Assessing Spatial Accessibility of Public and Private Residential Aged Care Facilities: A Case Study in Wuhan, Central China

Abstract

In the increasingly serious aging China, aged service is the provision of one of the most urgent and important public services to citizens, and private facilities has become an important service force with the aged service market opening in China. This study aims to explore the spatial variation in the accessibility of residential aged care facilities (RACFs) and compared the service capacity of public RACFs and private RACFs. It facilitates RACFs to be allocated rationally in the future and achieve the equalization of aged services. A village-level analysis of spatial access to public and private RACFs by the multi-catchment sizes Gaussian two-step floating catchment area (MCSG2SFCA) method was conducted through a case study in Wuhan City in Central China. The major results are as follows: (1) the accessibility of RACFs in urban areas is better than that in rural areas; (2) the public RACFs still dominate aged care services but the role of private RACFs is important as well; (3) in developed urban areas, the accessibility to private RACFs surpasses that of public ones, and the situation is opposite in rural areas; (4) the capacity of aged care services in Wuhan is not high, meanwhile there is remarkable regional disparity. The accessibility of RACFs in Wuhan is not satisfactory, and there is a significant gap between urban and rural areas. The private RACFs have significantly improved the urban capacity of aged care services, but the role in rural areas is still very weak.