Innovative Spatial Equity Assessment in Healthcare Services: Integrating Travel Behaviors with Supply–Demand Coupling

Spatial equity of healthcare services is a critical concern in social equity and spatial justice research. Despite the availability of various methods to measure this equity, few studies have integrated the supply–demand coupling perspective with the analysis of impacts of residents’ travel behaviors’ on equity. This study develops and applies a Travel Behavior-based Coupling Coordination Degree (TB-CCD) method to assess the spatial equity of healthcare services in the Xi’an region. The results show the following: (1) Traditional single-mode models may fail to accurately assess this equity, whereas the TB-CCD model provides a more realistic evaluation. (2) Public transportation and driving provide a more equitable distribution of healthcare services compared to walking and cycling modes. The spatial equity of healthcare services exhibits a distinct core–periphery pattern, where accessibility and equity levels are significantly higher in city centers than in suburban areas. (3) The distribution of inequity ‘deserts’ and ‘oases’ in healthcare services is found to be travel-mode dependent, with the walking and public transportation modes exhibiting the highest incidence of these classifications. These findings provide valuable insights for urban planners and policymakers to formulate strategies and spatial plans aimed at enhancing equity in healthcare services.