就医空间可达性分析的两步移动搜索法——以江苏省东海县为例

精确评价医疗设施可达性的空间分异样状况是合理配置医疗资源的前提。本文在回顾国内外关于医疗空间可达性研究的基础上, 采用两步移动搜索法, 以江苏省贫困县--东海县为案例, 以行政村和医院为分析单元, 基于迪卡斯特拉算法计算出各村到医院(卫生院)的最短通行时间, 进而分析各村医疗空间可达性分异情况。采用不用服务时间阈值范围进行空间敏感性分析, 综合研判缺医地区分布特点。与传统的医卫人员和人口比值的方法相比, 两步移动搜索法能有效显示县域范围内医疗可达性的空间分异情况。采用较大的时间阈值, 医疗空间可达性分异较为平滑, 采用较小服务阈值则空间分异显著, 缺医范围也较大。东海县医疗空间可达性整体呈单核结构, 并沿主要交通线延伸, 缺医地区多分布于边缘乡镇。提高边缘乡镇的行政村的甲级卫生院等级和乡村道路等级将会改善边缘乡镇的就医可达性。     

基于潜能模型的医疗设施空间可达性评价方法

空间可达性是评价医疗设施布局合理与否的重要指标,传统的医疗设施空间可达性评价,或者从医疗服务供需状况着手,或者从供需双方之间距离因素着手,均无法全面评价居民实际所能获取的医疗资源。本文采用基于潜能模型的评价方法对江苏省如东县医疗设施空间可达性进行分析研究,该方法综合考虑了医疗设施服务能力、居民点人口数量、医疗设施与居民点之间的出行阻抗。研究表明,通过选取合适的出行摩擦系数,该方法能够较为全面准确地测度较小研究单元的医疗设施空间可达性,辅以GIS技术,可以很直观地揭示研究区域内医疗设施空间可达性差异,结合公共卫生管理部门制定的医疗资源配置标准,还可较为准确判定缺医地区,为政府相关部门规划决策提供依据。     

Do suburban residents prefer the fastest or low-carbon travel modes? Combining public participation GIS and multimodal travel time analysis for daily mobility research

Sustainability of urban transportation and residents' daily mobility is increasingly important for the future of urban regions. In this paper, we present a novel methodology combining mapped survey responses (gathered using public participation GIS) and sophisticated multimodal routing analysis to understand patterns of suburban residents' daily mobility. Our particular focus is on residents' mode choices and their optimality in terms of travel time. We also examine the carbon-intensity of potential mode choice mismatches where a comparatively slower travel mode is chosen for a particular trip. This paper shows how the combination of the two data sources create new possibilities for analysing daily mobility by enabling the comparison of self-reported, geographically referenced mobility patterns and modelled, objectively “optimal” patterns. Our case study results from a rapidly growing metropolitan area, Greater Helsinki in Finland, indicate that people have rather sustainable daily mobility practices. Their daily trips are typically short (median 1.8 km), and non-motorised travel modes are the most popular. Also the share of car travel is significant. While public transport clearly has the lowest modal share, it is frequently used on longer trips to destinations where public transport connections are good (particularly the city centre). In 44% of trips, the respondents choose the fastest travel mode. When a comparatively slower travel mode is chosen, it most often produces less CO₂ emissions than the fastest mode. However, particularly on shopping trips – the most commonly reported type of trip – car driving dominates as the fastest means of transportation. When a slower mode is chosen on a shopping trip, it is typically more carbon-intensive than the fastest mode would have been in that case. The methodology presented here can be used to support local decision making, particularly when daily services and transport infrastructure are planned or reorganised.     

Disparities in Spatial Accessibility of Pharmacies in Baton Rouge,Louisiana

This study examines spatial accessibility of pharmacies in Baton Rouge, Louisiana. Two popular geographic information systems (GIS)—based methods are compared: the proximity method uses the distance (travel time) from the nearest pharmacy, and the two‐step floating catchment area (2SFCA) method considers the match ratio between providers and population as well as the complex spatial interaction between them. The study indicates that disproportionally higher percentages of African‐Americans are in areas with shorter travel time to the nearest pharmacies than whites, but suffer from poorer accessibility measured by the 2SFCA method—that is, fewer pharmacies per 10,000 residents. Seniors, particularly those of seventy‐five years or older, tend to be disproportionally concentrated in areas that not only are closer to pharmacies, but also have more pharmacies per 10,000 residents. The two methods used in the study capture different elements in spatial accessibility: one being physically close to a facility and another adding the crowdedness in service. Both properties can be valuable for residents. The two may not always coincide with each other in spatial variability, as it is the case for racial disparity in our study area. However, when they do, as in the case for seniors, it may imply a true (dis)advantage for a demographic group in terms of both properties of spatial accessibility.     

