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Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania

Author

Listed:
  • Liliana Dumitrache

    (Faculty of Geography, University of Bucharest, 1. Blv. Nicolae Bălcescu, 010041 Bucharest, Romania)

  • Mariana Nae

    (Faculty of Geography, University of Bucharest, 1. Blv. Nicolae Bălcescu, 010041 Bucharest, Romania)

  • Gabriel Simion

    (Faculty of Geography, University of Bucharest, 1. Blv. Nicolae Bălcescu, 010041 Bucharest, Romania)

  • Ana-Maria Taloș

    (Faculty of Geography, University of Bucharest, 1. Blv. Nicolae Bălcescu, 010041 Bucharest, Romania)

Abstract

The geographical accessibility to hospitals relies on the configuration of the hospital network, spatial impedance and population distribution. This paper explores the potential geographic accessibility of the population to public hospitals in Romania by using the Distance Application Program Interface (API) Matrix service from Google Maps and open data sources. Based on real-time traffic navigation data, we examined the potential accessibility of hospitals through a weighted model that took into account the hospital competency level and travel time while using personal car transportation mode. Two scenarios were generated that depend on hospitals’ level of competency (I–V). When considering all categories of hospitals, access is relatively good with over 80% of the population reaching hospitals in less than 30 min. This is much lower in the case of hospitals that provide complex care, with 34% of the population travelling between 90 to 120 min to the nearest hospital classed in the first or second category of competence. The index of spatial accessibility (ISA), calculated as a function of real travel time and level of competency of the hospitals, shows spatial patterns of services access that highlight regional disparities or critical areas. The high concentration of infrastructure and specialised medical personnel in particular regions and large cities limits the access of a large part of the population to quality health services with travel time and distances exceeding optimal European level values. The results can help decision-makers to optimise the location of health services and improve health care delivery.

Suggested Citation

  • Liliana Dumitrache & Mariana Nae & Gabriel Simion & Ana-Maria Taloș, 2020. "Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8487-:d:445904
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    References listed on IDEAS

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    1. Mark Burkey, 2012. "Decomposing geographic accessibility into component parts: methods and an application to hospitals," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 48(3), pages 783-800, June.
    2. Parmelee, Donna E. & Henderson, Gail & Cohen, Myron S., 1982. "Medicine under socialism : Some observations on Yugoslavia and China," Social Science & Medicine, Elsevier, vol. 16(15), pages 1389-1396, January.
    3. World Bank, 2011. "Romania - Functional Review : Health Sector," World Bank Publications - Reports 12290, The World Bank Group.
    4. Goodman, D.C. & Fisher, E. & Slukel, T.A. & Chang, C.-H., 1997. "The distance to community medical care and the likelihood of hospitalization: Is closer always better?," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1144-1150.
    5. Lovett, Andrew & Haynes, Robin & Sünnenberg, Gisela & Gale, Susan, 2002. "Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS," Social Science & Medicine, Elsevier, vol. 55(1), pages 97-111, July.
    6. D Martin & H C W L Williams, 1992. "Market-Area Analysis and Accessibility to Primary Health-Care Centres," Environment and Planning A, , vol. 24(7), pages 1009-1019, July.
    7. Xia, Nan & Cheng, Liang & Chen, Song & Wei, XiaoYan & Zong, WenWen & Li, ManChun, 2018. "Accessibility based on Gravity-Radiation model and Google Maps API: A case study in Australia," Journal of Transport Geography, Elsevier, vol. 72(C), pages 178-190.
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    Cited by:

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