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Measuring Access to Basic Public Services at the Grassroots Level in China: The Perspective of Village-Level Healthcare and Education Services

中国基层公共服务可及性测度:村级医疗教育服务视角
财政研究 · 2026 · 卢盛峰、黄晓槐、张浩天

中文摘要

Based on spatiotemporal big data on the spatial distribution of public service facilities from the AutoNavi (Gaode) Map database, this article develops a two-step floating catchment area (2SFCA) measurement model that captures residents' probability of having opportunities to use public services from a supply-and-demand perspective, and analyzes the basic stylized facts of spatial access to two basic public services—healthcare and education—at the village level in China. The study finds that: first, although the degree of dispersion in village-level access remains substantial, regional differences have continued to narrow. Access has developed in a more coordinated manner within China's four major urban agglomerations, and access levels in formerly contiguous areas of extreme poverty have risen rapidly. Second, public services with smaller catchment areas and at lower administrative tiers are the main driving force behind improvements in access. Access to village clinics and primary schools constitutes the main component of the contribution to improved access to healthcare and education services, respectively. Third, growth in access stems mainly from the extensive margin, with the expansion of the coverage of public service supply playing an important role in that growth. These findings have important practical significance for understanding and improving access to basic public services and for solidly advancing the equalization of basic public services and common prosperity.

Abstract

基于高德地图基础数据库中公共服务空间站点分布时空大数据,文章构建了一套供需视角下居民公共服务使用机会概率的两步移动搜索测度模型,分析了中国村级医疗和教育两项基本公共服务的空间可及性的基本特征事实。研究表明:第一,虽然村级层面的可及性分化程度仍然较大,但是区域差异不断缩小。四大城市群内部可及性发展更为协调,原集中连片特困地区可及性水平快速提高。第二,受益范围较小、低层级的公共服务是可及性提升的主要驱动力量。卫生室和小学可及性分别是医疗和教育服务可及性提升贡献的主要构成。第三,可及性增长主要源于广延边际,公共服务供给覆盖面的扩张对于可及性增长发挥了重要作用。研究结论对于认识和提高基本公共服务可及性,扎实推动基本公共服务均等化和共同富裕具有重要的实践意义。
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