全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
PLOS ONE  2013 

Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

DOI: 10.1371/journal.pone.0070227

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background With the rapid development of urbanization, pregnant population is growing rapidly in Shenzhen, and it has been a difficulty to serve more and more pregnant women and reduce spatial access disparities to maternity units (MUs). Understanding of the current status of accessibility to MUs is valuable for supporting the rational allocation of MUs in the future. Methods Based on pregnant population data and MUs data, this study uses a two-step floating catchment area (2SFCA) method based on Geographic Information System (GIS) to analyze the current spatial accessibility to MUs, and then make a comparison between that to public MUs and private MUs. Results Our analysis of the accessibility to all MUs within a distance of 20 km shows that the accessibilities of the areas alongside the traditional border management line are acceptable, meanwhile highlights some critical areas, such as the west part of Nanshan district and the vast east part of Longgang district. The comparison between spatial accessibility to public MUs and private MUs shows statistically significant difference. Discussion Results of this study suggest a great effort should be made to improve the equity of spatial accessibility to MUs in Shenzhen. For policy-making, strategy for the siting and allocation of future MUs, no matter public or private, should guarantee the greatest spatial accessibility for every pregnant woman.

References

[1]  Ng MK (2005) Planning cultures in two Chinese transitional cities: Hong Kong and Shenzhen. Comparative Planning Cultures, 113–143.
[2]  Hao P (2010) Spatial evolution of urban villages in Shenzhen, PhD Dissertation, Utrecht Univeristy.
[3]  Shenzhen Municipal Statistic Bureau (2000) Shenzhen 2000 fifth national population census main data bulletin. Shenzhen, China.
[4]  Shenzhen Municipal Statistic Bureau (2010) Shenzhen 2010 sixth national population census main data bulletin. Shenzhen, China.
[5]  Citymayors (2011) City Mayors: Largest cities in the world by population density (1 to 125). [online] Available at: http://www.citymayors.com/statistics/lar?gest-cities-density-125.html [Accessed: 14 May 2013].
[6]  World Health Organization (2012) World Health Statistics 2012. Indicator compendium. [Report] Geneva: World Health Organization.
[7]  The United States Agency for International Development (2008) Profiles of Health Facility Assessment Methods: Measure Evaluation. Arlington, VA.
[8]  Shenzhen News (2012) Shenzhen newborns density ranks first in the country. [online] Available at: http://news.sznews.com/content/2012-02/1?5/content_6463293.htm [Accessed: 12 Sep 2012].
[9]  Ministry of Health, People’s Republic of China (2011) Report on Women and Children’s Health Development in China. China.
[10]  Dayaratna V, Winfrey W, McGreevey W, Hardee K, Smith J, et al.. (2000) Reproductive Health Interventions: Which Ones Work and What Do They Cost? POLICY Project.
[11]  Viisainen K, Gissler M, Hartikainen AL, Hemminki E (1999) Accidental out-of-hospital births in Finland: incidence and geographical distribution 1963–1995. Acta Obstetricia et Gynecologica Scandinavica 78(5), 372–378.
[12]  Robson S, Cameron CA, Roberts CL (2006) Birth outcomes for teenage women in New South Wales, 1998–2003. Aust. N. Z. J. Obstet. Gynaecol 46 (4): 305–310.
[13]  World Health Organization (2012) Measuring service availability and readiness (SARA). Service availability indicators. [Report].
[14]  Yang DH, Goerge R, Mullner R (2006) Comparing GIS-Based methods of measuring spatial accessibility to health services. J Med Sys 30(1): 23–32.
[15]  Nanfang Daily (2012) Shenzhen birth rate per square kilometer rank first nationally. [online] Available at: http://gd.nfdaily.cn/content/2012-02/15/?content_37950421.htm [Accessed: 12 Sep 2012].
[16]  Shenzhen Health and Population and Family Planning Commission (2011) Shenzhen health statistics yearbook 2011. Shenzhen, China.
[17]  Bissonnette L, Wilson K, Bell S, Shah TI (2012) Neighbourhoods and potential access to health care: The role of spatial and aspatial factors. Health Place 18(4): 841–853.
[18]  Peters DH, Garg A, Bloom G, Walker DG, Brieger WR, et al. (2008) Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences 1136(1): 161–171.
