Measuring accessibility to health care services for older bus passengers: A finer spatial resolution

Health care accessibility is a vital indicator for evaluating areas where there are medical shortages. However, due to the lack of population data with a satisfactory spatial resolution, efforts to accurately measure health care accessibility among older individuals have been hampered to some extent. To address this issue, we attempt to measure accessibility to health care services for older bus passengers in Nanjing, China, using a finer spatial resolution. More specifically, based on one month's worth of bus smart card data, a framework for identifying the home stations (i.e., a passenger's preferred station near their residence) of older passengers is developed to measure the aggregate demand at the bus stop scale. On this basis, a measurement that integrates the Gaussian two-step floating catchment area (2SFCA) and the adjusted 2SFCA methods (referred to as the adjusted Gaussian 2SFCA method) is proposed to measure accessibility to health care services for older people. The results show that: (1) almost all home stations experience inflated demand, especially those located in the suburbs; (2) despite abundant health care resources, home stations in urban districts are rarely identified as high accessibility stations, due to high demand densities among the older population; and (3) more attention should be paid to two types of home stations – those with a medical institution and those with bed shortages, respectively. The first type is predominantly distributed in the periphery of the city, in the suburbs where the travel time required to access the nearest health care service by bus is longer. The second type is mostly located in the outskirts of urban districts and in the central area of one suburb. These findings could help policy makers to implement more appropriate measures to design and reallocate health care resources.     

Assessing equity in park accessibility using a travel behavior-based G2SFCA method in Nanjing,China

Spatial equity of parks is a major concern in environmental justice studies. While many measurements have been used to evaluate access to parks, few studies have considered the impact of travel behavior on park accessibility. This study aims to establish a travel behavior-based Gaussian two-step floating catchment area (TB-G2SFCA) method to assess spatial equity of parks in the Nanjing region, and Local Moran's I index is applied to identify spatial agglomeration patterns in assessing equity. The results demonstrate that (1) the traditional single-mode model maybe cannot provide accurate approach to evaluating park accessibility while the TB-G2SFCA method can provide a more realistic park accessibility evaluation; (2) the inhabitants of most communities distributed south of the Yangtze River can obtain better park services than the northern areas; (3) the spatial disparities of equity in park accessibility are severe in three suburban districts, relatively minor in four central districts, and insignificant in two central districts. These findings may assist urban planners and policy makers to frame more reasonable policy and planning to improve spatial equity to parks in urban areas.     

Modeling job accessibility using online map data: An extended two-step floating catchment area method with multiple travel modes

Current quantitative measures of job accessibility rarely consider the interaction between job opportunities and labor force, and the effects of dynamic travel mode choice. Drawing upon multiple open-source datasets, we develop a job accessibility index by extending the two-step floating catchment area method (2SFCA). The job accessibility indices are calculated for different commuting scenarios concerning distance, time, and travel modes. The results suggest that job accessibility is very sensitive to travel modes, and using a single travel mode would contribute to a biased job accessibility index. The job accessibility indices with combined travel modes are more geographically balanced than using a single travel mode. Furthermore, the new index is employed to examine the spatial pattern of job accessibility and explore the relationship between job accessibility, housing, and population in the Pudong district, Shanghai. The new job accessibility indices manifest the impacts of ring roads on the spatial distribution of job accessibility. A comparative analysis shows that the floating population has poor driving-based job accessibility but can access job opportunities using public transit. Also, poor job accessibility leads to low rent prices but has little impact on medium-high rent. Both transit-based and drive-based job accessibility indices are positively related to housing prices. Our study highlights the importance of considering dynamic travel mode choice in job accessibility research. The research outcomes also contribute to the literature on spatial mismatch by revealing the unique relationship between job accessibility, housing, and population in urban China.     

Evaluating spatial accessibility to healthcare services under travel time uncertainty: A reliability-based floating catchment area approach

Most existing healthcare accessibility studies ignore the travel time uncertainty that are commonly encountered in road networks. This study aims to examine the impacts of travel time uncertainty on healthcare accessibility. A reliability-based two-step floating catchment area (2SFCA) method is proposed to evaluate healthcare accessibility under travel time uncertainty. The proposed measure generalizes the conventional 2SFCA measure by explicitly considering individuals' reliability constraints when scheduling visits to healthcare facilities in the face of travel time uncertainty. The proposed measure is further used to investigate travel time uncertainty impacts in a comprehensive case study. A big dataset of taxi trajectories is collected in the case study to extract dynamic information on travel time distributions. The results of the case study highlight the significant but heterogeneous impacts of travel time uncertainty on healthcare accessibility for various parts of the city at different times of the day. They also have several methodological implications for the evaluation of healthcare accessibility under travel time uncertainty.     

