赋权访问:揭示伊朗东南部医疗保健服务的整体复合空间可访问性指数
Ahmad Raeesi1, Soheil Hashtarkhani2, Mahmood Tara3
1Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
International journal for equity in health
|February 3, 2025
概括
地理障碍严重限制了伊朗西斯坦和巴鲁切斯坦省的医疗保健服务. 大多数人无法获得初级和中等保健,这表明急需改善医疗保健分配.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 空间分析 空间分析
- 公共卫生 公共卫生
背景情况:
- 地理障碍不成比例地影响农村和贫困地区的医疗保健准入.
- 有效的人口健康策略取决于公平的医疗保健可获得性.
研究的目的:
- 开发一个综合空间可访问性指数医疗保健设施和服务在西斯坦和巴鲁切斯坦省,伊朗.
- 评估整个省的医疗保健获取分配和不平等情况.
主要方法:
- 采用增强的两步浮动流域区 (E2SFCA) 方法进行空间可访问性分析.
- 计算可访问性为全面的医疗保健服务,包括初级,中级和专业护理.
- 使用洛伦茨曲线和吉尼系数分析评估不平等.
主要成果:
- 显著的地理障碍导致人口很大一部分,特别是农村地区,获得医疗保健的机会很低.
- 大约75%的人口在30分钟内很少或根本无法获得初级保健,近45%的人在30分钟内很少或根本无法获得医院床位.
- 吉尼系数为0.517表明医疗保健服务的分配高度不平等,只有11.6%的人口拥有高整体获取.
结论:
- 该研究提出了一种可复制的方法来创建一个复合的空间医疗保健准入指数.
- 在西斯坦和巴鲁切斯坦省存在医疗保健接入方面的重大缺陷和严重的不平等.
- 有针对性的战略对于在服务不足的地区提高服务的可用性和向全民健康覆盖率迈进至关重要.
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