Impact of traffic on the spatiotemporal variations of spatial accessibility of emergency medical services in inner-city Shanghai

被引:31
作者
Hu, Wenyan [1 ]
Tan, Jinkai [1 ]
Li, Mengya [1 ]
Wang, Jun [2 ]
Wang, Fahui [3 ]
机构
[1] East China Normal Univ, Phys Geog, Shanghai, Peoples R China
[2] East China Normal Univ, Sch Geog Sci, Shanghai, Peoples R China
[3] Louisiana State Univ, Dept Geog & Anthropol, Baton Rouge, LA 70803 USA
基金
中国国家自然科学基金;
关键词
Spatial accessibility; emergency medical services; macro-traffic simulation; traffic congestion; spatiotemporal variability; Shanghai; HEALTH-CARE; ACCESS; TIME; EQUITY;
D O I
10.1177/2399808318809711
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Variability in spatial accessibility of emergency medical services has become a major concern in evaluating the quality of emergency medical services in China. Unlike some other public services, response time is critical in the provision of emergency medical services. Traffic congestion may significantly affect response time, especially in large cities. This study uses a transportation simulation model to estimate the travel time under free-flow and congested road conditions and measure the corresponding spatial accessibility of emergency medical services for various hours of a day in inner-city Shanghai. When traffic congestion is considered, the overall spatial accessibility is significantly reduced, and the effect is further magnified in certain congested areas. The results help policy makers in planning the emergency medical services resource that is sensitive to the spatiotemporal variation of its accessibility.
引用
收藏
页码:841 / 854
页数:14
相关论文
共 36 条
[1]  
[Anonymous], 1959, NUMERISCHE MATH, DOI DOI 10.1007/BF01386390
[2]   Comparing alternative approaches to measuring the geographical accessibility of urban health services: Distance types and aggregation-error issues [J].
Apparicio, Philippe ;
Abdelmajid, Mohamed ;
Riva, Mylene ;
Shearmur, Richard .
INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS, 2008, 7 (1)
[3]  
Baloyi E, 2017, S AFR J GEOMAT, V6, P172, DOI 10.4314/sajg.v6i2.3
[4]   A meta-analysis of prehospital care times for trauma [J].
Carr, Brendan G. ;
Caplan, Joel M. ;
Pryor, John P. ;
Branas, Charles C. .
PREHOSPITAL EMERGENCY CARE, 2006, 10 (02) :198-206
[5]  
[陈建国 Chen Jianguo], 2016, [地理科学进展, Progress in Geography], V35, P431
[6]   Assessment of Disability among the Elderly in Xiamen of China: A Representative Sample Survey of 14,292 Older Adults [J].
Chen, Wei ;
Fang, Ya ;
Mao, Fanzhen ;
Hao, Shichao ;
Chen, Junze ;
Yuan, Manqiong ;
Han, Yaofeng ;
Hong, Y. Alicia .
PLOS ONE, 2015, 10 (06)
[7]  
Greenshields B. D., 1935, P 14 ANN M HIGHW RES, V1935
[8]   EMERGENCY MEDICAL SERVICE PROVIDERS' EXPERIENCES WITH TRAFFIC CONGESTION [J].
Griffin, Russell ;
McGwin, Gerald, Jr. .
JOURNAL OF EMERGENCY MEDICINE, 2013, 44 (02) :398-405
[9]  
Guagliardo Mark F, 2004, Int J Health Geogr, V3, P3
[10]   Medical emergency motorcycles: are they safe? [J].
Kiefe, Claudia C. ;
Soares-Oliveira, Miguel .
EUROPEAN JOURNAL OF EMERGENCY MEDICINE, 2008, 15 (01) :40-42