To drive or not to drive: Driving cessation amongst older adults in rural and small towns in Canada

Driving cessation, often due to health-related changes, can be a particularly challenging and troublesome transition in older adulthood that can lead to social isolation. While policy makers have long recognized the potential impact of an aging population on Canada's health care and national pension plans, the transportation needs of older adults have received relatively less attention. For older adults residing in small towns and rural areas who rely, more often than not, on the personal automobile there is usually limited or no access to public transportation. For policy makers to respond effectively to the transportation needs of an aging population, particularly those living in rural areas, the first step is to understand the travel behaviours of older adults living in such areas, particularly as they approach the transition when they will cease to drive. This paper reports on qualitative research exploring the driving-related challenges and needs faced by older adults in small towns and rural areas near Hamilton, Ontario, Canada. Results revealed four major themes: lack of transportation options in rural areas, changes in driving behaviours, the lack of planning for driving cessation, and the social isolation that comes from the loss (or potential loss) of one's driver's license.     

Transport policy and the provision of mobility options in an aging society: a case study of Ontario,Canada

This paper examines the provision of mobility options being one of the important policy areas vital to addressing transportation accessibility of the elderly. A provincial analysis, taking the case of the Province of Ontario in Canada, is warranted given that the country’s highly decentralized system puts provincial policies at the forefront in meeting this challenge. The paper evaluates the important progress made in this policy area and stressed the need to go beyond the traditional policy focus on the less able-bodied elderly and consider the increased heterogeneity of the elderly population with respect to lifestyle, preferences, resources, health and physical abilities. While significant efforts have been made, a more explicit recognition of population aging in Ontario’s transport policy motivation that could strongly influence transport strategies and investments attuned to the mobility concerns in an aging society remains to be seen. The paper summarizes the general concerns in the literature, policy developments, and the challenges in crafting solutions in terms of policy and research for Ontario and other regions with similar institutional setup.     

Measuring the long-distance accessibility of Italian cities

Long-distance accessibility is a crucial element for economic development and for territorial cohesion. To be revealing, however, a measure of accessibility must not only consider the distance or travel time of a single mode, but should include the fares, the frequency and the interchanges of all available modes.The paper aims to address whether and where there is an accessibility problem between Italian regions, through a comprehensive measure of accessibility covering the entire Italian territory. The measure used in the paper is potential accessibility, with an exponential decay impedance function. Different from similar studies, this one gives a more in-depth definition of impedance parameters due to the availability of a transport model that includes the entire Italian long-distance supply (roads, coaches, long-distance rail services, air services, and ferries). The opportunities at destination are proxied by population, and private and public sector employees.The main outputs are detailed maps of accessibility that are significantly more realistic than using simple infrastructure indicators or single-mode measures. In addition, some policy conclusions are drawn in terms of past and future investment policies.     

Impact of new motorway on housing prices in rural North-East Slovenia

The literature generally agrees that improved accessibility has a positive effect on housing values. The motorway constructions in north-eastern Slovenia, completed between 2002 and 2018, significantly improved the accessibility of less developed areas. In this article, we examine how the new motorway has affected the housing values in the mostly rural north-eastern part of Slovenia. We analysed the distance decay effect of amenities and disamenities of motorway links and ramps as well as bus stops, train stations, and railway links on housing prices. In addition to the transport infrastructure variables, we analysed numerous other structural and environmental variables. We estimated three different spatial hedonic regression models: the spatial autoregression model, the spatial error model, and the spatial autocorrelation model.The results indicate that none of proximities to the bus stop, train station, or motorway link have had a significant effect on housing value. However, the rail track proximity exhibited a significant negative association with price. Furthermore, the effect of distance to the nearest motorway ramp on housing value is significant: it is stronger for closer distances (i.e. starting from 500 m) and decreases up to 6 km, while the effect of distances below 500 m is insignificant. Our results also show that bigger dwellings, more rooms, and the presence of a balcony, elevator, central auto heating system, new installation, and air conditioning as well as an apartment in a single house, are associated with a higher housing price. On the contrary, selling the dwellings together with a parking place and basement reduced the average price of the housing property. Comparing our results to the literature, we proved our hypothesis that the negative effect of a motorway is less pronounced in rural areas compared to urban areas and that the positive effect of accessibility is stronger in rural areas and extends over a wider geographical area.     

