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Spatial Differentiation and Influencing Mechanism of Medical Care Accessibility in Beijing: A Migrant Equality Perspective
Zhao, Meifeng1; Liu, Shenghe2; Qi, Wei2
2018-04-01
Source PublicationCHINESE GEOGRAPHICAL SCIENCE
ISSN1002-0063
Volume28Issue:2Pages:353-362
Corresponding AuthorLiu, Shenghe(liush@igsnrr.ac.cn)
AbstractSpatial equality of access to basic public services, especially medical care services which are directly related to life safety, is the first step to achieve the goal of equalization of basic public services for all the people proposed by central government of China. Using the spatial analysis and the statistical analysis, this study evaluates the spatial differentiation of medical care facilities accessibility by constructing STT (Shortest Travel-Time) and SAI (Spatial Accessibility Index). And then this study explores the neighborhood effects on the medical care facilities accessibility in Beijing, with a particular focus on the effect of neighborhood migrant proportion by constructing spatial dependent regression model. The spatial accessibility analysis of medical care facilities show that the spatial distribution of medical care facilities was basically consistent with administrative regions but not with population demands. Bivariate LISA cluster maps identify that suburban areas are the overlapped clusters of high percent of migrants and limited medical care services. This is associated with the public service allocation rule in China, which stresses equality within urban areas and within rural areas but overlooks equality between urban areas and rural areas; and stresses local resident demands but overlooks migrant demands. To estimate the effects on medical care accessibility of neighborhood migrant proportion, spatial dependence models are applied due to spatial dependence of accessibility of medical care facilities. The regression results show that neighborhoods with high percent of migrants, even conditioning on neighborhood SES, are related to limited spatial accessibility of medical care services. Besides neighborhood characteristics, another important factor influencing spatial accessibility of medical care services is the process of spatial spillover effects. This indicates that the attenuate accessibility of medical care services for migrants is not only because of their own constraints but also because of their proximity to other disadvantaged neighborhoods. Therefore, it is urgently needed to increase the medical facilities in the suburban areas, to take into account migrants' demands and to reduce residential segregation between local residents and migrants for local governments to achieve the goal of equalization of medical care service.
Keywordmedical care facility spatial accessibility migrant equality influencing mechanism Beijing
DOI10.1007/s11769-018-0950-x
WOS KeywordHEALTH-CARE ; HOUSING INEQUALITY ; URBAN CHINA ; ACCESS ; PEOPLE ; PLACES
Indexed BySCI
Language英语
Funding ProjectNational Natural Science Foundation of China[41701151] ; MOE (Ministry of Education in China) Project of Humanities and Social Sciences[17YJCZH256] ; Doctoral Project of Tianjin Normal University[52XB1621]
Funding OrganizationNational Natural Science Foundation of China ; MOE (Ministry of Education in China) Project of Humanities and Social Sciences ; Doctoral Project of Tianjin Normal University
WOS Research AreaEnvironmental Sciences & Ecology
WOS SubjectEnvironmental Sciences
WOS IDWOS:000427501300013
PublisherSPRINGER
Citation statistics
Document Type期刊论文
Identifierhttp://ir.igsnrr.ac.cn/handle/311030/57227
Collection中国科学院地理科学与资源研究所
Corresponding AuthorLiu, Shenghe
Affiliation1.Tianjin Normal Univ, Sch Geog & Environm Sci, Tianjin 300387, Peoples R China
2.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, Beijing 100101, Peoples R China
Recommended Citation
GB/T 7714
Zhao, Meifeng,Liu, Shenghe,Qi, Wei. Spatial Differentiation and Influencing Mechanism of Medical Care Accessibility in Beijing: A Migrant Equality Perspective[J]. CHINESE GEOGRAPHICAL SCIENCE,2018,28(2):353-362.
APA Zhao, Meifeng,Liu, Shenghe,&Qi, Wei.(2018).Spatial Differentiation and Influencing Mechanism of Medical Care Accessibility in Beijing: A Migrant Equality Perspective.CHINESE GEOGRAPHICAL SCIENCE,28(2),353-362.
MLA Zhao, Meifeng,et al."Spatial Differentiation and Influencing Mechanism of Medical Care Accessibility in Beijing: A Migrant Equality Perspective".CHINESE GEOGRAPHICAL SCIENCE 28.2(2018):353-362.
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