A Study on Fair Disparities in the Allocation of Specific Medical and Comprehensive Medical Resources Based on Spatial Accessibility
The current research on healthcare accessibility primarily focuses on macro-level potential accessibility,disregarding the difference between specific disease groups and the general groups.As a result,this may mask the issues of disproportionate allocation of comprehensive healthcare resources and specific disease healthcare resource.To address this problem,the 2-Step Floating Catchment Area based on Gaussian decay function in combination with Gaode Path Planning API is used to conduct a comparative study on comprehensive healthcare and tuberculo-sis healthcare in Wuhan,taking tuberculosis in Wuhan as an example,that has a progressive process from quantif-ying medical accessibility to quantifying spatial fairness and further to quantifying healthcare disparity.The results indicate that comprehensive potential accessibility and fairness in healthcare services in Wuhan are relatively good with no significant spatial differentiation.However,the actual accessibility for tuberculosis treatment exhibits sig-nificant spatial variation,with poorer access on the eastern bank of the Yangtze River than on the western bank.The Gini coefficient for fairness exceeds the international"warning line",indicating poor fairness.The tuberculosis Medical Resource Fairness Inclination Rate(MRFIR)from the Gini coefficients of the two types of accessibility is-29.4%,highlighting a significant disparity in fairness.The allocation of comprehensive healthcare resources to-wards tuberculosis treatment may exhibit uneven and illogical distribution.The results of this study can provide a basis for relevant departments to make targeted decisions.
万方数据
维普