[19]  Khan AA (1992) An integrated approach to measuring potential spatial access to health care services. Socio-Economic Planning Sciences 26(4): 275–287.
[20]  McGrail MR, Humphreys JS (2009) Measuring spatial accessibility to primary care in rural areas: improving the effectiveness of the two-step floating catchment area method. Applied Geography 29(4): 533–541.
[21]  Luo W, Wang F (2003) Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in Chicago region. Environment and Planning B 30(6): 865–884.
[22]  Radke J, Mu L (2000) Spatial decompositions, modeling and mapping service regions to predict access to social programs. Geographic Information Sciences 6(2): 105–112.
[23]  Ngamini Ngui A, Vanasse A (2012) Assessing spatial accessibility to mental health facilities in an urban environment. Spat Spatio-temporal Epidemiol 3(3): 195–203.
[24]  World Health Organization (2008) SERVICE DELIVERY: Toolkit on monitoring health systems strengthening. [Report].
[25]  Lasser KE, Himmelstein DU, Woolhandler S (2006) Access to Care, Health Status, and Health Disparities in the United States and Canada: results of a cross-national population-based survey. Am J Public Health 96(7): 1300–1307.
[26]  Apparicio P, Abdelmajid M, Riva M, Shearmur R (2008) Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues. Int J Health Geogr 7(1): 7.
[27]  Luo W, Qi Y (2009) An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians. Health Place 15(4): 1100–1107.
[28]  Noor AM, Amin AA, Gething PW, Atkinson PM, Hay SI, et al. (2006) Modelling distances travelled to government health services in Kenya. Tropical Medicine & International Health 11(2): 188–196.
[29]  Fotheringham SA, Rogerson PA (2009) The SAGE Handbook of Spatial Analysis. London: SAGE Publications: 443–64.
[30]  DHHS (Department of Health and Human Services) (1980) Criteria for designation of health manpower shortage areas: final regulations. Federal Register 45.
[31]  Ravelli ACJ, Jager KJ, de Groot MH, Erwich JJHM, Rijninks-van Driel GC, et al. (2011) Travel time from home to hospital and adverse perinatal outcomes in women at term in the Netherlands. BJOG: An International Journal of Obstetrics & Gynaecology 118(4): 457–465.
[32]  Shenzhen Health and Population and Family Planning Commission (2012) the using condition of obstetric beds of Shenzhen healthcare institutions [online] Available at: http://www.szhealth.gov.cn/wsj/view?id=8?4 [Accessed: 12 Mar 2012].
[33]  Dai XM (2010) Shenzhen: new dual structure of housing market. China Real Estate Market 6: 50–51.
[34]  Lin YC, Feng J (2011) The bounder effect and space-time evolution in the integration progress of Shenzhen special economic zone and outside economic zone. Tropical Geography 31 (6): 580–585.
[35]  Lowell-Smith EG (1993) Patterns of dentist location: Lansing, Michigan 1950–1991. Soc Sci Med 36(4): 569–573.
[36]  Steele MT, Schwab RA, McNamara RM, Watson WA (1998) Emergency medicine resident choice of practice location. Ann Emerg Med 31(3): 351–357.
[37]  Hewko J, Smoyer-Tomic KE, Hodgson MJ (2002) Measuring neighborhood spatial accessibility to urban amenities: does aggregation error matter? Environment and Planning 34(7): 1185–1206.
[38]  Cheng Y, Wang J, Rosenberg MW (2012) Spatial access to residential care resources in Beijing, China. Int J Health Geogr 11(1): 32.
[39]  Ngui AN, Apparicio P (2011) Optimizing the two-step floating catchment area method for measuring spatial accessibility to medical clinics in Montreal. BMC health services research 11(1): 166.
[40]  Kwan MP, Murray AT, O’Kelly ME, Tiefelsdorf M (2003) Recent advances in accessibility research: Representation, methodology and applications. Journal of Geographical Systems 5(1): 129–138.
[41]  Benigeri M (2007) Geographic information systems (GIS) in the health field: an opportunity to bridge the gap between researchers and administrators. Can J Public Health 98.
[42]  Phillips RL, Kinman EL, Schnitzer PG, Lindbloom EJ, Ewigman B (2000) Using geographic information systems to understand health care access. Arch Fam Med. 9(10): 971–978.
[43]  China health network (2011) Shenzhen: maternal population increasing and maternity beds saturated. [online] Available at: http://www.69jk.cn/yuer/hy/yqzs/80076.ht?ml [Accessed: 24 Mar 2012].

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133