UA Mini 3 Healthcare Equity Analysis

R Setup



1 Hospital POI data from Yelp

I imported hospital location data from the following link.

hospitals <- st_read("https://raw.githubusercontent.com/ujhwang/urban-analytics-2024/main/Assignment/mini_3/yelp_hospital.geojson") 
:)   Reading layer `yelp_hospital' from data source `https://raw.githubusercontent.com/ujhwang/urban-analytics-2024/main/Assignment/mini_3/yelp_hospital.geojson' using driver `GeoJSON'
:)   Simple feature collection with 129 features and 23 fields
:)   Geometry type: POINT
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.6 ymin: 33.6 xmax: -84.1 ymax: 34.1
:)   Geodetic CRS:  WGS 84
hospitals
:)   Simple feature collection with 129 features and 23 fields
:)   Geometry type: POINT
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.6 ymin: 33.6 xmax: -84.1 ymax: 34.1
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)                         id                                            alias                                     name                                                            image_url is_closed                                                                                                                                                                                                           url review_count categories rating transactions        phone  display_phone
:)   1 fiSgDb29cZO-MffxwrT_LA northside-alpharetta-medical-campus-alpharetta-2      Northside Alpharetta Medical Campus https://s3-media4.fl.yelpcdn.com/bphoto/8Pe7ZlobOywD_CakTalTdg/o.jpg     FALSE https://www.yelp.com/biz/northside-alpharetta-medical-campus-alpharetta-2?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            1  Hospitals      4              +17706674000 (770) 667-4000
:)   2 hWXJFx9zCVDmiO6eldgHBA                      regency-hospital-alpharetta                         Regency Hospital                                                                          FALSE                      https://www.yelp.com/biz/regency-hospital-alpharetta?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            0  Hospitals      0              +16786940553 (678) 694-0553
:)   3 kuE7B_HLP57KnSIgn-jzpw northside-alpharetta-preventive-medicine-atlanta Northside Alpharetta Preventive Medicine                                                                          FALSE https://www.yelp.com/biz/northside-alpharetta-preventive-medicine-atlanta?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            0  Hospitals      0              +17706674155 (770) 667-4155
:)     distance coordinates.latitude coordinates.longitude          location.address1 location.address2 location.address3 location.city location.zip_code location.country location.state                         location.display_address           geometry
:)   1     1497                 34.1                 -84.3 3400 A & C Old Milton Pkwy                                        Alpharetta             30004               US             GA 3400 A & C Old Milton Pkwy, Alpharetta, GA 30004 POINT (-84.3 34.1)
:)   2     2126                 34.1                 -84.3            11175 Cicero Dr           Ste 300              <NA>    Alpharetta             30022               US             GA   11175 Cicero Dr, Ste 300, Alpharetta, GA 30022 POINT (-84.3 34.1)
:)   3     1497                 34.1                 -84.3     3400 A Old Milton Pkwy                                           Atlanta             30303               US             GA        3400 A Old Milton Pkwy, Atlanta, GA 30303 POINT (-84.3 34.1)
:)    [ reached 'max' / getOption("max.print") -- omitted 7 rows ]

There are 129 hospitals.

hospitals <- hospitals %>%
  st_transform(4326) %>%
  jsonlite::flatten()
hospitals
:)   Simple feature collection with 129 features and 23 fields
:)   Geometry type: POINT
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.6 ymin: 33.6 xmax: -84.1 ymax: 34.1
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)                         id                                            alias                                     name                                                            image_url is_closed                                                                                                                                                                                                           url review_count categories rating transactions        phone  display_phone
:)   1 fiSgDb29cZO-MffxwrT_LA northside-alpharetta-medical-campus-alpharetta-2      Northside Alpharetta Medical Campus https://s3-media4.fl.yelpcdn.com/bphoto/8Pe7ZlobOywD_CakTalTdg/o.jpg     FALSE https://www.yelp.com/biz/northside-alpharetta-medical-campus-alpharetta-2?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            1  Hospitals      4              +17706674000 (770) 667-4000
:)   2 hWXJFx9zCVDmiO6eldgHBA                      regency-hospital-alpharetta                         Regency Hospital                                                                          FALSE                      https://www.yelp.com/biz/regency-hospital-alpharetta?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            0  Hospitals      0              +16786940553 (678) 694-0553
:)   3 kuE7B_HLP57KnSIgn-jzpw northside-alpharetta-preventive-medicine-atlanta Northside Alpharetta Preventive Medicine                                                                          FALSE https://www.yelp.com/biz/northside-alpharetta-preventive-medicine-atlanta?adjust_creative=kfv-AqbqsBxwk_npQxknWQ&utm_campaign=yelp_api_v3&utm_medium=api_v3_business_search&utm_source=kfv-AqbqsBxwk_npQxknWQ            0  Hospitals      0              +17706674155 (770) 667-4155
:)     distance coordinates.latitude coordinates.longitude          location.address1 location.address2 location.address3 location.city location.zip_code location.country location.state                         location.display_address           geometry
:)   1     1497                 34.1                 -84.3 3400 A & C Old Milton Pkwy                                        Alpharetta             30004               US             GA 3400 A & C Old Milton Pkwy, Alpharetta, GA 30004 POINT (-84.3 34.1)
:)   2     2126                 34.1                 -84.3            11175 Cicero Dr           Ste 300              <NA>    Alpharetta             30022               US             GA   11175 Cicero Dr, Ste 300, Alpharetta, GA 30022 POINT (-84.3 34.1)
:)   3     1497                 34.1                 -84.3     3400 A Old Milton Pkwy                                           Atlanta             30303               US             GA        3400 A Old Milton Pkwy, Atlanta, GA 30303 POINT (-84.3 34.1)
:)    [ reached 'max' / getOption("max.print") -- omitted 7 rows ]

No duplicates in the dataset.

print(sum(duplicated(hospitals$id)))
:)   [1] 0

Check for missing values. Missing values in the columns location.address1-3 won’t be a big issue because we have location.display_address.

