Abstract

In December 2019, the coronavirus disease 2019 (COVID-19) pandemic attacked Wuhan, China. The city government soon strictly locked down the city, implemented a hierarchical diagnosis and treatment system, and took a series of unprecedented pharmaceutical and non-pharmaceutical measures. The residents’ access to the medical resources and the consequently potential demand–supply tension may determine effective diagnosis and treatment, for which travel distance and time are key indicators. Using the Application Programming Interface (API) of Baidu Map, we estimated the travel distance and time from communities to the medical facilities capable of treating COVID-19 patients, and we identified the service areas of those facilities as well. The results showed significant differences in service areas and potential loading across medical facilities. The accessibility of medical facilities in the peripheral areas was inferior to those in the central areas; there was spatial inequality of medical resources within and across districts; the amount of community healthcare centers was insufficient; some communities were underserved regarding walking distance; some medical facilities could be potentially overloaded. This study provides reference, in the context of Wuhan, for understanding the spatial aspect of medical resources and residents’ relevant mobility under the emergency regulation, and re-examining the coordination of emergency to improve future planning and utilization of medical facilities at various levels. The approach can facilitate policymakers to assess potential loading of medical facilities, identify low-accessibility areas, and deploy new medical facilities. It also implies that the accessibility analysis can be rapid and relevant even only with open-source data.

Highlights

  • In December 2019, the pandemic of coronavirus disease 2019 (COVID-19) attacked Wuhan city, Hubei Province, China [1]

  • Accompanied by motor vehicle restriction in the urban area of Wuhan [5], a hierarchical diagnosis and treatment system was strictly implemented for the allocation of the pandemic-related medical facilities, including the fever clinics, designated hospitals, mobile cabin hospitals (Fang-cang Shelter Hospital), and so on [6,7]

  • The goal of this paper is to measure the real-time accessibility of available travel modes by using the Baidu Map Application Programming Interface (API), and identify underserved areas and discern spatial disparity of facilities during the emergency lockdown of Wuhan

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Summary

Introduction

In December 2019, the pandemic of coronavirus disease 2019 (COVID-19) attacked Wuhan city, Hubei Province, China [1]. All the patients and people were required to follow the principle of “no cross-district treatment and visiting the pandemic-related medical facilities nearby [8]”. Both the lockdown and hospital exclusively designated at the city level were relatively scarce in the history of Chinese urban management and public health. In this way, spatial distribution and the accessibility of medical facilities framed access and potential service affordance for the residents of the whole city, which influenced the prevention and treatment of COVID-19 in Wuhan city

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