Locating emergency medical services to reduce urban-rural inequalities

Luo, W., Yao, J. , Mitchell, R. , Zhang, X. and Li, W. (2022) Locating emergency medical services to reduce urban-rural inequalities. Socio-Economic Planning Sciences, (doi: 10.1016/j.seps.2022.101416) (In Press)

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Abstract

Emergency Medical Service (EMS) systems provide fundamental services in relation to public health and safety. The spatial configuration of EMS stations is crucial to the efficiency and equality of service provision. While urban-rural inequalities in EMS have been widely acknowledged, how to optimize EMS station locations to reduce such inequalities remains challenging. This research proposes a multi-objective optimization model to reduce urban-rural inequalities in EMS accessibility and coverage, in addition to maximizing the total covered population. The proposed model is applied in an empirical study in Wuhan, China, to seek locations for new EMS stations in order to improve local EMS capacity in the pandemic period. The results indicate that the total covered population, particularly in urban area, decreases when urban-rural equality in service accessibility increases, but it has a U-shaped relationship with urban-rural inequality in service coverage. Pareto-optimal solutions suggest that all new stations should be located in rural areas if lower urban-rural inequality in EMS is to be obtained, but one new station is needed in the urban area if higher coverage of total population is more desirable. The work presented in this paper can aid the planning practice of public services like EMS systems where reducing urban-rural inequalities is an essential concern.

Item Type:Articles
Status:In Press
Refereed:Yes
Glasgow Author(s) Enlighten ID:Luo, Weicong and Zhang, Dr Xiaoxiang and Mitchell, Professor Rich and Yao, Dr Jing
Authors: Luo, W., Yao, J., Mitchell, R., Zhang, X., and Li, W.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Social Sciences > School of Social and Political Sciences > Urban Studies
Journal Name:Socio-Economic Planning Sciences
Publisher:Elsevier
ISSN:0038-0121
ISSN (Online):1873-6041
Published Online:15 August 2022
Copyright Holders:Copyright © 2022 Elsevier Ltd.
First Published:First published in Socio-Economic Planning Sciences 2022
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
300882GCRF Centre for Sustainable, Healthy, and Learning Cities and Neighbourhoods (CSHLH)Ya Ping WangEconomic and Social Research Council (ESRC)ES/P011020/1S&PS - Urban Studies
727621Neighbourhoods and CommunitiesAnne EllawayMedical Research Council (MRC)MC_UU_12017/10HW - MRC/CSO Social and Public Health Sciences Unit
3048231Places and healthRich MitchellMedical Research Council (MRC)MC_UU_00022/4HW - MRC/CSO Social and Public Health Sciences Unit
727621Neighbourhoods and CommunitiesAnne EllawayOffice of the Chief Scientific Adviser (CSO)SPHSU10HW - MRC/CSO Social and Public Health Sciences Unit
3048231Places and healthRich MitchellOffice of the Chief Scientific Adviser (CSO)SPHSU19HW - MRC/CSO Social and Public Health Sciences Unit