colSums(is.na(hospitals))
:)                         id                    alias                     name                image_url                is_closed                      url             review_count               categories                   rating             transactions                    phone            display_phone                 distance     coordinates.latitude    coordinates.longitude        location.address1        location.address2        location.address3            location.city 
:)                          0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        0                        2                       13                       23                        0 
:)          location.zip_code         location.country           location.state location.display_address                 geometry 
:)                          0                        0                        0                        0                        0

I scanned through the categories column. While the categories vary in their names, most of them refer to healthcare service facilities.

hospitals %>% 
  st_drop_geometry() %>%
  count(categories) %>%
  arrange(desc(n))
:)                                                          categories  n
:)   1                                                       Hospitals 98
:)   2                                              Doctors, Hospitals  9
:)   3                                                 Emergency Rooms  2
:)   4                                      Family Practice, Hospitals  2
:)   5                                      Hospitals, Medical Centers  2
:)   6                                    Anesthesiologists, Hospitals  1
:)   7                                        Cardiologists, Hospitals  1
:)   8                                                 Gyms, Hospitals  1
:)   9                                      Hospitals, Emergency Rooms  1
:)   10                                       Hospitals, Pediatricians  1
:)   11                      Hospitals, Pediatricians, Emergency Rooms  1
:)   12                      Hospitals, Pediatricians, Medical Centers  1
:)   13 Hospitals, Rehabilitation Center, Community Service/Non-Profit  1
:)   14                                            Hospitals, Surgeons  1
:)   15                                Hospitals, Surgeons, Oncologist  1
:)   16                  Medical Centers, Internal Medicine, Hospitals  1
:)   17        Obstetricians & Gynecologists, Cardiologists, Hospitals  1
:)   18              Occupational Therapy, Hospitals, Physical Therapy  1
:)   19                                        Orthopedists, Hospitals  1
:)   20                                    Physical Therapy, Hospitals  1
:)   21                    Web Design, Software Development, Hospitals  1

There are some duplicates having the exact same address and phone number. I guess there are some medical facilities operated as one large medical complex (or a group of physicians in a clinic) but counted and registered in API for more than once. I will delete these duplicates.

print(sum(duplicated(hospitals$location.display_address)))
:)   [1] 36
print(sum(duplicated(hospitals$display_phone)))
:)   [1] 22
print(sum(duplicated(hospitals$phone)))
:)   [1] 22

Now we have 122 hospitals, each of which having distinct address and phone number.

