COVID-19: Evaluation of Fever Clinic and Fever Sentinel Configuration—A Case Study of Harbin, China

Daming Xu, Qian Wu, Yingkun Feng and Songtao Wu
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Daming Xu: School of Architecture, Harbin Institute of Technology, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, No.92 Xidazhi Street, Nangang District, Harbin 150000, China
Qian Wu: School of Architecture, Harbin Institute of Technology, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, No.92 Xidazhi Street, Nangang District, Harbin 150000, China
Yingkun Feng: School of Architecture, Harbin Institute of Technology, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, No.92 Xidazhi Street, Nangang District, Harbin 150000, China
Songtao Wu: School of Architecture, Harbin Institute of Technology, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, No.92 Xidazhi Street, Nangang District, Harbin 150000, China

Sustainability, 2022, vol. 14, issue 15, 1-22

Abstract: The COVID-19 pandemic has placed the inequalities in health services in countries around the world under severe pressure. As crucial pillars in the prevention and control of COVID-19, fever clinics and fever sentinels are important sites for the screening, diagnosis, and isolation of patients. This study comprehensively evaluated the spatial-layout characteristics, configuration quantity, and service capacity of 42 fever clinics and 418 fever sentinels in Harbin from the perspective of supply by using GIS spatial-analysis methods such as kernel density analysis. From the perspective of demand, we evaluated the accessibility of fever clinics with the modified two-step floating catchment area (2SFCA) method; the OD cost matrix method and Voronoi diagram method were used to evaluate the accessibility and service pressure of fever sentinels. This study found that a monocentric clustering characterizes the spatial layout of fever clinics, and the design of fever clinics in new urban areas and marginal rural areas is relatively lacking. The spatial layout of fever sentinels includes blank areas, and the service pressure in the central city area is relatively high. Combined with the assessment results, the study discussed optimization strategies and implementation paths for improving the public health and epidemic prevention system for COVID-19 in terms of four aspects: the transformation of governance practice, the spatial-planning response, the digital infrastructure response, and guarantees of policies and regulations.

Keywords: COVID-19; fever clinic; fever sentinel; combination of supply and demand; accessibility; Harbin (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2022
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