Public transit accessibility approach to understand the equity for public healthcare services: A case study of Greater Mumbai

Urban public health is one of the most critical yet neglected aspects of urban planning in developing countries such as India. Inequity in access to government healthcare facilities affects the overall urban population and can substantially negatively impact the vulnerable population, who mostly rely on government healthcare services. In this paper, the accessibility measure for healthcare services by public transport is developed using travel time and the number of transit stops (accounting for transit connectivity) for Greater Mumbai. We also identified socially vulnerable wards (administrative units) using a Social Vulnerability Index (SVI), developed based on 16 indicators using Principal Component Analysis (PCA). Developed regression models showed that the proposed accessibility measure explains the coverage and usage of healthcare services better than the traditional accessibility measure, which is based on only aggregate level travel time impedances. South Mumbai has relatively better accessibility for public hospitals and dispensaries, whereas, lower level of accessibility is observed in the eastern part for public healthcare services. Assessment for the spatial inequity based on the Gini index, bivariate Moran's I, and mean access value reveals a higher degree of spatial inequity for accessing government hospitals for the slum population. The study developed a decision framework to suggest effective policy measures, which can be prioritised based on SVI to reduce the disparity in the spatial distribution of accessibility to government healthcare systems for vulnerable groups. Our findings can aid transportation and urban planners, health researchers, and policymakers to improve accessibility in under-served areas and give special attention to the needs of the vulnerable population.     

The impacts of the built environment on bicycle-metro transfer trips: A new method to delineate metro catchment area based on people's actual cycling space

Bicycle-metro integration is an efficient method of solving the “last mile” issue around metro stations. Built environment is believed to have a significant effect on cycling behavior. However, transfer cycling around metro stations, as a specific type of cycling behavior, has often been overlooked in transport research. In addition, static contextual units such as circular or street-network buffers are typically used to delineate metro catchment areas of transfer cycling trips. These methods are inaccurate to represent the actual geographic contexts of cycling trips, according to the uncertain geographic context problem (UGCoP). Thus, in this study, bicycle-metro catchment areas are delineated based on aggregating the end points of over three million transfer cycling trips. The impact of the built environment on transfer cycling behavior is also explored.First, we find that the aggregate-points buffer outperforms traditional static buffers in predicting transfer cycling trips. Second, we also identify a high level of spatial heterogeneity in catchment area and transfer cycling density between urban and suburban areas. Third, residential and working population density, bus stop density, and metro stations accessibility have a significant effect on bicycle-metro transfer cycling.     

Improving rural accessibility by locating multimodal mobility hubs

In rural regions, public transportation is often characterized by low accessibility as well as long waiting and travel times. In order to improve rural transportation systems, public decision-makers intend to implement alternative on-demand mobility modes. Herein, new intermodal travel itineraries with transfers at multimodal mobility hubs may enable faster public connections and thereby strengthen public transportation. Against this background, we present a decision support tool for locating multimodal mobility hubs to improve intermodal accessibility. As objectives, we aim at maximizing accessibility to workplaces and to places of private need. Our model decides on locations of multimodal mobility hubs and on the available on-demand mobility modes offered in addition to existing public transportation. We develop our model in an agile process together with rural decision-makers in the district of Heinsberg, Germany, and apply it in a real-world case study. As input for our model, we account for the existing public transportation system, identify points-of-interest, and estimate commuting volumes to workplaces based on official commuting data. Results promise a high potential to improve accessibility in rural areas. However, most of the improvement stems from unimodal car sharing trips.     

Impacts on accessibility of China’s present and future HSR network

Although the construction of China’s high-speed rail (HSR) network only started in 2003, the network is already the largest in the world. This paper analyses the impact of the evolving HSR network on the accessibility by HSR and conventional ground transport of 333 prefecture-level cities and 4 municipalities. This paper employs three indicators of accessibility, and analyses three Scenarios. It shows that the HSR network will bring about substantial improvement in accessibility, and lead to national time–space convergence, but will also increase the inequality of nodal accessibility between eastern, central, and western regions, between cities with different sizes of population (excluding the case of the daily accessibility indicator) and between cities that differ in the shortest distance to HSR stations. The HSR network enlarges internal disparities in each of the regions and the five types of cities. The internal inequality of nodal accessibility in all three Scenarios generally increases from the eastern region via the central region to the western region, as well as from very large cities to small cities, varying inversely with the level of economic development and population size. Spatially, accessibility increases generally conform to the distance decay rule but with minor fluctuations. The 50 cities with the largest increases in accessibility are mostly located 50 km or less away from HSR stations and have populations of over 3 million, with the smaller ones located along HSR lines or around large cities such as Beijing, Shanghai, and Guangzhou. As time progresses, the planned HSR network will result in more balanced development, but regional disparities in accessibility will still be greater than before the construction of the HSR.     

