Ziyuan Kexue (Jul 2023)
Spatial equity of urban health resources for the elderly from an active-passive health perspective: A case study of central Wuhan City
Abstract
[Objective] Under the background of population aging and healthy China national strategy, high-quality and equal allocation of urban health resources for the elderly is an important goal of current urban planning and resource allocation. [Methods] Taking the central urban area of Wuhan City as an example, this study constructed a type system of urban elderly health resources from the perspective of active and passive health needs, and used various quantitative methods such as average nearest neighbor, collaborative location quotient and Gaussian two-step mobile search method to explore the spatial equity of elderly health resources. [Results] The results show that: First, all kinds of elderly health resources show agglomeration characteristics, but there are significant differences in the degree of agglomeration. Second, the residential community and all kinds of elderly health resources show non-proximity. Among them, the degree of contact between passive health resources and residential areas is relatively stronger, and there is also complementarity between single health resources. Third, both active and passive health resources show a center-periphery structure in spatial accessibility, while the accessibility of single-type elderly health resources communities is significantly different. Fourth, passive health resources are more fair than active health resources, and the overall fairness of the two is better than that of single health resources. That is, in addition to hospital health resources, the imbalance between supply and demand of other single types of elderly health resources is more serious. [Conclusion] The spatial equity of all kinds of elderly health resources in central urban area of Wuhan city is quite different. The resource complementary effect should be fully considered in resource allocation, and a reasonable resource allocation plan should be formulated according to the active and passive health needs of elderly people. The research results can provide scientific reference for the construction and spatial allocation of elderly health resource system in similar high-density urban areas.
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