Spatial-Performance Evaluation of Primary Health Care Facilities: Evidence from Xi’an, China

Primary health care (PHC) facilities play a significant role in constructing a “people-oriented city” to promote sustainable urban development. However, existing studies exhibit gaps in the spatial-performance evaluation of PHC facilities at the block scale and in identifying spatial association types between facilities and the population. Therefore, we examined the elderly population, who rely heavily on PHC facilities, and developed a spatial-performance evaluation model for PHC facilities at the block scale using the Ga2SFCA method and the bivariate spatial autocorrelation method. The results revealed an evident concentric pattern and spatial mismatch between the accessibility of facilities and the elderly population. Facilities in the central area were inadequate due to the excessive density of the elderly population, whereas medical services in suburban areas were unsustainable due to poor accessibility. From a spatial-justice perspective, the spatial-performance evaluation at the block scale can identify spatial correlation types and distribution characteristics between PHC facilities and the elderly population.