加纳城市对卫生服务的空间准入方面的不平等
Gift Dumedah1, Seidu Iddrisu1, Christabel Asare1
1Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Private Mail Bag, University Post Office, Kumasi, Ashanti Region 0000, Ghana.
Health policy and planning
|September 20, 2023
概括
加纳的卫生服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 空间分析 空间分析
背景情况:
- 卫生公平对弱势群体至关重要.
- 获得医疗保健的空间准入是健康差距的一个关键决定因素.
- 关于撒哈拉以南非洲 (SSA) 城市的健康差异的研究有限.
研究的目的:
- 检查加纳四个城市地区对卫生服务的空间获取差异.
- 确定服务不足的人群,并为改善健康公平提供资源分配信息.
- 评估社会经济地位与身体获得医疗保健之间的关系.
主要方法:
- 对医生与人口比率的分析.
- 基于权重组件的访问分数的计算.
- 测量到医疗服务的旅行时间.
- 评估旅行距离,定居区,人口和经济地位之间的联系.
主要成果:
- 在选定的城市中,医疗服务的总体空间访问率较低 (每10,000人中有1.78-3.02名医生).
- 医生人数需要增加五倍才能达到世界卫生组织的标准.
- 在经济上处于劣势的人群面临更长的旅行时间和不平等的医疗保健.
- 现有的设施有足够的距离,但缺乏足够的医生.
结论:
- 在加纳城市内和城市之间,在获得医疗保健方面存在重大空间不平等.
- 针对现有设施的医生人数和资源的有针对性的增加可以改善空间访问.
- 解决社会经济因素对于提高健康平等和减少健康差距至关重要.
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