https://doi.org/10.4081/gh.2023.1228

Assessment of the supply/demand balance of medical resources in Beijing from the perspective of hierarchical diagnosis and treatment

Vol. 18 No. 2 (2023)
Submitted: 26 July 2023
Accepted: 21 September 2023
Published: 13 October 2023
Hierarchical diagnosis and treatment, GIS spatial analysis, spatial accessibility, supply-demand balance, China
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Authors

Yuehan Jiang
College of Resources Environment and Tourism, Capital Normal University, Beijing, China; School of Environment, Education and Development, University of Manchester, Manchester, United Kingdom.
Xinyu Cai
https://orcid.org/0009-0007-9572-4528
College of Resources Environment and Tourism, Capital Normal University, Beijing, China; Key Laboratory of 3Dimensional Information Acquisition and Application, Ministry of Education, Capital Normal University, Beijing, China.
Yanhui Wang
yanhuiwang@cnu.edu.cn
College of Resources Environment and Tourism, Capital Normal University, Beijing, China.
Junwu Dong
College of Resources Environment and Tourism, Capital Normal University, Beijing, China; Key Laboratory of 3Dimensional Information Acquisition and Application, Ministry of Education, Capital Normal University, Beijing, China.
Mengqin Yang
College of Resources Environment and Tourism, Capital Normal University, Beijing, China; Key Laboratory of 3Dimensional Information Acquisition and Application, Ministry of Education, Capital Normal University, Beijing, China.

Considering the United Nations’ Sustainable Development Goals (SDGs) and the need for a balanced spatial distribution of urban medical resources capable of perspective of hierarchical diagnosis and treatment, i.e. providing continuous and accessible medical services during potential public health emergencies, we assessed accessibility and service capacity of the three hospital levels in Beijing. Using geographical information systems (GIS) and the two-step floating catchment area method with the street as research unit, we found that there is an over-supply of medical resources in the centre of the city with weaker support in the peripheral areas as manifested by less supply in relation to popular demand of medical services. The spatial distribution of hospitals at all levels and their resources was found to be uneven: 82.4% of the residents can reach a tertiary hospital (a hospital offering advanced specialized medical and health services to multiple regions) within a 15-minute drive; 50.6% can reach a secondary hospital (a hospital offering comprehensive medical and health services to various communities) within a 10-minute drive; and 77.6% can reach a primary hospital (a hospital directly delivering prevention, medical treatment, healthcare, and rehabilitation services to the community of a certain population) within a 15- minute walk. It was noted that the supply/demand balance of medical resources in the tertiary hospitals decreases from the centre to the periphery, while the secondary hospitals show a dual-centre pattern and the primary hospitals a more uneven distribution, with oversupply in the East and the opposite in the Centre. The results of the study provide supplementary decision support for improving the hierarchical diagnosis and treatment system and accelerate the overall deployment of medical resources.

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How to Cite

Jiang, Y. ., Cai, X., Wang, Y., Dong, J., & Yang, M. (2023). Assessment of the supply/demand balance of medical resources in Beijing from the perspective of hierarchical diagnosis and treatment. Geospatial Health, 18(2). https://doi.org/10.4081/gh.2023.1228
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