hospitals %>%
  group_by(location.display_address, display_phone, phone) %>%
  relocate(name, location.display_address, display_phone, categories, coordinates.latitude, coordinates.longitude) 
:)   # A tibble: 129 × 24
:)   # Groups:   location.display_address, display_phone, phone [122]
:)      name                                     location.display_address                         display_phone    categories                                                     coordinates.latitude coordinates.longitude id                     alias                   image_url is_closed url   review_count rating transactions phone distance location.address1 location.address2 location.address3 location.city location.zip_code location.country location.state     geometry
:)      <chr>                                    <chr>                                            <chr>            <chr>                                                                         <dbl>                 <dbl> <chr>                  <chr>                   <chr>     <lgl>     <chr>        <int>  <dbl> <chr>        <chr>    <dbl> <chr>             <chr>             <chr>             <chr>         <chr>             <chr>            <chr>           <POINT [°]>
:)    1 Northside Alpharetta Medical Campus      3400 A & C Old Milton Pkwy, Alpharetta, GA 30004 "(770) 667-4000" Hospitals                                                                      34.1                 -84.3 fiSgDb29cZO-MffxwrT_LA northside-alpharetta-m… "https:/… FALSE     http…            1    4   ""           "+17…    1497. 3400 A & C Old M… ""                ""                Alpharetta    30004             US               GA             (-84.3 34.1)
:)    2 Regency Hospital                         11175 Cicero Dr, Ste 300, Alpharetta, GA 30022   "(678) 694-0553" Hospitals                                                                      34.1                 -84.3 hWXJFx9zCVDmiO6eldgHBA regency-hospital-alpha… ""        FALSE     http…            0    0   ""           "+16…    2126. 11175 Cicero Dr   "Ste 300"         <NA>              Alpharetta    30022             US               GA             (-84.3 34.1)
:)    3 Northside Alpharetta Preventive Medicine 3400 A Old Milton Pkwy, Atlanta, GA 30303        "(770) 667-4155" Hospitals                                                                      34.1                 -84.3 kuE7B_HLP57KnSIgn-jzpw northside-alpharetta-p… ""        FALSE     http…            0    0   ""           "+17…    1497. 3400 A Old Milto… ""                ""                Atlanta       30303             US               GA             (-84.3 34.1)
:)    4 Health Direct                            2550 Northwinds Pkwy, Alpharetta, GA 30004       "(770) 870-2500" Hospitals                                                                      34.1                 -84.3 0B80Az6DXX8ZLXZXhU1bCQ health-direct-alpharet… ""        FALSE     http…            0    0   ""           "+17…    2460. 2550 Northwinds … ""                ""                Alpharetta    30004             US               GA             (-84.3 34.1)
:)    5 Ultimatemedicalhousecall                 3495 Buckhead Lp NE, Atlanta, GA 30305           ""               Hospitals                                                                      33.8                 -84.4 EaD2lKlKh4NpeSD25_vrHw ultimatemedicalhouseca… ""        FALSE     http…            0    0   ""           ""        595. 3495 Buckhead Lp… ""                <NA>              Atlanta       30305             US               GA             (-84.4 33.8)
:)    6 Shepherd Center                          2020 Peachtree Rd NW, Atlanta, GA 30309          "(404) 352-2020" Hospitals, Rehabilitation Center, Community Service/Non-Profit                 33.8                 -84.4 O4DoAVRc6oTjUe9ufieTjA shepherd-center-atlanta "https:/… FALSE     http…           34    3.2 ""           "+14…     770. 2020 Peachtree R… ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)
:)    7 Mahan Thomas P MD                        1968 Peachtree Rd NW, Atlanta, GA 30309          "(404) 605-5000" Doctors, Hospitals                                                             33.8                 -84.4 RBdhggpKEymoXRBpMR6ebg mahan-thomas-p-md-atla… ""        FALSE     http…            0    0   ""           "+14…     553. 1968 Peachtree R… ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)
:)    8 Sacks Leonard L MD                       1968 Peachtree Rd NW, Atlanta, GA 30309          "(404) 605-5000" Doctors, Hospitals                                                             33.8                 -84.4 9vt27MZX76Rl7UJ6V0rIbg sacks-leonard-l-md-atl… ""        FALSE     http…            0    0   ""           "+14…     553. 1968 Peachtree R… ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)
:)    9 McDuffie Frederic MD                     2001 Peachtree Rd NE, Atlanta, GA 30309          "(404) 351-9238" Doctors, Hospitals                                                             33.8                 -84.4 SAcgoiJwKMPpCkqU9tKOrg mcduffie-frederic-md-a… ""        FALSE     http…            0    0   ""           "+14…     689. 2001 Peachtree R… ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)
:)   10 Arthritis Center Piedmont Hospital       2001 Peachtree Rd NE, Atlanta, GA 30309          "(404) 351-9238" Hospitals                                                                      33.8                 -84.4 JabEhtmBlRJhhLfWmRZnhA arthritis-center-piedm… ""        FALSE     http…            0    0   ""           "+14…     689. 2001 Peachtree R… ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)
:)   # ℹ 119 more rows
hospitals %>%
  group_by(location.display_address, display_phone, phone) %>%
  relocate(name, location.display_address, display_phone, categories, coordinates.latitude, coordinates.longitude) %>%
  mutate(n = n()) %>%
  filter(n > 1)
:)   # A tibble: 14 × 25
:)   # Groups:   location.display_address, display_phone, phone [7]
:)      name                                             location.display_address                     display_phone  categories         coordinates.latitude coordinates.longitude id                     alias                                                  image_url      is_closed url   review_count rating transactions phone distance location.address1 location.address2 location.address3 location.city location.zip_code location.country location.state     geometry     n
:)      <chr>                                            <chr>                                        <chr>          <chr>                             <dbl>                 <dbl> <chr>                  <chr>                                                  <chr>          <lgl>     <chr>        <int>  <dbl> <chr>        <chr>    <dbl> <chr>             <chr>             <chr>             <chr>         <chr>             <chr>            <chr>           <POINT [°]> <int>
:)    1 Mahan Thomas P MD                                1968 Peachtree Rd NW, Atlanta, GA 30309      (404) 605-5000 Doctors, Hospitals                 33.8                 -84.4 RBdhggpKEymoXRBpMR6ebg mahan-thomas-p-md-atlanta                              ""             FALSE     http…            0    0   ""           +140…     553. "1968 Peachtree … ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)     2
:)    2 Sacks Leonard L MD                               1968 Peachtree Rd NW, Atlanta, GA 30309      (404) 605-5000 Doctors, Hospitals                 33.8                 -84.4 9vt27MZX76Rl7UJ6V0rIbg sacks-leonard-l-md-atlanta                             ""             FALSE     http…            0    0   ""           +140…     553. "1968 Peachtree … ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)     2
:)    3 McDuffie Frederic MD                             2001 Peachtree Rd NE, Atlanta, GA 30309      (404) 351-9238 Doctors, Hospitals                 33.8                 -84.4 SAcgoiJwKMPpCkqU9tKOrg mcduffie-frederic-md-atlanta                           ""             FALSE     http…            0    0   ""           +140…     689. "2001 Peachtree … ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)     2
:)    4 Arthritis Center Piedmont Hospital               2001 Peachtree Rd NE, Atlanta, GA 30309      (404) 351-9238 Hospitals                          33.8                 -84.4 JabEhtmBlRJhhLfWmRZnhA arthritis-center-piedmont-hospital-atlanta             ""             FALSE     http…            0    0   ""           +140…     689. "2001 Peachtree … ""                ""                Atlanta       30309             US               GA             (-84.4 33.8)     2
:)    5 Yancey ASA G MD Sr                               1247 Donald Lee Hollowell, Atlanta, GA 30318 (404) 616-2265 Doctors, Hospitals                 33.8                 -84.4 A42PNVAGYl9uwzrQi8yrjg yancey-asa-g-md-sr-atlanta                             ""             FALSE     http…            0    0   ""           +140…     817. "1247 Donald Lee… ""                ""                Atlanta       30318             US               GA             (-84.4 33.8)     2
:)    6 ASA G Yancey Sr MD Health Center                 1247 Donald Lee Hollowell, Atlanta, GA 30318 (404) 616-2265 Hospitals                          33.8                 -84.4 0oC8MShsFNKWIv8GqrjcqQ asa-g-yancey-sr-md-health-center-atlanta               ""             FALSE     http…            0    0   ""           +140…     817. "1247 Donald Lee… ""                ""                Atlanta       30318             US               GA             (-84.4 33.8)     2
:)    7 Select Specialty Hospital - Midtown Atlanta      705 Juniper St NE, Atlanta, GA 30308         (404) 873-2871 Hospitals                          33.8                 -84.4 vRYMnWuDvpWGFISEpEdnjw select-specialty-hospital-atlanta-2                    "https://s3-m… FALSE     http…            3    3.7 ""           +140…     206. "705 Juniper St … ""                <NA>              Atlanta       30308             US               GA             (-84.4 33.8)     2
:)    8 Gentiva Hospice                                  705 Juniper St NE, Atlanta, GA 30308         (404) 873-2871 Hospitals                          33.8                 -84.4 bCC26LoVA3zSXvTH2wJ0eQ gentiva-hospice-atlanta-4                              ""             FALSE     http…            4    2.3 ""           +140…     204. "705 Juniper St … ""                ""                Atlanta       30308             US               GA             (-84.4 33.8)     2
:)    9 Emory University Hospital Midtown                550 Peachtree St NE, Atlanta, GA 30308       (404) 686-4411 Hospitals                          33.8                 -84.4 JoKNGTkMeDNCZ3HdZmXhsA emory-university-hospital-midtown-atlanta-2            "https://s3-m… FALSE     http…          202    2.1 ""           +140…     345. "550 Peachtree S… ""                <NA>              Atlanta       30308             US               GA             (-84.4 33.8)     2
:)   10 Emory Rehabilitation Outpatient Center - Midtown 550 Peachtree St NE, Atlanta, GA 30308       (404) 686-4411 Hospitals                          33.8                 -84.4 HwPgTv71TG_iwa-SvuwSHw emory-rehabilitation-outpatient-center-midtown-atlanta ""             FALSE     http…            0    0   ""           +140…     350. "550 Peachtree S… ""                <NA>              Atlanta       30308             US               GA             (-84.4 33.8)     2
:)   11 The Children's Resource Line                     Atlanta, GA 30303                            (404) 250-5437 Hospitals                          33.8                 -84.4 TugEC9F0ZspdWcPordLGOA the-childrens-resource-line-atlanta                    ""             FALSE     http…            0    0   ""           +140…     316. ""                ""                ""                Atlanta       30303             US               GA             (-84.4 33.8)     2
:)   12 Pedline the Doctor Connection                    Atlanta, GA 30303                            (404) 250-5437 Hospitals                          33.8                 -84.4 0T-o0Bllv5SHIre_UAkz8g pedline-the-doctor-connection-atlanta                  ""             FALSE     http…            0    0   ""           +140…     316. ""                ""                ""                Atlanta       30303             US               GA             (-84.4 33.8)     2
:)   13 Grady Health System                              1595 Cleveland Ave, East Point, GA 30344     (404) 616-2886 Hospitals                          33.7                 -84.4 b6bAUS8jde0GSa8mcvrtDg grady-health-system-east-point                         "https://s3-m… FALSE     http…            1    4   ""           +140…    2121. "1595 Cleveland … ""                ""                East Point    30344             US               GA             (-84.4 33.7)     2
:)   14 Blumenthal Daniel S MD                           1595 Cleveland Ave, East Point, GA 30344     (404) 616-2886 Doctors, Hospitals                 33.7                 -84.4 u1LsjvDgBkiW4eY7DNYtvQ blumenthal-daniel-s-md-east-point                      ""             FALSE     http…            0    0   ""           +140…    2121. "1595 Cleveland … ""                ""                East Point    30344             US               GA             (-84.4 33.7)     2

