哥伦比亚的息护理服务的可用性:对地理差异的分析
Miguel Antonio Sánchez-Cárdenas1, Marta Ximena León2, Luisa Fernanda Rodríguez-Campos2
1Universidad El Bosque, Bogotá, DC, Colombia. sanchezcmiguel@unbosque.edu.co.
BMC public health
|June 21, 2024
概括
在哥伦比亚,地理障碍严重限制了人们获得息护理的机会,服务集中在城市地区和主要地区. 许多哥伦比亚人,特别是在农村地区,缺乏足够的获得基本的息护理服务.
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
- 地理信息系统 地理信息系统
背景情况:
- 哥伦比亚日益增长的非传染性疾病和人口变化需要改善息护理服务.
- 地理可访问性和覆盖率是评估医疗保健服务覆盖范围的关键指标.
研究的目的:
- 评估哥伦比亚息治疗的地理障碍.
- 测量全国范围内的息护理服务的可访问性和覆盖率.
主要方法:
- 一项以人口为基础的观测研究在哥伦比亚的城市地区进行.
- 通过使用服务密度 (每10万居民),区域节点的分布分析和使用沃罗诺伊图的空间分析来测量地理可访问性.
- 使用ArcGIS Pro软件进行映射服务和识别差异.
主要成果:
- 总共有504个息护理服务被确定,其中77%是初级保健服务.
- 每10万居民的服务密度为1.8个初级保健和0.4个专业保健.
- 平均覆盖率为41%,其中两个地区覆盖率低于30%;28%的服务超过了推的人口限制.
结论:
- 息护理服务分布不均,集中在波哥大,中央和加勒比地区.
- 存在显著的差异,奥里诺基亚和亚马逊地区的服务有限.
- 专门的息护理服务密度极低,导致一些成年人群无法获得.
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