广州市地铁可达性时空演化及其对公交可达性的影响

应用GIS方法,选取2000、2003、2009和2012年4个时间节点,运用复杂网络理论构建了广州市公共交通网络模型,通过对比分析地铁站点与线路加入到公共交通网络中所产生的变化,定量分析地铁网络建设对公共交通可达性的影响,分析地铁发展不同时期内,城市公共交通可达性空间格局的演化,全面探讨地铁建设对城市公共交通可达性的影响,以期为一体化的多模式城市公共交通体系发展决策提供理论支持。结果显示:①广州市地铁网络顺利完成由树状向回路网络的转变,地铁可达性重心与广州市空间扩展方向呼应,呈现出向南、向东迁移特征;②地铁在很大程度上提高了广州城市公交网络可达性,且其改善作用随地铁线路网的增加和回路网络的发育而日益显著;③地铁网络对城市公交可达性格局的影响,打破了常规公交网络圈层式公交可达性格局,逐渐呈现出圈层式加沿地铁线路分布的廊道式格局;④地铁对公交各站点网络可达时间的影响,常规公交站点可达时间变化程度呈现出由地铁线路向外递减的空间分布趋势,当地铁网络发育形成回路网络时,大大地提升公交网络的运营效率,缩短各个站点之间的出行时间。     

Modeling Spatial Accessibility of Immigrants to Culturally Diverse Family Physicians

This article uses accessibility as an analytical tool to examine health care access among immigrants in a multicultural urban setting. It applies and improves on two widely used accessibility models—the gravity model and the two-step floating catchment area model—in measuring spatial accessibility by Mainland Chinese immigrants in the Toronto Census Metropolitan Area. Empirical data on physician-seeking behaviors are collected through two rounds of questionnaire surveys. Attention is focused on journey to physician location and utilization of linguistically matched family physicians. Based on the survey data, a two-zone accessibility model is developed by relaxing the travel threshold and distance impedance parameters that are traditionally treated as a constant in the accessibility models. General linear models are used to identify relationships among spatial accessibility, geography, and socioeconomic characteristics of Mainland Chinese immigrants. The results suggest a spatial mismatch in the supply of and demand for culturally sensitive care, and residential location is the primary factor that determines spatial accessibility to family physicians. The article yields important policy implications.     

基于最优供需分配的公共设施空间可达性分析

空间可达性是衡量公共服务设施公平性的重要指标,在医疗、教育、休闲等公共服务的布局规划中得到广泛应用。然而已有设施服务可达性模型难以充分反映服务供需关系,计算指标也缺乏物理意义。本文提出新的最优供需分配的公共设施空间可达性计算方法（OSD）取代现有方法。该方法基于最优供需分配模型,将设施服务分配给需求者,根据分配结果计算空间可达性指标。给定服务设施与需求的空间分布,以最小化旅行成本为目标,顾及设施服务能力,采用经典的运输问题模型确定最优的服务供需分配方案,进而度量服务的空间可达性。以郑州市金水区社区卫生服务为例,求解25个中心与1333个居住小区的最优服务配置。使用最优配置结果确定每个设施的服务范围、每个居住小区使用服务的旅行时间,以及特定时间阈值的服务覆盖比率。与流行的两步移动搜索法相比,新方法的计算指标具有明确的物理意义。本文提出的可达性评价方法无需参数,计算高效,结果易于解释,在公共服务评价及设施布局规划方面具有应用潜力。     

Measuring Individuals' Spatial Access to Healthy Foods by Incorporating Mobility,Time, and Mode: Activity Space Measures

Spatial access to healthy foods has drawn growing attention regarding the relationship with people's health conditions and demographic and socioeconomic characteristics. Individuals' differences and the impact of travel behaviors on food accessibility, however, are rarely studied. This study incorporates mobility, time, and transportation mode components to measure each individual's access to healthy foods. We employed three activity space measures to estimate food accessibility: route network buffer, time-weighted standard deviational ellipse (SDE), and mode-weighted SDE. Food accessibility in three activity spaces shows similar variabilities. Geographic size and spatial access to healthy foods differ significantly by income and employment for all three activity space measures. People with higher incomes and those who are currently employed are likely to have larger activity spaces and higher food accessibility. As age increases, people tend to increase their size of activity spaces (in both SDE measures) and food accessibility significantly. Females are likely to have smaller activity spaces and less accessibility to healthy foods (only in the time-weighted SDE measure). Geographic size and spatial access do not differ significantly by education and number of vehicles per household. Although three activity spaces are highly correlated in both geographic size and spatial access, differences still exist among them.     

