How Does Cross-City Patient Mobility Impact the Spatial Equity of Healthcare in China?
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Impact Factor:
3.2
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Affiliation of Author(s):
武汉大学
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Journal:
land
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Place of Publication:
Switzerland
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Key Words:
patient mobility; healthcare services; distribution equitability; spatial analysis; health geography
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Abstract:
The phenomenon of patient mobility is becoming increasingly frequent, altering
the actual service ranges of hospitals across various cities. However, its impact on the
spatial equity of healthcare services at the national scale has yet to be fully explored. This
paper aims to reveal the impact of intercity patient mobility on healthcare equity in China.
Using one million patient mobility records from online healthcare platforms, we construct
the 2023 Cross-City Patient Mobility Network in China and identify the patterns of crosscity
patient mobility. Furthermore, we employ the Dagum Gini coefficient to measure the
spatial disparities in per capita healthcare services before and after patient mobility. The
results show that: (1) cross-city patient mobility exhibits administrative boundary effects
and reflects the administrative hierarchy system, yet megacities extend their healthcare
service ranges beyond provincial and urban agglomeration boundaries; (2) patient mobility
enhances the equity of per capita healthcare services at both intra-provincial and interprovincial
levels, with inter-provincial disparities contributing significantly more than intraprovincial
disparities—a trend further reinforced by patient mobility. This study not only
provides a methodological framework for understanding the impact of patient mobility on
the healthcare system but also offers empirical support for public health policymaking.
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Co-author:
Fang Guo,Mengyao Hong
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Indexed by:
Journal paper
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Correspondence Author:
WeiWei
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Document Code:
land14020214
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Discipline:
Engineering
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Document Type:
J
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Volume:
14
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Issue:
2
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Page Number:
1-16
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Number of Words:
12000
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ISSN No.:
2073-445X
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Translation or Not:
no
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Date of Publication:
2025-01-21
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Included Journals:
SSCI
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Links to published journals:
https://www-mdpi-com-s.vpn.whu.edu.cn/2073-445X/14/2/214
Attachments:
1.202501 land-14-00214-v2(向博文).pdf