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Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand

Author

Listed:
  • Hiranya Sritart

    (Faculty of Allied Health Sciences, Thammasat University, Pathumthani 12120, Thailand)

  • Kuson Tuntiwong

    (School of Dentistry, King Mongkut’s Institute of Technology Ladkrabang, Bangkok 10520, Thailand)

  • Hiroyuki Miyazaki

    (Center for Spatial Information Science, Tokyo University, Chiba 277-8568, Japan)

  • Somchat Taertulakarn

    (Faculty of Allied Health Sciences, Thammasat University, Pathumthani 12120, Thailand)

Abstract

Reducing the disparities in healthcare access is one of the important goals in healthcare services and is significant for national health. However, measuring the complexity of access in truly underserved areas is the critical step in designing and implementing healthcare policy to improve those services and to provide additional support. Even though there are methods and tools for modeling healthcare accessibility, the context of data is challenging to interpret at the local level for targeted program implementation due to its complexity. Therefore, the purpose of this study is to develop a concise and context-specific methodology for assessing disparities for a remote province in Thailand to assist in the development and expansion of the efficient use of additional mobile health clinics. We applied the geographic information system (GIS) methodology with the travel time-based approach to visualize and analyze the concealed information of spatial data in the finer analysis resolution of the study area, which was located in the border region of the country, Ubon Ratchathani, to identify the regional differences in healthcare allocation. Our results highlight the significantly inadequate level of accessibility to healthcare services in the regions. We found that over 253,000 of the population lived more than half an hour away from a hospital. Moreover, the relationships of the vulnerable residents and underserved regions across the province are underlined in the study and substantially discussed in terms of expansion of mobile health delivery to embrace the barrier of travel duration to reach healthcare facilities. Accordingly, this research study addresses regional disparities and provides valuable references for governmental authorities and health planners in healthcare strategy design and intervention to minimize the inequalities in healthcare services.