基于改进潜能模型的就医空间可达性度量和缺医地区判断——以江苏省如东县为例

潜能模型广泛应用于就医空间可达性评价,现有模型综合了医疗设施服务能力、居民点人口数量、医疗设施与居民点之间的出行阻抗。在此基础上通过考虑"医疗设施不同等级规模对居民就医选择行为的影响"对模型进行修正。结果表明,改进的潜能模型能够更为合理地评价就医空间可达性,准确揭示居民实际所能获取的医疗资源,结合医疗资源配置相关标准,则能有效判定缺医地区,为政府相关部门规划决策提供依据。     

Measuring place-based accessibility under travel time uncertainty

Travel time uncertainty has significant impacts on individual activity-travel scheduling, but at present these impacts have not been considered in most accessibility studies. In this paper, an accessibility evaluation framework is proposed for urban areas with uncertain travel times. A reliable space-time service region (RSTR) model is introduced to represent the space-time service region of a facility under travel time uncertainty. Based on the RSTR model, four reliable place-based accessibility measures are proposed to evaluate accessibility to urban services by incorporating the effects of travel time reliability. To demonstrate the applicability of the proposed framework, a case study using large-scale taxi tracking data is carried out. The results of the case study indicate that the proposed accessibility measures can evaluate large-scale place-based accessibility well in urban areas with uncertain travel times. Conventional place-based accessibility indicators ignoring travel time reliability can significantly overestimate the accessibility to urban services.     

Comparing Measures of Accessibility to Urban Supermarkets for Transit and Auto Users

Research on access to healthy foods often emphasizes the spatial proximity of residents to food stores like supermarkets as a way to gauge overall accessibility. Much of the literature has focused on locating the closest facility, assuming that access to one food store is sufficient. Given evidence that access to multiple healthy food stores can improve diets, however, this article examines how closest facility measures differ from cumulative opportunity accessibility measures across space in a medium-sized U.S. city. Differences in access between automobile and transit riders, using realistic travel time costs, are also considered. Results demonstrate that the two types of accessibility measures produce different accessibility geographies and that there are disparities in access for those dependent on transit. These findings indicate that researchers should carefully consider whether access to one supermarket opportunity is enough and pay special attention to the mode residents rely on to access food.     

改进权重的京津冀可达性时空变化对比分析

以2000年和2015年两个时间断面京津冀地区最省时的交通网络为基础数据,利用ArcGIS网络分析模块,分析节点城市可达性的时空变化规律。在研究方法上突出强调某一时间断面最省时的交通网络体系和通过节点中心度改进的加权平均旅行时间。结果显示：京津冀区域的可达性格局变化较大,可达性整体提升的同时,处于第一阶梯的区域大幅扩张;总体而言,区域内可达性从优到差排序依次为：中心城市、东部和南部城市、北部城市;交通方式的变革极大地改善了区域可达性,各城市的加权平均旅行时间普遍缩减50%以上,中部和南部城市的变化率要远远大于北部城市;张家口和承德两市受山地地形和交通基础设施的限制,可达性一直处于较低水平。     

Job Proximity and Accessibility for Workers of Various Wage Groups

This research proposes two indexes, job proximity and accessibility, to measure workers' location advantage by residences with respect to their job markets. Job proximity is designed to capture the spatial separation between residents and jobs. Job accessibility measures one's ability to overcome such separation as may be affected by transportation means, road network, congestion, and intensity of competition for jobs among workers. The research compares the two measures among workers of various wage levels in an attempt to reveal who has the greatest advantage in job access and whether job access is a spatial or nonspatial issue. In Cleveland in 1990, the mean wage rate of 30,000 was a critical turning point: below this level, the higher the mean wage rate in a residential area, the farther the area was away from jobs; above this level, the trend is reversed. In other words, below a wage threshold, workers tend to trade better and more spacious housing (usually farther away from jobs) for more commuting; but above the threshold, workers retreat for saving in commuting (pertaining to their high opportunity cost of commuting). Although low-wage workers enjoy better job proximity, many of them (particularly some inner-city residents) have the worst job accessibility because of their limited transport mobility as indicated by a low level of automobile ownership. Job proximity declines with distance from the CBD and conforms to the monocentric model, as does job accessibility but to a less degree. Since workers with various wages respond differently to job access, the distribution of mean wage rates in the metropolitan area is hardly monocentric.     

