Yan, J;
Fang, Z;
Chen, L;
Tang, J;
Lu, Q;
Lin, X;
(2024)
Rethinking the city resilience: COM-B model-based analysis of healthcare accessing behaviour changes affected by COVID-19.
Journal of Housing and the Built Environment
10.1007/s10901-024-10120-x.
(In press).
Preview |
Text
s10901-024-10120-x.pdf - Published Version Download (1MB) | Preview |
Abstract
The global pandemic of COVID-19 has been influencing people’s lives and the cities. Not only people’s physical and mental health have been threatened, but also the city operation has been profoundly affected from different perspectives (e.g., social and economic) permanently. How cities can efficiently react and response to improve city resilience is an urgent issue to be addressed. The healthcare system as a vital part of the city systems is confronting intense pressure and many challenges under this emergent public health crisis of COVID-19, which might cause huge impacts on the whole city’s operation. Also, human beings as the direct victims of this public health crisis, their behaviour changes impacts on the healthcare system and the city could have been inevitable but have been neglected. In this context, this paper intends to study the citizen healthcare accessing behaviours changes in the post-pandemic era, and to unearth their impacts on the healthcare system and the city operation. For this purpose, first, a framework of influential factors for healthcare accessing was established based on a bidirectional “capability, opportunity, motivation, and behaviour” (COM-B) model and the comprehensive literature review. In which, 43 factors that would influence citizen healthcare accessing behaviour were identified and classified. Thus, based on the proposed framework, two cases (i.e., UK and China) were analysed in depth and compared based on a questionnaire survey to evaluate the factor importance and relationships under different scenarios. And the most influential factors based on analysis results are classified into 12 aspects (e.g., healthcare capability, policy support, information updating etc.). Further, a novel behaviour-healthcare system-city model based on the COM-B model was developed to rethink and indicate the relationships among citizen behaviour, healthcare system and city operation. The research results can be used by policymakers and researchers to improve the city resilience by enabling immediate responses to city systems and citizens behaviours confronting city emergencies.
| Type: | Article |
|---|---|
| Title: | Rethinking the city resilience: COM-B model-based analysis of healthcare accessing behaviour changes affected by COVID-19 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s10901-024-10120-x |
| Publisher version: | http://dx.doi.org/10.1007/s10901-024-10120-x |
| Language: | English |
| Additional information: | Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Keywords: | COVID-19 Behaviour change, Healthcare accessing, Healthcare system, City resilience, Public health crisis, COM-B model |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10190082 |
Archive Staff Only
 |
View Item |
