scholarly journals Evaluating Spatial Accessibility to General Hospitals with Navigation and Social Media Location Data: A Case Study in Nanjing

2020 ◽  
Vol 17 (8) ◽  
pp. 2752 ◽  
Author(s):  
Tianlu Qian ◽  
Jie Chen ◽  
Ang Li ◽  
Jiechen Wang ◽  
Dingtao Shen
Keyword(s):  
Social Media ◽  
General Hospital ◽  
Transit Time ◽  
Catchment Area ◽  
Spatial Accessibility ◽  
Medical Services ◽  
Basic Unit ◽  
General Hospitals ◽  
Important Indicator

Spatial accessibility to general hospitals is an important indicator of the convenience and ability of residents to obtain medical services. Therefore, developing a model for measuring accessibility to general hospitals by multiple transportation modes is necessary. In this study, considering that the increase in travel time will reduce the attractiveness of general hospitals, we used the Two-Step Floating Catchment Area with the Gaussian attenuation function, in which the supply was presented by capacity of hospitals (i.e., number of beds), and the demand was presented by population in each grid derived with social media data mapping real-time locations of active users. The Gaussian Two-Step Floating Catchment Area (Ga2SFCA) simulates the attenuation tendency of the general hospital service capabilities over transit time. To obtain a highly precise understanding of accessibility to hospitals, transit time on Baidu Maps’ navigation service was used as the impedance condition, and the study area was divided into 1 square kilometer grids as the basic unit of research. Taking Nanjing city as a case study, it is found that the accessibility distribution shape changes from a multi-centered circular pattern to a multi-peak distribution, as the time threshold increases. By comparing the accessibility among 11 districts varying from main urban area to suburbs, the accessibility to general hospitals in Nanjing is significantly regionally unbalanced in both travel modes. By calculating and mapping the Modal Accessibility Gap (MAG) of the two travel modes, different modes of transportation resulted in different general hospital accessibility distributions. Generally, private car is superior in access to general hospitals to public transit in most areas. In the central area, public traffic may not contribute to the access to medical services as much as we thought, rather it plays a role in areas far from hospitals along metro lines and bus routes.

scholarly journals Inequality and Influencing Factors of Spatial Accessibility of Medical Facilities in Rural Areas of China: A Case Study of Henan Province

2019 ◽  
Vol 16 (10) ◽  
pp. 1833 ◽  
Author(s):  
Shirui Liu ◽  
Yaochen Qin ◽  
Yanan Xu
Keyword(s):  
Influencing Factors ◽  
Rural Areas ◽  
Henan Province ◽  
Spatial Accessibility ◽  
Medical Services ◽  
Basic Unit ◽  
Mountainous Areas ◽  
Geographically Weighted Regression Model ◽  
Medical Facilities ◽  
Spatial Differences

The equalization of medical services has received increasing attention, and improving the accessibility of medical facilities in rural areas is key for the realization of fairness with regard to medical services. This study studies the rural areas of Henan Province, China, and uses unincorporated villages as the basic unit. The spatial pattern of accessibility in rural areas was comprehensively analyzed via geographic information system spatial analysis and coefficient of variation. The spatial heterogeneity of relevant influencing factors was assessed by using the geographically weighted regression model. The results show that: (1) The distance cost of medical treatment in rural areas is normally distributed, and most areas are within a range of 2–6 km. (2) The accessibility in rural areas has clear spatial differences, is significantly affected by terrain, and shows characteristics of significant spatial agglomeration. The eastern and central regions have good spatial accessibility, while the western regions have poor spatial accessibility. Furthermore, regions with poor accessibility are mainly located in mountainous areas. (3) The spatial equilibrium of accessibility follows a pattern of gradual deterioration from east to west. The better accessibility-unbalanced type is mostly located in the center of Henan Province, while the poor accessibility-unbalanced type is concentrated in mountainous areas. (4) The area, elevation, residential density, and per capita industrial output are positively correlated with spatial accessibility, while road network density and population density are negatively correlated.

scholarly journals Does the integration of TB medical services in the general hospital improve the quality of TB care? Evidence from a case study in China

2012 ◽  
Vol 35 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Q. Sun ◽  
J. Yin ◽  
X. Yin ◽  
G. Zou ◽  
M. Liang ◽  
...  
Keyword(s):  
General Hospital ◽  
Medical Services

scholarly journals Impacts of the Absence of General Hospitals on 119 Emergency Medical Services: Focusing on the Case of the Baptist Hospital in Busan