The following dataset show hospitals with distinct addresses and phone numbers.

hospitals_distinct <- hospitals %>%
  group_by(location.display_address, display_phone, phone) %>%
  summarise(location.display_address = first(location.display_address), 
            display_phone = first(display_phone), 
            phone = first(phone), 
            categories = first(categories), 
            coordinates.latitude = first(coordinates.latitude), 
            coordinates.longitude = first(coordinates.longitude))
hospitals_distinct
:)   Simple feature collection with 122 features and 6 fields
:)   Geometry type: GEOMETRY
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.6 ymin: 33.6 xmax: -84.1 ymax: 34.1
:)   Geodetic CRS:  WGS 84
:)   # A tibble: 122 × 7
:)   # Groups:   location.display_address, display_phone [122]
:)      location.display_address                             display_phone    phone          categories                                coordinates.latitude coordinates.longitude     geometry
:)      <chr>                                                <chr>            <chr>          <chr>                                                    <dbl>                 <dbl>  <POINT [°]>
:)    1 1000 Johnson Ferry Rd NE, Atlanta, GA 30342          ""               ""             Hospitals                                                 33.9                 -84.4 (-84.4 33.9)
:)    2 1000 Johnson Ferry Rd NE, Atlanta, GA 30342          "(404) 845-5858" "+14048455858" Hospitals                                                 33.9                 -84.4 (-84.4 33.9)
:)    3 1000 Johnson Ferry Rd NE, Atlanta, GA 30342          "(404) 851-8000" "+14048518000" Hospitals                                                 33.9                 -84.4 (-84.4 33.9)
:)    4 1001 Johnson Ferry Rd NE, Atlanta, GA 30342          "(404) 785-5437" "+14047855437" Hospitals                                                 33.9                 -84.4 (-84.4 33.9)
:)    5 101 Ponce De Leon Ave NE, Atlanta, GA 30308          "(404) 325-9800" "+14043259800" Hospitals                                                 33.8                 -84.4 (-84.4 33.8)
:)    6 1015 Donald Lee Hollowell Pkwy NW, Atlanta, GA 30318 "(404) 888-9966" "+14048889966" Hospitals                                                 33.8                 -84.4 (-84.4 33.8)
:)    7 11175 Cicero Dr, Ste 300, Alpharetta, GA 30022       "(678) 694-0553" "+16786940553" Hospitals                                                 34.1                 -84.3 (-84.3 34.1)
:)    8 1140 Hammond Dr NE, Atlanta, GA 30328                "(404) 851-8830" "+14048518830" Hospitals                                                 33.9                 -84.3 (-84.3 33.9)
:)    9 1155 Hammond Dr NE, Ste B, Atlanta, GA 30328         "(770) 668-9622" "+17706689622" Hospitals                                                 33.9                 -84.3 (-84.3 33.9)
:)   10 11835 Alpharetta Hwy, Roswell, GA 30076              "(404) 785-8470" "+14047858470" Hospitals, Pediatricians, Medical Centers                 34.1                 -84.3 (-84.3 34.1)
:)   # ℹ 112 more rows

2 Socioeconomic variables from census API

https://api.census.gov/data.html I see a pattern in which the name column has multi-level categories.

