Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin

Fundamental medical facilities, as a crucial component of public service infrastructure, contribute significantly to social welfare and serve as a basis for enhancing living standards and ensuring stable economic development. This paper developed a logical framework of “spatial accessibility-resourc...

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Main Authors: Sheng Zhang, Yongsheng Ma, Juan Ren, Hui Liu, Lei Cui, Zizhao Fan
Format: Article
Language:English
Published: Taylor & Francis Group 2025-07-01
Series:Journal of Asian Architecture and Building Engineering
Subjects:
Online Access:http://dx.doi.org/10.1080/13467581.2025.2527286
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author Sheng Zhang
Yongsheng Ma
Juan Ren
Hui Liu
Lei Cui
Zizhao Fan
author_facet Sheng Zhang
Yongsheng Ma
Juan Ren
Hui Liu
Lei Cui
Zizhao Fan
author_sort Sheng Zhang
collection DOAJ
description Fundamental medical facilities, as a crucial component of public service infrastructure, contribute significantly to social welfare and serve as a basis for enhancing living standards and ensuring stable economic development. This paper developed a logical framework of “spatial accessibility-resource allocation-site optimization,” using Tianjin as a case study. Initially, we examined the existing configuration of fundamental medical facilities concerning spatial accessibility; subsequently, we assessed the rationality of medical resource distribution at the subdistrict level utilizing the Gini coefficient, Lorenz curve, and other mathematical and statistical analyses, and developed a supply-demand coupling coordination model to evaluate the interplay between facility supply and resident demand. Ultimately, we identified supply-lagged subdistricts, developed a multi-objective optimization site selection model, and employed the genetic algorithm (NSGA-II) within PyCharm to provide optimization recommendations and strategies. The study reveals significant deficiencies in the spatial arrangement of fundamental medical facilities in Tianjin regarding supply and demand alignment, exhibiting a gradient that diminishes from the city center to the periphery. Over half of the subdistricts experience a supply-demand disparity, with 76 subdistricts lagging in supply, constituting over 60% of the total. Thus, the efficiency of fundamental medical facility utilization dictates the degree of medical resource equalization.
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issn 1347-2852
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publishDate 2025-07-01
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series Journal of Asian Architecture and Building Engineering
spelling doaj-art-14cec099f3d74a8aa85f78fd7f3ad7dc2025-07-09T13:40:42ZengTaylor & Francis GroupJournal of Asian Architecture and Building Engineering1347-28522025-07-010012310.1080/13467581.2025.25272862527286Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on TianjinSheng Zhang0Yongsheng Ma1Juan Ren2Hui Liu3Lei Cui4Zizhao Fan5Tianjin Chengjian UniversityTianjin Chengjian UniversityTianjin Chengjian UniversityTianjin Chengjian UniversityTianjin Urban Planning and Design InstituteTianjin Chengjian UniversityFundamental medical facilities, as a crucial component of public service infrastructure, contribute significantly to social welfare and serve as a basis for enhancing living standards and ensuring stable economic development. This paper developed a logical framework of “spatial accessibility-resource allocation-site optimization,” using Tianjin as a case study. Initially, we examined the existing configuration of fundamental medical facilities concerning spatial accessibility; subsequently, we assessed the rationality of medical resource distribution at the subdistrict level utilizing the Gini coefficient, Lorenz curve, and other mathematical and statistical analyses, and developed a supply-demand coupling coordination model to evaluate the interplay between facility supply and resident demand. Ultimately, we identified supply-lagged subdistricts, developed a multi-objective optimization site selection model, and employed the genetic algorithm (NSGA-II) within PyCharm to provide optimization recommendations and strategies. The study reveals significant deficiencies in the spatial arrangement of fundamental medical facilities in Tianjin regarding supply and demand alignment, exhibiting a gradient that diminishes from the city center to the periphery. Over half of the subdistricts experience a supply-demand disparity, with 76 subdistricts lagging in supply, constituting over 60% of the total. Thus, the efficiency of fundamental medical facility utilization dictates the degree of medical resource equalization.http://dx.doi.org/10.1080/13467581.2025.2527286fundamental medical facilitiesresource allocationsupply-demand couplingaccessibilitynsga-ii
spellingShingle Sheng Zhang
Yongsheng Ma
Juan Ren
Hui Liu
Lei Cui
Zizhao Fan
Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
Journal of Asian Architecture and Building Engineering
fundamental medical facilities
resource allocation
supply-demand coupling
accessibility
nsga-ii
title Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
title_full Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
title_fullStr Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
title_full_unstemmed Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
title_short Research on the spatial allocation of fundamental medical facilities utilizing multi-objective optimization–a case study on Tianjin
title_sort research on the spatial allocation of fundamental medical facilities utilizing multi objective optimization a case study on tianjin
topic fundamental medical facilities
resource allocation
supply-demand coupling
accessibility
nsga-ii
url http://dx.doi.org/10.1080/13467581.2025.2527286
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