Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

Hu, Ruishan; Dong, Suocheng; Zhao, Yinjun; Hu, Hao; Li, Zehong

doi:10.1186/1475-9276-12-35

Cited by 82 publications

(69 citation statements)

References 25 publications

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“…This unequal distribution of resources between the centre and outlying areas is similar to Ruishan's study in rural China (18).…”

Section: Discussionsupporting

confidence: 83%

“…Mapping existing health services along with the road networks is used to identify and facilitate patient travel (4). Nowadays, GIS analysis is increasingly applied in health-related fields (13)(14)(15) and has turned into a valuable tool to ensure that vulnerable and underprivileged populations have accessibility to hospitals (16)(17)(18)(19), palliative care centres (20) and primary health-care services (21)(22)(23). Using GIS techniques offers great promise for improving the distribution of health resources, identifying service gaps and allowing policy-makers to better assess potential risk factors and prevent disease especially with regard to at-risk age and sex groups (3).…”

Section: Introductionmentioning

confidence: 99%

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Spatial accessibility of the population to urban health centres in Kermanshah, Islamic Republic of Iran: a geographic information systems analysis

Reshadat

Saedi

Zangeneh

et al. 2015

Easter Mediterr Health J

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Geographic information systems (GIS) analysis has not been widely used in underdeveloped countries to ensure that vulnerable populations have accessibility to primary health-care services. This study applied GIS methods to analyse the spatial accessibility to urban primary-care centres of the population in Kermanshah city, Islamic Republic of Iran, by age and sex groups. In a descriptive-analytical study over 3 time periods, network analysis, mean centre and standard distance methods were applied using ArcGIS 9.3. The analysis was based on a standard radius of 750 m distance from health centres, walking speed of 1 m/s and desired access time to health centres of 12.5 mins. The proportion of the population with inadequate geographical access to health centres rose from 47.3% in 1997 to 58.4% in 2012. The mean centre and standard distance mapping showed that the spatial distribution of health centres in Kermanshah needed to be adjusted to changes in population distribution. 3. L'analyse reposait sur un rayon standard de 750 mètres de distance à partir des centres de soins, à une vitesse de marche d'un mètre par seconde et un temps d'accès souhaité aux centres de soins de santé de 12,5 minutes. La proportion de la population ayant un accès géographique inadéquat aux centres de soins a augmenté, passant de 47,3 % en 1997 à 58,4 % en 2012. La cartographie de la distance moyenne et standard jusqu'aux centres a révélé que la répartition spatiale des centres de soins de santé à Kermanshah devait être ajustée aux changements dans la répartition de la population. ‫اجلغرافية‬ ‫املعلومات‬ ‫لنظم‬

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“…This unequal distribution of resources between the centre and outlying areas is similar to Ruishan's study in rural China (18).…”

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Spatial accessibility of the population to urban health centres in Kermanshah, Islamic Republic of Iran: a geographic information systems analysis

Reshadat

Saedi

Zangeneh

et al. 2015

Easter Mediterr Health J

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“…A qualitative study conducted alongside this study showed that unavailability of HIV care centers in proximity to clients, lack of money to pay for transportation, food and accommodation, and food insecurity resulted in quitting ART and loss to follow up [80]. Across the continuum of care , health facilities differ, depending on the type, level and quality of care they offer [81], in addition to how far they are located relative to their clients[60, 61] and the waiting time for services. The clients perceive these factors discriminately, and make judgments about how the care should be, and to what extent the health facilities had met their expectations [33, 82].…”

Section: Discussionmentioning

confidence: 99%

Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia

Yakob

Ncama

2016

PLoS ONE

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BackgroundAccess to healthcare is an important public health concept and has been traditionally measured by using population level parameters, such as availability, distribution and proximity of the health facilities in relation to the population. However, client based factors such as their expectations, experiences and perceptions which impact their evaluations of health care access were not well studied and integrated into health policy frameworks and implementation programs.ObjectiveThis study aimed to investigate factors associated with perceived access to HIV/AIDS Treatment and care services in Wolaita Zone, Ethiopia.MethodsA cross-sectional survey was conducted on 492 people living with HIV, with 411 using ART and 81 using pre-ART services accessed at six public sector health facilities from November 2014 to March 2015. Data were analyzed using the ologit function of STATA. The variables explored consisted of socio-demographic and health characteristics, type of health facility, type of care, distance, waiting time, healthcare responsiveness, transportation convenience, satisfaction with service, quality of care, financial fairness, out of pocket expenses and HIV disclosure.ResultsOf the 492 participants, 294 (59.8%) were females and 198 (40.2%) were males, with a mean age of 38.8 years. 23.0% and 12.2% believed they had ‘good’ or ‘very good’ access respectively, and 64.8% indicated lower ratings. In the multivariate analysis, distance from the health facility, type of care, HIV clinical stage, out of pocket expenses, employment status, type of care, HIV disclosure and perceived transportation score were not associated with the perceived access (PA). With a unit increment in satisfaction, perceived quality of care, health system responsiveness, transportation convenience and perceived financial fairness scores, the odds of providing higher rating of PA increased by 29.0% (p<0.001), 6.0%(p<0.01), 100.0% (p<0.001), 9.0% (p<0.05) and 6.0% (p<0.05) respectively.ConclusionPerceived quality of care, health system responsiveness, perceived financial fairness, transportation convenience and satisfaction with services were correlates of perceived access and affected healthcare performance. Interventions targeted at improving access to HIV/AIDS treatment and care services should address these factors. Further studies may be needed to confirm the findings.

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“…Access is defined as the relative ease to reach a given location (6) based on two criteria: availability of services and access to services (7). In this regard, studies have indicated that distance and time are both seen as two crucial factors in access to healthcare services (8,9). To understand access to healthcare services and their appropriate spatial distribution are important for policymakers and stakeholders from two perspectives: changes in demand and supply, and cost minimization (10).…”

Section: Introductionmentioning

confidence: 99%

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

Reshadat¹,

Zangeneh²,

Saeidi³

et al. 2019

East Mediterr Health J

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Background: Nowadays, the significance of applying Geographic information system (GIS) to survey accessibility to hospitals and understanding disparities in this regard has increased. Aims: The main aim of this descriptive-analytical research was to study the spatial accessibility of the population of Kermanshah for 3 years 1997 (n=693157), 2007 (n=794863), and 2012 (n=851 405) to hospitals based on age and gender groups through GIS. Methods: The study was conducted based on network analysis models, mean centre, and standard distance in the environment of Arc/GIS. A standard radius of 1500 metres was set for the medical centres, and a 25-minute walking span was set for the distance of each person from home to the nearest hospital. Results: The results of the network analysis demonstrated that the hospitals were inaccessible to the populations according to our criteria, and their geographical access to hospitals measured 68.80%, 64.23% and 66.20% in 1997, 2007, and 2012, respectively. Women aged 65 years and above were more at risk in this regard. Conclusions: Over the total period under study, the results revealed that hospitals were concentrated in the central and southern areas of Kermanshah.

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Assessing potential spatial accessibility of health services in rural China: a case study of Donghai county

Cited by 82 publications

References 25 publications

Spatial accessibility of the population to urban health centres in Kermanshah, Islamic Republic of Iran: a geographic information systems analysis

Spatial accessibility of the population to urban health centres in Kermanshah, Islamic Republic of Iran: a geographic information systems analysis

Correlates of perceived access and implications for health system strengthening – lessons from HIV/AIDS treatment and care services in Ethiopia

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

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