2021 ◽  
Vol 21 (1) ◽  
pp. 149-159
Author(s):  
Dalbyul Lee
Keyword(s):  
Emergency Medical Services ◽  
Transit Time ◽  
Medical Services ◽  
General Hospitals ◽  
Emergency Patients ◽  
Emergency Medical ◽  
Empirical Logic ◽  
Hospital Transfer ◽  
The Impact ◽  
Baptist Hospital

This study investigates the impact of the lack of general hospitals on the residents of Busan, South Korea. In particular, it analyzes the impact of 119 emergency medical services on hospital transit time. Multiple regression analysis was conducted using the data on hospital transfer time obtained from the Busan Fire and Disaster Headquarters 119 EMS activity log as the dependent variable. The analysis indicated that, after the Baptist hospital was closed, the average transit time in Geumjeong-gu increased, especially in the case of emergency patients. The average time increased in most dongs in Geumjeong-gu but more so in the ones located in the outer city. These results demonstrate the importance of general hospitals in local communities. In the case of emergency, patients who must be transferred to a general hospital, the fact that it can affect not only the relevant area but also neighboring areas can provide the basis for empirical logic at the present time to regenerate a baptist hospital into a public hospital.

scholarly journals Hierarchical two-step floating catchment area (2SFCA) method: measuring the spatial accessibility to hierarchical healthcare facilities in Shenzhen, China

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhuolin Tao ◽  
Yang Cheng ◽  
Jixiang Liu
Keyword(s):  
Local Governments ◽  
Catchment Area ◽  
Spatial Accessibility ◽  
Spatial Disparity ◽  
Traditional Methods ◽  
Healthcare Facilities ◽  
Spatial Equity ◽  
Tertiary Hospitals ◽  
Different Levels

Abstract Background Spatial accessibility to healthcare facilities has drawn much attention in health geography. In China, central and local governments have aimed to develop a well-organized hierarchical system of healthcare facilities in recent years. However, few studies have focused on the measurement of healthcare accessibility in a hierarchical service delivery system, which is crucial for the assessment and implementation of such strategies. Methods Based on recent improvements in 2SFCA (two-step floating catchment area) method, this study aims to propose a Hierarchical 2SFCA (H2SFCA) method for measuring spatial accessibility to hierarchical facilities. The method considers the varied catchment area sizes, distance decay effects, and transport modes for facilities at various levels. Moreover, both the relative and absolute distance effects are incorporated into the accessibility measurement. Results The method is applied and tested in a case study of hierarchical healthcare facilities in Shenzhen, China. The results reveal that the general spatial accessibility to hierarchical healthcare facilities in Shenzhen is unevenly distributed and concentrated. The disparity of general accessibility is largely caused by the concentrated distribution of tertiary hospitals. For facilities at higher levels, average accessibility of demanders is higher, but there are also larger disparities in spatial accessibility. The comparison between H2SFCA and traditional methods reveals that traditional methods underestimate the spatial disparity of accessibility, which may lead to biased suggestions for policy making. Conclusions The results suggest that the supply of healthcare resources at primary facilities is far from sufficient. To improve the spatial equity in spatial accessibility to hierarchical healthcare facilities, various actions are needed at different levels. The proposed H2SFCA method contributes to the modelling of spatial accessibility to hierarchical healthcare facilities in China and similar environments where the referral system has not been well designed. It can also act as the foundation for developing more comprehensive measures in future studies.

scholarly journals Measuring Spatial Accessibility to Pick-Up Service Considering Differentiated Supply and Demand: A Case in Hangzhou, China

2019 ◽  
Vol 11 (12) ◽  
pp. 3448 ◽  
Author(s):  
Liyun Lin ◽  
Haoying Han ◽  
Wanglin Yan ◽  
Shun Nakayama ◽  
Xianfan Shu
Keyword(s):  
Catchment Area ◽  
Supply And Demand ◽  
Home Delivery ◽  
Maintenance Management ◽  
Spatial Accessibility ◽  
Service Availability ◽  
Built Environments ◽  
Property Management ◽  
Great Pressure

In recent years, customer pick-up at collection and delivery points has become a popular alternative to traditional home delivery, which is under great pressure. However, current service of pick-up facilities has seldom been geographically evaluated despite its general uneven distribution and diverse needs. In this paper, in order to interpret the differentiation in customers’ service demands toward reception alternatives and in facilities’ service excludability in different built environments, a two-step floating catchment area (2SFCA) method is improved to measure customers’ spatial accessibility to pick-up facilities, providing a methodology to evaluate the match relation between the differentiated supply and demand of pick-up service. A case study of widespread automated parcel stations (APSs) is conducted in Hangzhou, China and correlative factors to residents’ accessibility are discussed. From the results, residents’ accessibility to pick-up service shows significant spatial unevenness and social inequity in the study area, which is found to correlate most to residences’ maintenance management. As well-managed, gated communities generally hold effective access to exclusive services, most open communities and self-built, single houses are in need of improvement due to inadequate service stemming from a high aging rate, lack of property management, and low service availability of nonexclusive facilities in open areas.