Bringing Time Back In: A Study on the Influence of Travel Time Variations and Facility Opening Hours on Individual Accessibility

Although recent studies of individual accessibility have used detailed representations of urban street networks, unrealistic measures of travel time based on assumptions about constant travel speeds through the network were often used. Utilizing constant travel times does not allow for daily congestion and assumes that the effects of congestion are uniform throughout the city and affect all people equally. This research measures individual space‐time accessibility in order to show that the incorporation of locally specific travel times within a street network allows a significant increase in the ability to realistically evaluate individual accessibility within cities. The results show that the accessibility of individuals within cities is not homogenous, and neither does access to employment or shopping opportunities vary according to common expectations about urban form and human behavior. Instead, the role of distance in predicting accessibility variations within cities is quite limited. This article also shows that incorporating time into accessibility measures in the form of congestion and business hours leads to additional (and highly spatially uneven) reductions in accessibility, revealing that the temporal dimension is very important to accurately assessing individual accessibility.     

Bringing Time Back In: A Study on the Influence of Travel Time Variations and Facility Opening Hours on Individual Accessibility

Although recent studies of individual accessibility have used detailed representations of urban street networks, unrealistic measures of travel time based on assumptions about constant travel speeds through the network were often used. Utilizing constant travel times does not allow for daily congestion and assumes that the effects of congestion are uniform throughout the city and affect all people equally. This research measures individual space-time accessibility in order to show that the incorporation of locally specific travel times within a street network allows a significant increase in the ability to realistically evaluate individual accessibility within cities. The results show that the accessibility of individuals within cities is not homogenous, and neither does access to employment or shopping opportunities vary according to common expectations about urban form and human behavior. Instead, the role of distance in predicting accessibility variations within cities is quite limited. This article also shows that incorporating time into accessibility measures in the form of congestion and business hours leads to additional (and highly spatially uneven) reductions in accessibility, revealing that the temporal dimension is very important to accurately assessing individual accessibility.     

The benefits of a high-resolution analysis of transit accessibility

Accessibility is an important consideration in sustainable mobility policies, particularly for transit users. Measures suggested in the literature are based on coarse aggregate spatial resolution of traffic analysis zones that is sufficient for managing car travels only. To reflect a human door-to-door travel, transit accessibility demands an explicit view of the location of origin, transit stops and destination, as well as of the temporal fit between transit lines timetable and traveler’s needs. We thus estimate transit accessibility based on mode-specific travel times and corresponding paths, including walking and waiting, at the resolution of individual buildings and stops. Car accessibility is estimated at a high resolution too. A novel representation of transit network as a graph is proposed. This representation includes all modal components of a transit travel – walking, waiting at a stop, transit ride, transfers between lines, thus enabling unified view of a travel, regardless of mode. The use of modern high-performance graph database allows construction of high-resolution accessibility maps for an entire metropolitan area with its 100–200 K buildings. The application is tested and applied in a case study involving the evaluation of the 2011 bus line reform in the city of Tel Aviv. Specifically, we demonstrate that while the reform increased the average accessibility for the entire city the increase was not uniform with different areas of the city experiencing different absolute accessibility by transit and relative accessibility in comparison to car travel. The bus reform did in fact benefit travelers that experienced low relative accessibility, but the benefits are mainly accruing to longer trips. Our approach and computational methods can be employed for directly investigating the impacts of transportation infrastructure investments.     

