , 2012, Health & place.

[18]  Wei Luo,et al.  Using a GIS-based floating catchment method to assess areas with shortage of physicians. , 2004, Health & place.

[19]  D. Phillips,et al.  Changing local geographies of private residential care for older people 1983-1999: lessons for social policy in England and Wales. , 2002, Social science & medicine.

[20]  John Radke,et al.  Spatial Decompositions, Modeling and Mapping Service Regions to Predict Access to Social Programs , 2000, Ann. GIS.

[21]  Yi Qi,et al.  An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians. , 2009, Health & place.

[22]  Yang Cheng Residential Care for Elderly People in Beijing, China: A Study of the Relationship between Health and Place , 2010 .

[23]  D. Phillips,et al.  Spatial concentration of residential homes for the elderly: planning responses and dilemmas , 1987 .

[24]  R. Andersen Revisiting the behavioral model and access to medical care: does it matter? , 1995, Journal of health and social behavior.