Assessing Spatial Accessibility to Maternity Units in Shenzhen, China

Peige Song · Yajie Zhu · Xi Mao · Qi Li · Lin An

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Urban Transport and Accessibility Maternal and Neonatal Healthcare Facility Location and Emergency Management

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.

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References

2003Measures of Spatial Accessibility to Health Care in a GIS Environment: Synthesis and a Case Study in the Chicago Region 2008Poverty and Access to Health Care in Developing Countries 2011United States Agency for International Development 2009An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians 2006Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey 2008Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues 2009The SAGE Handbook of Spatial Analysis 2000Spatial Decompositions, Modeling and Mapping Service Regions to Predict Access to Social Programs

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