Sustainable Urban Healthcare Accessibility: Voronoi Screening and Travel-Time Coverage in Bangkok

Abstract

This study presents an integrated and reproducible framework for within-tier screening of potential healthcare accessibility in Bangkok. Facilities in three service tiers (primary 294 units, regular 75, referral 29) are analyzed using point-pattern diagnostics, Voronoi geometric partitions, population-weighted allocation from subdistrict controls, and cumulative network travel-time isochrones. Spatial diagnostics indicate clustering among primary care units, a near-random configuration for regular units, and modest dispersion for referral hospitals, summarized by observed-to-expected nearest-neighbor ratios of approximately 0.77, 1.05, and 1.19, respectively. Voronoi partitions translate these distributions into geometric units that enlarge with increasing inter-facility spacing, while population-weighted assignments reveal higher population-per-partition-area burdens in the outer east and southwest. Isochrone maps (5–60 min rings) show central corridors with short travel times and peripheral areas where potential access declines. Interpreted against statutory planning intent, the maps indicate broad consistency of siting with high-intensity zones, alongside residual gaps at residential fringes. Framed as repeatable indicators of access and coverage, the workflow contributes to measuring and monitoring urban health sustainability under universal health coverage and routine planning cycles. The framework yields transparent indicators that support monitoring, priority setting, and incremental adjustments within each tier. Limitations include planar proximity assumptions, uniform areal weighting, single-mode modeled travel times without temporal variation, and the absence of capacity measures, motivating future work on capacity-weighted partitions, minimal dasymetric refinements, and time-dependent multimodal scenarios.