Impact of the presence of private hospitals on the spatial equality of healthcare accessibility in Beijing, China.
Impact of the presence of private hospitals on the spatial equality of healthcare accessibility in Beijing, China.
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DOI：
10.4081/gh.2022.1157
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发表时间：
2022-11
影响因子：
1.7
通讯作者：
Teqi Dai;Kaifei Guo;Juanjuan Zhao;Wenqing Lu
中科院分区：
文献类型：
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作者：
Teqi Dai;Kaifei Guo;Juanjuan Zhao;Wenqing Lu
无论是在公立还是私立医疗保健部门，提供平等的就医地理条件至关重要，并将有利于公众健康。在医疗部门部分私有化的背景下，私立医院对平等医疗服务的影响一直是一个被高度忽视的问题。我们已经应用了评估方法来研究这种情况，通过比较现状的情况下，没有私立医院，基于可达性分析和空间平等的测量。中国北京的案例研究显示了一种双面影响。随着私立医院的出现，城市地区的空间可达性基尼系数从0.03391下降到0.03211，而郊区则从0.1734上升到0.1914。因此，民营医院改善了北京市城区的空间平等，但却破坏了郊区的空间平等。这些研究结果应该启发政策制定者促进医疗平等，但也需要在其他一些大城市重复。
Providing equal geographical access to hospitals, either in the public or private healthcare sector, is vital and will benefit public health in general. Against the background of the partial privatization of the healthcare sector, the impact of private hospitals on equal healthcare access has been a highly neglected issue. We have applied an assessment methodology to study this situation by comparing the status quo scenario with one without private hospitals, based on accessibility analysis and spatial equality measurements. The case study of Beijing, China revealed a double-sided impact. With the presence of private hospitals, the Gini coefficient of spatial accessibility in urban districts was reduced from 0.03391 to 0.03211, while it increased from 0.1734 to 0.1914 in suburban districts. Thus, private hospitals improved spatial equality in urban districts in Beijing but jeopardized it in suburban districts. These research findings should enlighten policymakers to promote healthcare equality but would also need to be repeated in some other big cities.