Modelling the cost of providing ambulance services

The aim of this paper is to study how regional demography and accessibility patterns influence the cost of providing ambulance services. A secondary aim is to project future costs and demand for ambulance services based on population projections. We use data from south-east Norway, an area with both urban and rural areas. Our results show that accessibility patterns, urbanisation and demography are important factors in determining costs. Furthermore, an ageing population and an ongoing process of urbanisation will have an impact on both the demand for ambulance transport and the cost of providing these services.     

Accessibility,mobility, and realized travel behavior: Assessing transport disadvantage from a policy perspective

Limited accessibility and mobility can result in decreased quality of life and well-being, as well as social exclusion. In the United States (U.S.), rural and small urban communities suffer from transport disadvantage due to a lack of transit and a low density of employment, education, recreation, and other opportunities. While the international literature has produced a number of methods and frameworks to assess transport disadvantage and its impacts, the U.S. has lagged behind in providing pertinent studies. The objective of this paper is to establish comprehensive measures that can support the identification, evaluation, and quantification of transport disadvantage in U.S. rural and small urban communities, considering both data availability and the unique characteristics of the U.S. The concept of transport disadvantage in this paper denotes the disadvantage of a specific population group or area that results from a difficulty accessing transportation and/or opportunities. To achieve this objective, this paper develops a spatial multi-perspective approach to account for the three essential elements of transport disadvantage: accessibility, mobility, and realized travel behavior.The developed approach provides an assessment of transport needs and need gaps that can be of benefit to small urban and rural communities and their planning practices, as well as to transport providers. The analysis in this paper suggests that—from a policy perspective—a combination of measures that account for all three essential elements of transport disadvantage should be considered, because the results of each measure complement those of the others. This paper illustrates the proposed approach using a case study of Indiana. The findings suggest that a great part of rural and small urban Indiana presents a low density of opportunities and that transport-disadvantaged residents of such areas might experience the impacts of low transit supply as well. In addition, the findings suggest that residents of rural and small urban areas travel longer distances on their day-to-day activities.This paper attempts to advance the national research pertaining to transport disadvantage and provide a framework that can support planning and policy decisions at the community as well as at the state level.     

The European high-speed train network: Predicted effects on accessibility patterns

The principal aim of this paper is to evaluate the impact of the future European high-speed train network on accessibility, by reducing time distance between places and modifying their relative location. We compare the current situation with that foreseen for the year 2010, according to the Outline Plan of the European High-Speed Train Network, in order to analyse which areas will most benefit from construction and improvement of the infrastructure. It is hypothesized that the high-speed train will certainly bring the peripheral regions closer to the central ones, but will also increase imbalances between the main cities and their hinterlands. A weighted average distance indicator is applied for this purpose. This measure identifies the spatial distribution of accessibility in the area of study, emphasizing the infrastructure effects, and locates accessibility changes at the European level. A Geographic Information System (GIS) has been used to carry out this study.     

Detecting urban road network accessibility problems using taxi GPS data

Urban population growth and economic development have led to the creation of new communities, jobs and services at places where the existing road network might not cover or efficiently handle traffic. This generates isolated pockets of areas which are difficult to reach through the transport system. To address this accessibility problem, we have developed a novel approach to systematically examine the current urban land use and road network conditions as well as to identify poorly connected regions, using GPS data collected from taxis. This method is composed of four major steps. First, city-wide passenger travel demand patterns and travel times are modeled based on GPS trajectories. Upon this model, high density residential regions are then identified, and measures to assess accessibility of each of these places are developed. Next, the regions with the lowest level of accessibility among all the residential areas are detected, and finally the detected regions are further examined and specific transport situations are analyzed.By applying the proposed method to the Chinese city of Harbin, we have identified 20 regions that have the lowest level of accessibility by car among all the identified residential areas. A serious reachability problem to petrol stations has also been discovered, in which drivers from 92.6% of the residential areas have to travel longer than 30 min to refill their cars. Furthermore, the comparison against a baseline model reveals the capacity of the derived measures in accounting for the actual travel routes under divergent traffic conditions. The experimental results demonstrate the potential and effectiveness of the proposed method in detecting car-based accessibility problems, contributing towards the development of urban road networks into a system that has better reachability and more reduced inequity.     