vars <- tidycensus::load_variables(year = 2021, dataset = "acs5")
vars %>% head(20)
:)   # A tibble: 20 × 4
:)      name        label                                      concept                  geography
:)      <chr>       <chr>                                      <chr>                    <chr>    
:)    1 B01001A_001 Estimate!!Total:                           SEX BY AGE (WHITE ALONE) tract    
:)    2 B01001A_002 Estimate!!Total:!!Male:                    SEX BY AGE (WHITE ALONE) tract    
:)    3 B01001A_003 Estimate!!Total:!!Male:!!Under 5 years     SEX BY AGE (WHITE ALONE) tract    
:)    4 B01001A_004 Estimate!!Total:!!Male:!!5 to 9 years      SEX BY AGE (WHITE ALONE) tract    
:)    5 B01001A_005 Estimate!!Total:!!Male:!!10 to 14 years    SEX BY AGE (WHITE ALONE) tract    
:)    6 B01001A_006 Estimate!!Total:!!Male:!!15 to 17 years    SEX BY AGE (WHITE ALONE) tract    
:)    7 B01001A_007 Estimate!!Total:!!Male:!!18 and 19 years   SEX BY AGE (WHITE ALONE) tract    
:)    8 B01001A_008 Estimate!!Total:!!Male:!!20 to 24 years    SEX BY AGE (WHITE ALONE) tract    
:)    9 B01001A_009 Estimate!!Total:!!Male:!!25 to 29 years    SEX BY AGE (WHITE ALONE) tract    
:)   10 B01001A_010 Estimate!!Total:!!Male:!!30 to 34 years    SEX BY AGE (WHITE ALONE) tract    
:)   11 B01001A_011 Estimate!!Total:!!Male:!!35 to 44 years    SEX BY AGE (WHITE ALONE) tract    
:)   12 B01001A_012 Estimate!!Total:!!Male:!!45 to 54 years    SEX BY AGE (WHITE ALONE) tract    
:)   13 B01001A_013 Estimate!!Total:!!Male:!!55 to 64 years    SEX BY AGE (WHITE ALONE) tract    
:)   14 B01001A_014 Estimate!!Total:!!Male:!!65 to 74 years    SEX BY AGE (WHITE ALONE) tract    
:)   15 B01001A_015 Estimate!!Total:!!Male:!!75 to 84 years    SEX BY AGE (WHITE ALONE) tract    
:)   16 B01001A_016 Estimate!!Total:!!Male:!!85 years and over SEX BY AGE (WHITE ALONE) tract    
:)   17 B01001A_017 Estimate!!Total:!!Female:                  SEX BY AGE (WHITE ALONE) tract    
:)   18 B01001A_018 Estimate!!Total:!!Female:!!Under 5 years   SEX BY AGE (WHITE ALONE) tract    
:)   19 B01001A_019 Estimate!!Total:!!Female:!!5 to 9 years    SEX BY AGE (WHITE ALONE) tract    
:)   20 B01001A_020 Estimate!!Total:!!Female:!!10 to 14 years  SEX BY AGE (WHITE ALONE) tract
I referred to the NHGIS website to search most used variables in the ACS-5years dataset. Among the variables listed in the following table, I selected: * Median Household Income in the Past 12 Months B19013: I believe that household income reflects the overall economic resources people have. Since healthcare services cost a lot and people with high-incomes (or a good healthcare insurance sponsered by employers) can afford the services, it is important to examine whether the economic disparity in healthcare services is also associated with spatial disparities. It seems that median household income is more suitable that the per capita income because the latter is more subject to variability depending on the number of household members not working. * Educational Attainment B15003: Education attainment is an also widely used measure to see the overall socioeconomic level. * Race B02001: Race is an important aspect of social disparities especially in the American context. It also reflects residential segreation patterns among racial groups in American cities.
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The following is a set a variables that I want to use and retrieve from the census API.

vars <- vars %>%
  filter(str_detect(name, "B19013") | str_detect(name, "B15003") | str_detect(name, "B02001")) %>%
  mutate(name_1 = str_sub(name, 1, 6)) %>%
  relocate(name, name_1, label, concept)
vars
:)   # A tibble: 45 × 5
:)      name       name_1 label                                                                                              concept geography  
:)      <chr>      <chr>  <chr>                                                                                              <chr>   <chr>      
:)    1 B02001_001 B02001 Estimate!!Total:                                                                                   RACE    block group
:)    2 B02001_002 B02001 Estimate!!Total:!!White alone                                                                      RACE    block group
:)    3 B02001_003 B02001 Estimate!!Total:!!Black or African American alone                                                  RACE    block group
:)    4 B02001_004 B02001 Estimate!!Total:!!American Indian and Alaska Native alone                                          RACE    block group
:)    5 B02001_005 B02001 Estimate!!Total:!!Asian alone                                                                      RACE    block group
:)    6 B02001_006 B02001 Estimate!!Total:!!Native Hawaiian and Other Pacific Islander alone                                 RACE    block group
:)    7 B02001_007 B02001 Estimate!!Total:!!Some other race alone                                                            RACE    block group
:)    8 B02001_008 B02001 Estimate!!Total:!!Two or more races:                                                               RACE    block group
:)    9 B02001_009 B02001 Estimate!!Total:!!Two or more races:!!Two races including Some other race                          RACE    block group
:)   10 B02001_010 B02001 Estimate!!Total:!!Two or more races:!!Two races excluding Some other race, and three or more races RACE    block group
:)   # ℹ 35 more rows

Let’s take a look in detail by each category. We may only need the last one, without specifics on the household income for each racial group. B19013_001.

vars %>%
  filter(str_detect(name, "B19013"))
:)   # A tibble: 10 × 5
:)      name        name_1 label                                                                                        concept                                                                                                                                           geography  
:)      <chr>       <chr>  <chr>                                                                                        <chr>                                                                                                                                             <chr>      
:)    1 B19013A_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (WHITE ALONE HOUSEHOLDER)                                      tract      
:)    2 B19013B_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (BLACK OR AFRICAN AMERICAN ALONE HOUSEHOLDER)                  tract      
:)    3 B19013C_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (AMERICAN INDIAN AND ALASKA NATIVE ALONE HOUSEHOLDER)          tract      
:)    4 B19013D_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (ASIAN ALONE HOUSEHOLDER)                                      tract      
:)    5 B19013E_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE HOUSEHOLDER) county     
:)    6 B19013F_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (SOME OTHER RACE ALONE HOUSEHOLDER)                            tract      
:)    7 B19013G_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (TWO OR MORE RACES HOUSEHOLDER)                                tract      
:)    8 B19013H_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (WHITE ALONE, NOT HISPANIC OR LATINO HOUSEHOLDER)              tract      
:)    9 B19013I_001 B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS) (HISPANIC OR LATINO HOUSEHOLDER)                               tract      
:)   10 B19013_001  B19013 Estimate!!Median household income in the past 12 months (in 2021 inflation-adjusted dollars) MEDIAN HOUSEHOLD INCOME IN THE PAST 12 MONTHS (IN 2021 INFLATION-ADJUSTED DOLLARS)                                                                block group

