Evaluating the spatial accessibility of medical resources taking into account the residents' choice behavior of outpatient and inpatient medical treatment

The assessment of the accessibility for medical resources is of great significance for understanding the distribution characteristics and optimizing the space allocation of medical resources. This paper incorporated the probability statistical data of actual medical treatment choice behavior of residents into the formulation of accessibility. We constructed a health facility accessibility index combined the travel time with waiting time and an improved three-step floating catchment area method to evaluate the accessibility of outpatient and inpatient treatment for residents. Results showed the accessibility of outpatient and inpatient treatment has significant geographical differentiation characteristics and presents a distribution pattern of high in the eastern and central China and low in the western. The outpatient medical service was available for residents, which there are more than 85% of the population having access to medical services within 30min.The accessibility of inpatient treatment presents a radiological distribution model with provincial capital city as the core, in which the spatial allocation of high-quality medical resources is not balanced and the regional difference is obvious. This study demonstrated the geographical differentiation characteristics of spatial distribution for the accessibility of medical resources in China, which can provide targeted proposals according to medical institutions level. •Evaluating the spatial accessibility from outpatient and inpatient medical treatment.•A health facility accessibility index and the improved three-step floating catchment area method were employed.•The policy-oriented matrix of medical services was constructed to provide policy recommendations for the provinces in China.