Enhanced Huff model for estimating Park and Ride (PnR) catchment areas in Perth,WA

A train station catchment area delineates the spatial territory from which the users of a train station are drawn. The size and shape of this catchment can be influenced by a variety of factors, such as the transport network, the location of stations and the service quality they offer, as well as the land use density and diversity in the transport corridor. Although numerous studies have been conducted to understand the size of catchment areas, limited research has focused on determining the spatial boundary (shape) of train station catchments. This paper develops a framework for deriving a spatial boundary of a Park and Ride (PnR) catchment area by incorporating the Huff model and Geographic Information Systems (GIS) technologies. The approach is staged, firstly determining the PnR station choice as a function of the attractiveness of a train station and the cost of access between the origin (such as a suburb) and the destination of a trip (such as the Perth CBD). Linear referencing method is then applied to re-define the origins to train stations based on the derived station choice probability. Finally, the spatial boundary of a catchment area is determined according to the adjusted origins, using GIS technologies. The model outputs were evaluated against licence plate survey of station users, where the Kappa coefficient (0.74) and overall accuracy (0.88) statistic suggested that the model's results are robust. The paper then shows how catchment area data can be used to better manage travel demand and plan design solutions aimed at increased accessibility to train stations.     

Airport location in multiple airport regions (MARs): The role of land and airside accessibility

This paper approaches the airport location problem as a function of accessibility considerations. First, a structural equation model is established to find the relationship between the size of an airport catchment area and its flight network scale. Landside and airside accessibilities are measured by the qualities and costs of surface transportation and flight networks. The two accessibilities are combined to form a regional air transportation accessibility profile, which can be used as a criterion to evaluate airport locations at a macro-planning level. Finally, the scenarios of airport locations in terms of small and large areas are analyzed using two regional case studies in China.     

Catchment if you can: The effect of station entrance and exit locations on accessibility

The success of passenger railway systems depends on their ridership and thus the population they serve. A mechanism to increase ridership is to expose the existing system to more people by reconfiguring the station itself, for instance by adding extra entrance and exit gates to shorten the walking distance from a trip's origin or its final destination. Gates are key nodes giving pedestrians access from street network to boarding/alighting facilities and vice versa. Stations and platforms are places not points, passengers may spend up to 6 min a trip walking between platforms and the end of the station nearest their origin or destination. This study systematically evaluates the accessibility of train stations and the effect of constructing an additional ‘far-side’ gate at stations with a single ‘near-side’ entrance. A three-step approach is defined to generate an isochrone as the catchment area for any transport node. Results indicate that stations with a single gate along their platforms (usually on one end of them) have the potential to increase the accessibility to jobs and population by around 10% on average. Due to the walking network and land use characteristics, some stations will benefit more significantly by retrofitting a new gate. Also, four linear regression models are developed to illustrate the effect of expanded accessibility on the number of entries and exits at each station for two peak periods. Then, stations are ranked based on their added ridership, which can help authorities to prioritize the development and allocating resources.     

Combined impacts of highways and light rail transit on residential property values: a spatial hedonic price model for Phoenix,Arizona

This study analyzes the positive and negative relationships between housing prices and proximity to light rail and highways in Phoenix, Arizona. We hypothesize that the accessibility benefits of light rail transit (LRT) and highways accrue at nodes (stations and highway exits specifically), while disamenities emanate from rail and highway links as well as from nodes. Distance decay of amenities and disamenities is captured using multiple distance bands, and hypotheses are tested using a spatial hedonic model using generalized spatial two-stage least-squares estimation. Results show that proximity to transport nodes was associated significantly and positively with single-family detached home values. As a function of distance from highway exits and LRT stations, the distance-band coefficients form an inverted-U pattern consistent with a positive longer-range distance–decay accessibility effect minus a smaller and shorter-range distance–decay disamenity effect. The positive accessibility effect for highway exits extends farther than for LRT stations. Coefficients for the distance from highway and LRT links, however, were not significant. We also test the effect of highway design on home values and find that below-grade highways have relatively positive impacts on nearby houses compared to those at ground level or above.