Accesibilidad y equidad espacial al transporte público para pacientes con enfermedad neurodegenerativa en Santiago de Cali, Colombia

Abstract

Los sistemas de transporte público suelen ser en ciertos casos el único medio disponible para que algunos grupos de población accedan a servicios que cubren sus necesidades básicas y esenciales. Sin embargo, los diseños de estos sistemas no garantizan una accesibilidad adecuada y funcional, en especial para la población con algún tipo de discapacidad, disminuyendo la calidad de vida de estos usuarios y convirtiéndose en un factor de exclusión social. En este contexto, empleando herramientas de análisis espacial se evaluó la equidad espacial de las condiciones de acceso al sistema de transporte público para la población con enfermedad neurodegenerativa en la ciudad de Santiago de Cali, Colombia. Se estimó la equidad espacial a través de un valor único empleando la curva de Lorenz y el coeficiente de Gini. Esta evaluación facilita el seguimiento a la provisión de servicios generando insumos para establecer estrategias de planificación y operación del sistema de transporte. Se encontró un considerable grado de desigualdad para la provisión de transporte público, debido a múltiples factores, como la disponibilidad de caminata de los pacientes y la proximidad entre la residencia del paciente a una parada y/o un corredor vial del sistema de transporte.

Social Inequality in Popular Neighborhoods: A Pre- and Post-Pandemic Perspective from Joint Accessibility

“…The study of the levels of public transportation provision in the four PN for the years 2015 and 2021 is congruent with the estimates by Jaramillo et al [24], Delmelle and Casas [22], and Wilches et al [32] in the context of Santiago de Cali and with Guzman et al [17] and Bocarejo and Oviedo [31] in the case of Bogotá in agreeing that the high provision of transportation in communes and neighborhoods is located proximally to trunk corridors of the SITM. An inadequate provision on the edges of hillside areas implies high costs associated with transportation services for the community residents, highlighting the importance of considering the social needs of transportation services in the development of local policies to allow reducing social exclusions.…”

“…Several studies have focused on evaluating the relationship between the location of essential services and the level of accessibility through the different transportation systems [8,17,22,24,[29][30][31][32][33], recognizing the close relationship between travel costs, inequality in access to opportunities, and the correlation between poverty and population needs. These factors coincide with Grindlay et al [34] about areas that present low values for the indicator of public transport provision and high values for the indicator of social needs in transportation.…”

Dynamic geographical accessibility assessments to improve health equity: protocol for a test case in Cali, Colombia

“…The study can challenge current thinking with data and disrupt traditional approaches to land use and health services planning that may perpetuate pervasive inequalities that could fuel social strife and corruption. 102 – 105 , 109 – 115…”

Dynamic Geographical Accessibility Assessments to Improve Health Equity: Protocol for a Test Case in Cali, Colombia (Evaluaciones Dinámicas De Accesibilidad Geográfica Para Mejorar La Equidad: Prueba En Cali, Colombia: Protocolo De Investigación)

“…Members of this group contributed to the validation of the AMORE Platform, and the preliminary findings of the AMORE Platform are consistent with those of the GITTV and other authors. [101][102][103][104][105][106] Harms, risks, and ethical considerations This observational study addresses the impact of mobility on health equity without researching human subjects and by integrating anonymized coded secondary data obtained from openly available records.…”

“…107 This was corroborated on July The study can challenge current thinking with data and disrupt traditional approaches to land use and health services planning that may perpetuate pervasive inequalities that could fuel social strife and corruption. [101][102][103][104][108][109][110][111][112][113][114] The ethical approach of this study follows the broader principles and considerations of public health ethics and health systems ethics; it generates population data valuable to address inequity and social injustice, is helpful for accountability and is relevant to intersectoral action. 115,116 The need for further guidance on these issues remains a challenge for cross-sectoral collaboration.…”