Exploring Spatial Mismatch between Primary Care and Older Populations in an Aging Country: A Case Study of South Korea

With the rapid growth of aging populations in South Korea, it is important to assess spatial accessibility to healthcare resources as older adults may need frequent visits to hospitals. Healthcare spatial accessibility is measured based on available resources (e.g., physicians, beds, services), demands (e.g., population), and travel costs (e.g., distance or time). In this study, we employed an Enhanced Two-Step Floating Catchment Area (E2SFCA) method to measure the spatial accessibility to primary care for older populations (i.e., aged 65 and older) in major cities in South Korea, including Seoul, Busan, Daegu, Incheon, Gwangju, Daejeon, and Ulsan. We found that the aging population in Seoul, the capital and biggest city in South Korea, has relatively better accessibility than those living in other cities. We also discovered a negative relationship between accessibility to primary care and the aging index (i.e., population over 65 years old/population less than 15 years old); the regions with a higher ratio of older populations have lower accessibility to primary care. The results suggested that more primary care services (perhaps via mobile vans) are needed in regions predominantly with older people to improve their healthcare access.