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Assessing Patient bypass Behavior Using Taxi Trip Origin–Destination (OD) Data

1,2, 1, 1,2, 1,2, 1,2,3,* and 1
State Key Laboratory of Resources and Environmental Information System, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing 100101, China
University of Chinese Academy of Sciences, Beijing 100049, China
Jiangsu Center for Collaborative Innovation in Geographical Information Resource Development and Application, Nanjing 210023, China
Author to whom correspondence should be addressed.
Academic Editors: Jamal Jokar Arsanjani, Ming-Hsiang (Ming) Tsou and Wolfgang Kainz
ISPRS Int. J. Geo-Inf. 2016, 5(9), 157;
Received: 10 June 2016 / Revised: 21 August 2016 / Accepted: 24 August 2016 / Published: 1 September 2016
(This article belongs to the Special Issue Big Data for Urban Informatics and Earth Observation)
PDF [6861 KB, uploaded 1 September 2016]


Many patients prefer to use the best hospitals even if there are one or more other hospitals closer to their homes; this behavior is called “hospital bypass behavior”. Because this behavior can be problematic in urban areas, it is important that it be reduced. In this paper, the taxi GPS data of Beijing and Suzhou were used to measure hospital bypass behavior. The “bypass behavior index” (BBI) represents the bypass behavior for each hospital. The results indicated that the mean hospital bypass trip distance value ranges from 5.988 km to 9.754 km in Beijing and from 4.168 km to 10.283 km in Suzhou. In general, the bypass shares of both areas show a gradually increasing trend. The following hospitals exhibited significant patient bypass behavior: the 301 Hospital, Beijing Children’s Hospital, the Second Affiliated Hospital of Soochow University and the Suzhou Hospital of Traditional Chinese Medicine. The hospitals’ reputation, transport accessibility and spatial distribution were found to be the main factors affecting patient bypass behavior. Although the hospital bypass phenomena generally appeared to be more pronounced in Beijing, the bypass trip distances between hospitals were found to be more significant in Suzhou. View Full-Text
Keywords: bypass behavior; spatial heterogeneity; good hospital; taxi GPS data; OD bypass behavior; spatial heterogeneity; good hospital; taxi GPS data; OD

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Yang, G.; Song, C.; Shu, H.; Zhang, J.; Pei, T.; Zhou, C. Assessing Patient bypass Behavior Using Taxi Trip Origin–Destination (OD) Data. ISPRS Int. J. Geo-Inf. 2016, 5, 157.

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