公共交通影响下的北京公共服务设施可达性

本文尝试利用大量微观空间数据从供需角度评价北京公共交通影响下的公共服务设施可达性及其空间效率和供需匹配情况,分别采用比例法与最短时间距离法测算公共服务设施的可达性,运用定序变量相关法与因子空间叠置法分析公共设施可达性的供需匹配程度。结果表明：北京居住小区公共设施总体可达性水平较高。其中,4环以内各类公共设施可达性水平最高,居住小区到公共设施的平均时间20分钟内的小区占比高达90%以上;5-6环可达性水平最差,平均时间20分钟内的小区占比在50%以下。高需求高可达性街道比重相对较高,而高需求低可达性街道主要分布于5-6环的东部和北部地区。在公共设施中,小学可达性最好,而医院和购物中心则更强调空间效率。针对识别出的公共设施的高需求低可达性街道,应从出行方式、公共交通线路与公共服务设施建设等方面采取对策,化解公共设施的供需矛盾问题。     

Geographical accessibility and Kentucky's heart-related hospital services

Cardiovascular diseases (CVDs) are a leading cause of mortality in the US. Rates of mortality vary spatially and demographically, influenced not only by individual patient characteristics but also by levels of accessibility to hospital services and facilities. In 2000, Kentucky ranked third in the nation for heart-related deaths. The purpose of this paper is to assess geographical accessibility and service utilization related to ambulatory care sensitive CVDs in Kentucky. This study utilizes the Kentucky Hospital Discharge Database to evaluate service utilization and the Compressed Mortality File to examine mortality related to CVDs. A spatial statistical comparison of the geographical distribution of service usage and travel time to hospitals assists in assessing the relationship between accessibility and health. Our findings suggest that the distribution of utilization and mortality is geographically variable. People living in rural areas travel further to services; populations residing more than 45 min from health facilities are more likely to be socially and economically marginalized. Spatial clustering of high rates of hospital utilization occurs in areas with lower accessibility.     

Critical distances: Comparing measures of spatial accessibility in the riverine landscapes of Peruvian Amazonia

Quantitative measures of accessibility are increasingly used in land cover change modeling and in assessing human pressure on the environment. In riverine Amazonia the significance of physical accessibility for biodiversity, land use patterns and economic livelihoods is widely acknowledged, but attempts to quantify accessibility in practice have been few in number. In this study we compare different distance- and frequency-based measures of spatial accessibility and develop a quantitative model of accessibility patterns for the north-eastern Peruvian Amazonia where rivers form the core of the transportation network. We model accessibility between the rural areas of the Loreto region and the capital city of Iquitos, using different distance algorithms in a geographic information system, and complement the distance model with information on river boat frequencies and transport capacities. Patterns of accessibility are visualized in terms of potential production zones for different types of agricultural and non-timber forest products.This study demonstrates how results from different accessibility measures vary considerably. The mean Euclidean distance to Iquitos is almost 270 km, the mean network distance nearly 760 km and the mean travel time 70 h. Observed network distances from validation points to Iquitos are on average 1.6 times longer than Euclidean distances, and for the whole study area, the average ratio between modeled network distances and Euclidean distances is 3.1. The correlation between network distances and time distances is very strong, but time distances are relatively shorter along the major channels where boat traffic is considerably faster than along narrow, tightly meandering rivers. Measures of boat frequency and transport capacity show that availability of transport possibilities is highly varying across the region. These measures provide insights into the ’thickness’ of trade, indicating the level of market integration for riverine settlements. We conclude that quantifying accessibility in an environment like Peruvian Amazonia requires measures that take into account the spatial structure and dynamic nature of the riverine transportation network. Time as a unit of distance provides the most relevant measure of accessibility in the Amazonian context, where many human actions and traditional livelihoods are controlled by travel times between the regional core and the hinterland.     

Facility allocation strategies and the sustainability of service delivery: Modelling library patronage patterns and their related CO2-emissions

Service accessibility and urban transportation choices are crucial in cities' endeavours for securing social equality and environmental sustainability. They are particularly relevant when the public service network is to be rationalized. In this paper we provide a practical example of comparing the impacts of current varying service allocation strategies on travel behaviour and the resulting carbon dioxide (CO₂) emissions. We take libraries as a local public service to examine the CO₂ emissions resulting from residents' library trips in the capital region of Finland. Our analyses are based on data on library use (library loan database, N = 420,000), accessibility (comparable models of travel-time by car, public transportation and non-motorized transport) and customer transport choices (survey, n = 584). Our results show that (1) 52% of library customers use a library that is accessible from their home with minimum CO₂ emissions (the “climate-optimal” facility provider), (2) the remaining 48% that choose a non-optimal facility provider produce nearly 90% of the total CO₂-emissions related to library customer flows and (3) the service allocation strategies of the different municipalities lead to markedly different CO₂-emission patterns resulting from service usage. To conclude, sustainability measures (in our case the CO₂ burden) provide useful information on the impact of a service network structure which may be used alongside economic rationales.