Suggested Citation

  • Hiranya Sritart & Kuson Tuntiwong & Hiroyuki Miyazaki & Somchat Taertulakarn, 2021. "Disparities in Healthcare Services and Spatial Assessments of Mobile Health Clinics in the Border Regions of Thailand," IJERPH, MDPI, vol. 18(20), pages 1-24, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10782-:d:656083
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    as
    1. JiYeon Choi & Kyeongra Yang & Sang Hui Chu & Yoosik Youm & Hyeon Chang Kim & Yeong-Ran Park & Youn-Jung Son, 2020. "Social Activities and Health-Related Quality of Life in Rural Older Adults in South Korea: A 4-Year Longitudinal Analysis," IJERPH, MDPI, vol. 17(15), pages 1-18, July.
    2. Chandoevwit, Worawan & Phatchana, Phasith, 2018. "Inpatient care expenditure of the elderly with chronic diseases who use public health insurance: Disparity in their last year of life," Social Science & Medicine, Elsevier, vol. 207(C), pages 64-70.
    3. Phattarasuda Witchayaphong & Surachet Pravinvongvuth & Kunnawee Kanitpong & Kazushi Sano & Suksun Horpibulsuk, 2020. "Influential Factors Affecting Travelers’ Mode Choice Behavior on Mass Transit in Bangkok, Thailand," Sustainability, MDPI, vol. 12(22), pages 1-18, November.
    4. Hui-Ching Wu & Ming-Hseng Tseng, 2018. "Evaluating Disparities in Elderly Community Care Resources: Using a Geographic Accessibility and Inequality Index," IJERPH, MDPI, vol. 15(7), pages 1-18, June.
    5. Jemma Keeves & Sandra C. Braaf & Christina L. Ekegren & Ben Beck & Belinda J. Gabbe, 2021. "Access to Healthcare Following Serious Injury: Perspectives of Allied Health Professionals in Urban and Regional Settings," IJERPH, MDPI, vol. 18(3), pages 1-15, January.
    6. Schuller, Kristin A. & Cronin, Cory E. & Nicks, Shannon E. & Jing, Xia & Kingori, Caroline & Morrone, Michele, 2019. "Development and application of a rubric to compare strategies for improving access to health care in rural communities in the United States," Evaluation and Program Planning, Elsevier, vol. 74(C), pages 61-68.
    7. Nemet, Gregory F. & Bailey, Adrian J., 2000. "Distance and health care utilization among the rural elderly," Social Science & Medicine, Elsevier, vol. 50(9), pages 1197-1208, May.
    8. Sajjakaj Jomnonkwao & Onanong Sangphong & Buratin Khampirat & Siradol Siridhara & Vatanavongs Ratanavaraha, 2016. "Public transport promotion policy on campus: evidence from Suranaree University in Thailand," Public Transport, Springer, vol. 8(2), pages 185-203, September.
    9. Gavin Tansley & Nadine Schuurman & Ofer Amram & Natalie Yanchar, 2015. "Spatial Access to Emergency Services in Low- and Middle-Income Countries: A GIS-Based Analysis," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-12, November.
    10. Ana Condeço-Melhorado & Panayotis Christidis, 2018. "Road Accessibility in Border Regions: a Joint Approach," Networks and Spatial Economics, Springer, vol. 18(2), pages 363-383, June.
    11. Buchmueller, Thomas C. & Jacobson, Mireille & Wold, Cheryl, 2006. "How far to the hospital?: The effect of hospital closures on access to care," Journal of Health Economics, Elsevier, vol. 25(4), pages 740-761, July.
    12. Burkey, M.L. & Bhadury, J. & Eiselt, H.A. & Toyoglu, H., 2017. "The impact of hospital closures on geographical access: Evidence from four southeastern states of the United States," Operations Research Perspectives, Elsevier, vol. 4(C), pages 56-66.
    13. Campbell, S. M. & Roland, M. O. & Buetow, S. A., 2000. "Defining quality of care," Social Science & Medicine, Elsevier, vol. 51(11), pages 1611-1625, December.
    14. Limanond, Thirayoot & Butsingkorn, Tanissara & Chermkhunthod, Chutima, 2011. "Travel behavior of university students who live on campus: A case study of a rural university in Asia," Transport Policy, Elsevier, vol. 18(1), pages 163-171, January.
    15. Duong, Dat V & Binns, Colin W & Lee, Andy H, 2004. "Utilization of delivery services at the primary health care level in rural Vietnam," Social Science & Medicine, Elsevier, vol. 59(12), pages 2585-2595, December.
    16. Suraratdecha, Chutima & Saithanu, Somying & Tangcharoensathien, Viroj, 2005. "Is universal coverage a solution for disparities in health care?: Findings from three low-income provinces of Thailand," Health Policy, Elsevier, vol. 73(3), pages 272-284, September.
    17. Shifa Salman Habib & Wafa Zehra Jamal & Syed Mohammad Asad Zaidi & Junaid-Ur-Rehman Siddiqui & Hira Mustafa Khan & Jacob Creswell & Srichand Batra & Anna Versfeld, 2021. "Barriers to Access of Healthcare Services for Rural Women—Applying Gender Lens on TB in a Rural District of Sindh, Pakistan," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    18. Yohan Fayet & Jean-Michel Coindre & Cécile Dalban & François Gouin & Gonzague De Pinieux & Fadila Farsi & Françoise Ducimetière & Claire Chemin-Airiau & Myriam Jean-Denis & Sylvie Chabaud & Jean-Yves , 2018. "Geographical Accessibility of the Sarcoma Referral Networks in France. Intermediate Results from the IGéAS Research Program," IJERPH, MDPI, vol. 15(10), pages 1-12, October.
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    Cited by:

    1. Hiranya Sritart & Somchat Taertulakarn & Hiroyuki Miyazaki, 2022. "Disparities in Childhood Obesity Prevalence and Spatial Clustering Related to Socioeconomic Factors in Isaan, Thailand," IJERPH, MDPI, vol. 20(1), pages 1-18, December.

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