How Did the Fever Visit Management Policy During the COVID-19 Epidemic Impact Fever Medical Care Accessibility?

Fever visit management (FVM) played a critical role in reducing the risk of local outbreaks caused by positive cases during the coronavirus disease 2019 (COVID-19) pandemic under the dynamic zero-COVID-19 policy. Fever clinics were established to satisfy the healthcare needs of citizens with fever symptoms, including those with and without COVID-19. Learning how FVM affects fever medical care accessibility for citizens in different places can support decision making in establishing fever clinics more equitably. However, the dynamic nature of the population at different times has rarely been considered in evaluating healthcare facility accessibility. To fill this gap, we adjusted the Gaussian-based two-step floating catchment area method (G2SFCA) by considering the hourly dynamics of the population distribution derived from mobile phone location data. The results generated from Xining city, China, showed that (1) the accessibility of fever clinics explicitly exhibited spatial distribution patterns, being high in the center and low in surrounding areas; (2) the accessibility reduction in suburban areas caused by FVM was approximately 2.8 times greater than that in the central city for the 15 min drive conditions; and (3) the accessibility of fever clinics based on the nighttime anchor point was overestimated in central areas, but underestimated in suburban areas.