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- Title
Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997-2012.
- Authors
Reshadat, Sohyla; Zangeneh, Alireza; Saeidi, Shahram; Ghasemi, SeyedRamin; Rajabi-Gilan, Nader; Zakiei, Ali
- Abstract
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.
- Subjects
IRAN; AGE distribution; HEALTH facilities; HEALTH services accessibility; HEALTH status indicators; RESEARCH methodology; POPULATION geography; SEX distribution; WALKING
- Publication
Eastern Mediterranean Health Journal, 2019, Vol 25, Issue 2, p119
- ISSN
1020-3397
- Publication type
Article
- DOI
10.26719/emhj.18.061