An Optimization Method for Equalizing the Spatial Accessibility of Medical Services in Guangzhou

Spatial equality of medical services refers to equal access to medical services in all regions. Currently, research on medical facility planning focuses mainly on efficiency, and less on methods for achieving medical facility access equality. In this study, we propose a medical service equality optimization method considering facility grade and Gaode actual travel time data. First, we use the maximum coverage location problem (MCLP) model to locate new medical facilities. Then, we incorporate a service capacity weight matrix reflecting medical facility grade into the quadratic programming (QP) model, with the objective of optimizing the bed configuration of each facility to maximize the spatial equality of medical accessibility. By measuring and optimizing medical accessibility in Guangzhou under different travel time thresholds, we analyzed the optimization results of central, peripheral, and edge areas. The results show that (1) the model significantly improves the spatial equality of medical accessibility. After optimization, fewer locations have very low (or low) and very high (or high) accessibility, while more locations have moderate accessibility. When the travel time threshold is 22 min, the number of locations with medium accessibility level increases by about 18.86%. (2) The higher the travel time threshold, the greater is the overall optimization effect. (3) Different regions have different optimization effects and a larger travel time threshold can improve the optimization effect of the peripheral areas more significantly. It is recommended that new medical facilities be built in the peripheral and edge areas, along with improvements to the transport system.