We may need the total estimate and a few subcategories: * B15003_022 Bachelor’s degree
* B15003_023 Master’s degree * B15003_024 Professional school degree
* B15003_025 Doctorate to get the ratio of college graduates and etc. “B15003_001”, “B15003_022”, “B15003_023”, “B15003_024”, “B15003_025”

vars %>%
  filter(str_detect(name, "B15003")) 
:)   # A tibble: 25 × 5
:)      name       name_1 label                                    concept                                                     geography  
:)      <chr>      <chr>  <chr>                                    <chr>                                                       <chr>      
:)    1 B15003_001 B15003 Estimate!!Total:                         EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    2 B15003_002 B15003 Estimate!!Total:!!No schooling completed EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    3 B15003_003 B15003 Estimate!!Total:!!Nursery school         EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    4 B15003_004 B15003 Estimate!!Total:!!Kindergarten           EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    5 B15003_005 B15003 Estimate!!Total:!!1st grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    6 B15003_006 B15003 Estimate!!Total:!!2nd grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    7 B15003_007 B15003 Estimate!!Total:!!3rd grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    8 B15003_008 B15003 Estimate!!Total:!!4th grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)    9 B15003_009 B15003 Estimate!!Total:!!5th grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)   10 B15003_010 B15003 Estimate!!Total:!!6th grade              EDUCATIONAL ATTAINMENT FOR THE POPULATION 25 YEARS AND OVER block group
:)   # ℹ 15 more rows

We may need the total estimate (B02001_001) and a few subcategories: * B02001_003 Black or African American (B02001_003) to get the ratio of Black or African American residents.

vars %>%
  filter(str_detect(name, "B02001"))
:)   # A tibble: 10 × 5
:)      name       name_1 label                                                                                              concept geography  
:)      <chr>      <chr>  <chr>                                                                                              <chr>   <chr>      
:)    1 B02001_001 B02001 Estimate!!Total:                                                                                   RACE    block group
:)    2 B02001_002 B02001 Estimate!!Total:!!White alone                                                                      RACE    block group
:)    3 B02001_003 B02001 Estimate!!Total:!!Black or African American alone                                                  RACE    block group
:)    4 B02001_004 B02001 Estimate!!Total:!!American Indian and Alaska Native alone                                          RACE    block group
:)    5 B02001_005 B02001 Estimate!!Total:!!Asian alone                                                                      RACE    block group
:)    6 B02001_006 B02001 Estimate!!Total:!!Native Hawaiian and Other Pacific Islander alone                                 RACE    block group
:)    7 B02001_007 B02001 Estimate!!Total:!!Some other race alone                                                            RACE    block group
:)    8 B02001_008 B02001 Estimate!!Total:!!Two or more races:                                                               RACE    block group
:)    9 B02001_009 B02001 Estimate!!Total:!!Two or more races:!!Two races including Some other race                          RACE    block group
:)   10 B02001_010 B02001 Estimate!!Total:!!Two or more races:!!Two races excluding Some other race, and three or more races RACE    block group
tracts <- tidycensus::get_acs(geography = "tract", # or "block group", "county", "state" etc. 
          state = "GA",
          county = c("Fulton", "DeKalb"),
          variables = c("B19013_001", # median hh income
                        "B15003_001", "B15003_022", "B15003_023", "B15003_024", "B15003_025", # educational attainment
                        "B02001_001", "B02001_003"), # race
          year = 2021,
          survey = "acs5", 
          geometry = TRUE, 
          output = "wide") %>%
          st_transform(4326)
:)     |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |   0%  |                                   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tracts
:)   Simple feature collection with 530 features and 18 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)           GEOID                                        NAME B19013_001E B19013_001M B15003_001E B15003_001M B15003_022E B15003_022M B15003_023E B15003_023M B15003_024E B15003_024M B15003_025E B15003_025M B02001_001E B02001_001M B02001_003E B02001_003M                       geometry
:)   1 13089023218 Census Tract 232.18, DeKalb County, Georgia       36159       10272        1691         430         228         135          42          52           4          14           0          14        3071         668        2761         521 MULTIPOLYGON (((-84.2 33.7,...
:)   2 13121005700     Census Tract 57, Fulton County, Georgia       35607        6801         927         237         110          71         143         140           0          14           0          14        1335         295        1291         303 MULTIPOLYGON (((-84.4 33.7,...
:)   3 13121011618 Census Tract 116.18, Fulton County, Georgia      137500       58605        3411         552        1753         513         856         226          51          39          21          24        5004        1015         855         393 MULTIPOLYGON (((-84.3 34.1,...
:)    [ reached 'max' / getOption("max.print") -- omitted 7 rows ]

I will only use the estimates not margins of errors for simplicity.

