Acta Geographica Sinica ›› 2022, Vol. 77 ›› Issue (8): 2019-2033.doi: 10.11821/dlxb202208012

• Economic Geography and Regional Development • Previous Articles     Next Articles

The equality of public health services and the spatiotemporal heterogeneities of human-land relationships in Hunan, Hubei, and Henan from 1980 to 2019

HAN Zongwei1,2(), JIAO Sheng1,3()   

  1. 1. School of Architecture and Planning, Hunan University, Changsha 410082, China
    2. Department of Tourism and Geography, Tongren University, Tongren 554300, Guizhou, China
    3. Hunan Key Laboratory of Sciences of Urban and Rural Human Settlements in Hills Areas, Hunan University, Changsha 410082, China
  • Received:2021-05-06 Revised:2022-02-16 Online:2022-08-25 Published:2022-10-25
  • Contact: JIAO Sheng;
  • Supported by:
    National Key R&D Program of China(2019YFD1101304);Key Research and Development Projects in Social Development of Hunan Province(2020SK2095);Key Research and Development Projects in Social Development of Hunan Province(2019SK2101);Young Scientific and Technological Talents Growth Project of Educational Commission of Guizhou Province, No.KY2017313


It is an essential way to ensure that health and equity could be enjoyed effectively through a balanced system of public health services. The layout of medical facilities, population distribution, and construction land distribution are highly correlated to public health services equalization. The research in this paper is based on spatial statistical analysis, the possibility-satisfiability model, and the coupling coordination degree model between public health service equalization, construction land distribution, and population distribution. Based on these methods, the spatiotemporal evolution regularity analysis is carried out on the public health services equalization in provinces of Hunan, Hubei, and Henan during 1980-2019. Furthermore, we examine the variation of the coupling coordination relationships between the triad of public health services equalization, population distribution, and construction land. The results show that: (1) the degree of public health services equalization fluctuates around the middle level (0.7-0.8), and it shows a general tendency of rising first and then falling. The average growth rate of public health services equalization in Hunan, Hubei, and Henan was -7.68%, -0.96%, and -2.11%, respectively. (2) The distribution of public health services shows obvious spatial clusters in Hunan, Hubei, and Henan. The high-high and low-low categories of spatial agglomeration indicated that an obvious polarizability effect exists in public health services distribution. Besides, public health services equalization in eight azimuth regions of each province is obviously different. This implies that the unbalanced and inadequate problem is prominent with the development of public health services equalization in the three provinces. (3) The degree of interactions and synchronous development between public health services, construction land, and population distribution is small. In general, the coordinated development state between the three is in the transition period from maladjustment to coordination. In order to deal with the complex man-land relationship at the new stage of China, we explore the spatiotemporal development pattern and the historical evolution characteristics of the public health services equalization, which can provide a policy-making basis for the rational configuration of public health resources and the improvement of public health services equalization.

Key words: public health, service equalization, spatiotemporal evolution, urban expansion, man-land relationship, possibility-satisfiability model