scholarly journals Efisiensi Dan Efektivitas Anggaran Belanja Pada Rumah Sakit Umum Daerah Cicalengka Kabupaten Bandung

2020 ◽  
Vol 2 (2) ◽  
pp. 75-86
Author(s):  
Yoga Pratama ◽  
Faizal Pikri
Keyword(s):  
General Hospital ◽  
Public Service ◽  
Service Agency ◽  
General Hospitals ◽  
Effectiveness Analysis ◽  
Efficiency And Effectiveness

This journal discusses the efficiency and effectiveness of the budget for the Regional Public Service Agency with a case study at the Cicalengka Regional General Hospital in Kabupaten Bandung. Efficiency and effectiveness become a necessity for regional public service bodies because in their services they are required to provide optimal and best services without seeking certain benefits. This study aims to determine the realization of the budget of general hospitals in Bandung district cicalengka by analyzing the efficiency and effectiveness of the expenditure budget, as well as knowing the factors that cause the realization is not achieved optimally and know what are the obstacles in the implementation of the budget and efforts in solving problems on the realization of the budget. The results of the analysis show that the efficiency in the budget of general hospitals in Cicalengka is in the quite efficient category and the effectiveness analysis shows the results in the ineffective category due to the inadequate utilization and planning in optimizing the budget and the lack of available budget in meeting the needs of the hospital.

Spatial accessibility to kindergartens using a spectrum combinational approach: Case study of Shanghai using cellphone data

2020 ◽  
pp. 239980832095422 ◽  
Author(s):  
Zifeng Chen ◽  
Xingang Zhou ◽  
Anthony GO Yeh
Keyword(s):  
Catchment Area ◽  
Critical Issue ◽  
Home School ◽  
Spatial Accessibility ◽  
School Work ◽  
Home Work ◽  
Realistic Assessment ◽  
Transport Safety ◽  
Type Of School

Spatial accessibility to kindergartens is a critical issue related to the transport safety of children. Young children should be escorted to kindergartens by adults, and trips to kindergartens are occasionally dependent on parents’ home–work trips because parents may escort their children to kindergartens en route to work. Many types of school trip can be categorized into two main types: “Home–School” and “Home–School–Work” trips. However, existing studies have tended to focus on only one type of school trip and have disregarded the other type in the assessment of accessibility. The present study examines accessibility to kindergartens by considering both types of school trips. The basic two-step floating catchment area method is used to measure the accessibility of “Home–School” trips and the commuter-based two-step floating catchment area is used for “Home–School–Work” trips. This study proposes a spectrum combinational approach, which combines both types of trips according to their actual percentages, to provide a realistic assessment of accessibility to kindergartens. An empirical study is conducted in Shanghai by combining cellphone big data and traditional data from a census. Results indicate that, compared with the spectrum combinational approach, the inequality of accessibility would be underestimated if we only focus on “Home–School” trips in the measurement of accessibility, but overestimated if we only focus on “Home–School–Work” trips. The proposed spectrum combinational approach, by modifying the trip assumptions on which accessibility evaluation is based, constitutes a novel and more realistic accessibility measurement of spatial accessibility to kindergartens.

STRATEGI KOMUNIKASI CROWDFUNDING PADA KOLASE.COM

2019 ◽  
Vol 2 (2) ◽  
pp. 177-187
Author(s):  
Venessa Agusta Gogali ◽  
Fajar Muharam ◽  
Syarif Fitri
Keyword(s):  
Social Media ◽  
Communication Strategies ◽  
Communication Strategy ◽  
New Method ◽  
Media Communication ◽  
Social Activists ◽  
Social Media Communication

Crowdfunding is a new method in fundraising activities based online. Moreover, the level of penetration of social media to the community is increasingly high. This makes social activists and academics realize that it is important to study social media communication strategies in crowdfunding activities. There is encouragement to provide an overview of crowdfunding activities. So the author conducted a research on "Crowdfunding Communication Strategy Through Kolase.com Through Case Study on the #BikinNyata Program Through the Kolase.com Website that successfully achieved the target. Keywords: Strategic of Communication, Crowdfunding, Social Media.

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