tracts <- tracts %>%
  dplyr::select(!dplyr::ends_with("M")) %>%
  rename(med_hh_income =  B19013_001E,
        edu_total = B15003_001E,
        bachelor = B15003_022E,
        master = B15003_023E,
        professional = B15003_024E,
        doctorate = B15003_025E,
        race_total = B02001_001E,
        race_black = B02001_003E) 
tracts
:)   Simple feature collection with 530 features and 10 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)           GEOID                                        NAME med_hh_income edu_total bachelor master professional doctorate race_total race_black                       geometry
:)   1 13089023218 Census Tract 232.18, DeKalb County, Georgia         36159      1691      228     42            4         0       3071       2761 MULTIPOLYGON (((-84.2 33.7,...
:)   2 13121005700     Census Tract 57, Fulton County, Georgia         35607       927      110    143            0         0       1335       1291 MULTIPOLYGON (((-84.4 33.7,...
:)   3 13121011618 Census Tract 116.18, Fulton County, Georgia        137500      3411     1753    856           51        21       5004        855 MULTIPOLYGON (((-84.3 34.1,...
:)   4 13121010006 Census Tract 100.06, Fulton County, Georgia         83803      2991     1106    749          500        52       3622        596 MULTIPOLYGON (((-84.4 33.9,...
:)   5 13089022012 Census Tract 220.12, DeKalb County, Georgia         30061      1821       38      0           15         0       3404        927 MULTIPOLYGON (((-84.2 33.8,...
:)   6 13089023323 Census Tract 233.23, DeKalb County, Georgia         70160      2966      833    230           38        63       3875       3490 MULTIPOLYGON (((-84.1 33.8,...
:)    [ reached 'max' / getOption("max.print") -- omitted 4 rows ]
tracts <- tracts %>%
  dplyr::select(!dplyr::ends_with("M")) %>%
  mutate(med_hh_income = med_hh_income,
         edu_college_ratio = (bachelor+master+professional+doctorate)/edu_total,
         race_black_ratio = race_black/race_total) %>%
  relocate(GEOID, NAME, med_hh_income, edu_college_ratio, race_black_ratio)
tracts
:)   Simple feature collection with 530 features and 12 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)           GEOID                                        NAME med_hh_income edu_college_ratio race_black_ratio edu_total bachelor master professional doctorate race_total race_black                       geometry
:)   1 13089023218 Census Tract 232.18, DeKalb County, Georgia         36159            0.1620            0.899      1691      228     42            4         0       3071       2761 MULTIPOLYGON (((-84.2 33.7,...
:)   2 13121005700     Census Tract 57, Fulton County, Georgia         35607            0.2729            0.967       927      110    143            0         0       1335       1291 MULTIPOLYGON (((-84.4 33.7,...
:)   3 13121011618 Census Tract 116.18, Fulton County, Georgia        137500            0.7860            0.171      3411     1753    856           51        21       5004        855 MULTIPOLYGON (((-84.3 34.1,...
:)   4 13121010006 Census Tract 100.06, Fulton County, Georgia         83803            0.8047            0.165      2991     1106    749          500        52       3622        596 MULTIPOLYGON (((-84.4 33.9,...
:)   5 13089022012 Census Tract 220.12, DeKalb County, Georgia         30061            0.0291            0.272      1821       38      0           15         0       3404        927 MULTIPOLYGON (((-84.2 33.8,...
:)    [ reached 'max' / getOption("max.print") -- omitted 5 rows ]
tracts <- tracts %>%
  mutate(county = str_split_i(NAME, ", ", 2)) %>%
  mutate(county = str_split_i(county, " ", 1)) %>%
  relocate(GEOID, county, NAME)
tracts
:)   Simple feature collection with 530 features and 13 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)           GEOID county                                        NAME med_hh_income edu_college_ratio race_black_ratio edu_total bachelor master professional doctorate race_total race_black                       geometry
:)   1 13089023218 DeKalb Census Tract 232.18, DeKalb County, Georgia         36159            0.1620            0.899      1691      228     42            4         0       3071       2761 MULTIPOLYGON (((-84.2 33.7,...
:)   2 13121005700 Fulton     Census Tract 57, Fulton County, Georgia         35607            0.2729            0.967       927      110    143            0         0       1335       1291 MULTIPOLYGON (((-84.4 33.7,...
:)   3 13121011618 Fulton Census Tract 116.18, Fulton County, Georgia        137500            0.7860            0.171      3411     1753    856           51        21       5004        855 MULTIPOLYGON (((-84.3 34.1,...
:)   4 13121010006 Fulton Census Tract 100.06, Fulton County, Georgia         83803            0.8047            0.165      2991     1106    749          500        52       3622        596 MULTIPOLYGON (((-84.4 33.9,...
:)   5 13089022012 DeKalb Census Tract 220.12, DeKalb County, Georgia         30061            0.0291            0.272      1821       38      0           15         0       3404        927 MULTIPOLYGON (((-84.2 33.8,...
:)    [ reached 'max' / getOption("max.print") -- omitted 5 rows ]
counties <- tidycensus::get_acs(geography = "county", # or "block group", "county", "state" etc. 
          state = "GA",
          county = c("Fulton", "DeKalb"),
          variables = c("B19013_001"), # race
          year = 2021,
          survey = "acs5", 
          geometry = TRUE, 
          output = "wide") %>%
          st_transform(4326)
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counties
:)   Simple feature collection with 2 features and 4 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)     GEOID                   NAME B19013_001E B19013_001M                       geometry
:)   1 13089 DeKalb County, Georgia       69423        1227 MULTIPOLYGON (((-84.3 33.7,...
:)   2 13121 Fulton County, Georgia       77635        1126 MULTIPOLYGON (((-84.8 33.5,...

The following maps show the spatial distribution of socioconomic attributes.



3 Integrate hospital locations data and ACS data

tm_shape(tracts) + 
  tm_polygons(col = "med_hh_income", border.col = "grey50", alpha = 1, title = "med_hh_income") +
  tm_shape(counties) + 
    tm_borders(alpha = 1, col = "grey30") +
  tm_shape(hospitals_distinct) +
    tm_dots(size = 0.05, col = "red") +
  tm_layout(
      frame = F,
      legend.title.size = 3, legend.text.size = 2, legend.position = c("right","bottom"), legend.bg.color = "white", legend.bg.alpha = 0) +
  tm_compass(type = "4star", size = 3, position = c("left", "top")) +
  tm_scale_bar(size = 1, position = c("left", "top"))

I will use the distance to the nearest hospital rather than the number of buffers within a certain radius, because there are census tracts very far away from any hospital on the map. There would be a lot of zero-values in that case. The distance to the nearest hospital would be a more suitable metric to attain consistent measurements.

tracts_cent <- tracts %>%
  st_centroid() %>%
  st_transform(4326)
tracts_cent
:)   Simple feature collection with 530 features and 13 fields
:)   Geometry type: POINT
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.7 ymin: 33.5 xmax: -84.1 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)           GEOID county                                        NAME med_hh_income edu_college_ratio race_black_ratio edu_total bachelor master professional doctorate race_total race_black           geometry
:)   1 13089023218 DeKalb Census Tract 232.18, DeKalb County, Georgia         36159            0.1620            0.899      1691      228     42            4         0       3071       2761 POINT (-84.2 33.8)
:)   2 13121005700 Fulton     Census Tract 57, Fulton County, Georgia         35607            0.2729            0.967       927      110    143            0         0       1335       1291 POINT (-84.4 33.7)
:)   3 13121011618 Fulton Census Tract 116.18, Fulton County, Georgia        137500            0.7860            0.171      3411     1753    856           51        21       5004        855 POINT (-84.3 34.1)
:)   4 13121010006 Fulton Census Tract 100.06, Fulton County, Georgia         83803            0.8047            0.165      2991     1106    749          500        52       3622        596 POINT (-84.4 33.9)
:)   5 13089022012 DeKalb Census Tract 220.12, DeKalb County, Georgia         30061            0.0291            0.272      1821       38      0           15         0       3404        927 POINT (-84.2 33.8)
:)    [ reached 'max' / getOption("max.print") -- omitted 5 rows ]

The geographical distance between each tract centroid and each hospital can be measure as below using st_distance.

st_distance(tracts_cent[1,], hospitals_distinct[1, ]) * 0.000621371   # 1meter = 0.000621371 mile 
:)   Units: [m]
:)        [,1]
:)   [1,] 14.1

To measure all pairs, I initially tried to use purrr::map, but it ran into a problem of failing to identify the crs of each object. I guess the geometrical attributes of each census tract get lost over the course.

#dist_func <- function(x){
#  dists <- map_dbl(x, function(x) st_distance(x, hospitals_distinct$geometry))
#  dist <- min(dists)
#  return(dist)
#}
#
#purrr::map(tracts_cent$geometry, function(x) st_distance(x, hospitals_distinct$geometry))

I just go by using apply.

dist_near_hosp <- sapply(1:nrow(tracts_cent),
       function(i){
         min(
           st_distance(
             tracts_cent$geometry[i],
             hospitals_distinct$geometry)) * 0.000621371   # 1meter = 0.000621371 mile
       })
dist_near_hosp
:)    [1] 3.425 1.336 0.980 0.341 1.781 2.992 3.509 2.784 0.355 2.452 0.857 0.934 0.633 0.769 3.145 0.422 4.146 0.669 0.513 0.998 5.232 3.398 0.735 0.483 3.559 1.808 0.968 1.399 0.292 1.933 1.391 2.005 1.457 0.784 1.322 2.296 0.588 0.961 0.447 4.160 1.876 1.364 1.181 2.470 1.501 1.766 2.967 0.915 0.840 1.286 1.546 0.261 0.510 0.679 1.041 3.500 2.042 0.247 1.366 4.512 1.310 0.956 0.981 1.499 0.489 1.056 0.667 2.675 2.503 2.341 1.513 2.189 1.718 2.341 1.226
:)    [ reached getOption("max.print") -- omitted 455 entries ]

Attach the nearest distance to hospitals calculated above to the census tract sf.

print(length(tracts$GEOID))
:)   [1] 530
print(length(dist_near_hosp))
:)   [1] 530
tracts$dist_near_hosp <- dist_near_hosp
tracts <- tracts %>%
  relocate(NAME, dist_near_hosp, med_hh_income, edu_college_ratio, race_black_ratio)
tracts
:)   Simple feature collection with 530 features and 14 fields
:)   Geometry type: MULTIPOLYGON
:)   Dimension:     XY
:)   Bounding box:  xmin: -84.9 ymin: 33.5 xmax: -84 ymax: 34.2
:)   Geodetic CRS:  WGS 84
:)   First 10 features:
:)                                            NAME dist_near_hosp med_hh_income edu_college_ratio race_black_ratio       GEOID county edu_total bachelor master professional doctorate race_total race_black                       geometry
:)   1 Census Tract 232.18, DeKalb County, Georgia          3.425         36159            0.1620            0.899 13089023218 DeKalb      1691      228     42            4         0       3071       2761 MULTIPOLYGON (((-84.2 33.7,...
:)   2     Census Tract 57, Fulton County, Georgia          1.336         35607            0.2729            0.967 13121005700 Fulton       927      110    143            0         0       1335       1291 MULTIPOLYGON (((-84.4 33.7,...
:)   3 Census Tract 116.18, Fulton County, Georgia          0.980        137500            0.7860            0.171 13121011618 Fulton      3411     1753    856           51        21       5004        855 MULTIPOLYGON (((-84.3 34.1,...
:)   4 Census Tract 100.06, Fulton County, Georgia          0.341         83803            0.8047            0.165 13121010006 Fulton      2991     1106    749          500        52       3622        596 MULTIPOLYGON (((-84.4 33.9,...
:)   5 Census Tract 220.12, DeKalb County, Georgia          1.781         30061            0.0291            0.272 13089022012 DeKalb      1821       38      0           15         0       3404        927 MULTIPOLYGON (((-84.2 33.8,...
:)    [ reached 'max' / getOption("max.print") -- omitted 5 rows ]

The average of the distance to the nearest hospital is about 1.9 miles.

mean(tracts$dist_near_hosp)
:)   [1] 1.91

4 Equity analysis

I analyzed the correlation between each socioeconomic variable and the distance to the nearest hospital as below. I found (1) the negative correlation between the education attainment level and the nearest distance to hospital and (2) the positive correlation bewteen between the ratio of Black population and the nearest distance to hospital with a 1 percent level of significance (p<0.01). These two findings indicate that people living with neighborhoods with a lower average education level and a larger share of the black population have to travel farther to access hospitals from their residences.

The following maps also provide evidence that hospitals in the counties are mostly located in census tracts with higher education levels and lower ratios of black population. It is worth noting that there is no significant correlation between income level and hospital accessibility. I suspect that this pattern may partly result from high-income households living in suburbs with a relatively lower density of facilities including hospitals.

In conclusion, the accessibility to hospitals in the two counties in the Atlanta metropolitan area significantly varies across educational attainment levels and racial groups. People with lower education levels and black color have to on average travel farther distances to reach hospitals. Integrating both correlation analyses and map visualizations, I want to note that the stark residential segregation between whites and blacks in Atlanta, having been divided between the southern and northern parts of the city for decades, contributes to the disparities in healthcare accessibility until today.