Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Ciência & Saúde Coletiva (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232021001502483 |
Resumo: | Abstract Access to health care is a sensitive issue in low population density territories, as these areas tend to have a lower level of service provision. One dimension of access is accessibility. This paper focuses on measuring the accessibility to urgent and emergency care services in the Portuguese region of Baixo Alentejo, a territory characterized by low population density. Data for the calculation of accessibility is the road network, and the methodology considers the application of a two-level network analyst method: time-distance by own mean (car or taxi) to the urgent care services and the time distance to emergency services as a way to get assistance and to go to urgent care services. While urgent care accessibility meets the requirements stipulated in the Integrated Medical Emergency System’s current legislative framework, the simulation of different scenarios of potential accessibility shows intra-regional disparities. Some territories have a low level of accessibility. Older adults, the poorly educated, and low-income population, also have the lowest levels of accessibility, which translates into dually disadvantageous situation since the potential users of emergency services are most likely to belong to this group of citizens. |
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Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, PortugalAccessibilityUrgent care ServicesEmergency Ambulance ServiceLow-Density AreasAbstract Access to health care is a sensitive issue in low population density territories, as these areas tend to have a lower level of service provision. One dimension of access is accessibility. This paper focuses on measuring the accessibility to urgent and emergency care services in the Portuguese region of Baixo Alentejo, a territory characterized by low population density. Data for the calculation of accessibility is the road network, and the methodology considers the application of a two-level network analyst method: time-distance by own mean (car or taxi) to the urgent care services and the time distance to emergency services as a way to get assistance and to go to urgent care services. While urgent care accessibility meets the requirements stipulated in the Integrated Medical Emergency System’s current legislative framework, the simulation of different scenarios of potential accessibility shows intra-regional disparities. Some territories have a low level of accessibility. Older adults, the poorly educated, and low-income population, also have the lowest levels of accessibility, which translates into dually disadvantageous situation since the potential users of emergency services are most likely to belong to this group of citizens.ABRASCO - Associação Brasileira de Saúde Coletiva2021-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232021001502483Ciência & Saúde Coletiva v.26 suppl.1 2021reponame:Ciência & Saúde Coletiva (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1413-81232021266.1.40882020info:eu-repo/semantics/openAccessFerreira,RitaCosta,Nuno Marques daCosta,Eduarda Marques daeng2021-06-11T00:00:00Zoai:scielo:S1413-81232021001502483Revistahttp://www.cienciaesaudecoletiva.com.brhttps://old.scielo.br/oai/scielo-oai.php||cienciasaudecoletiva@fiocruz.br1678-45611413-8123opendoar:2021-06-11T00:00Ciência & Saúde Coletiva (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
title |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
spellingShingle |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal Ferreira,Rita Accessibility Urgent care Services Emergency Ambulance Service Low-Density Areas |
title_short |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
title_full |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
title_fullStr |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
title_full_unstemmed |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
title_sort |
Accessibility to urgent and emergency care services in low-density territories: the case of Baixo Alentejo, Portugal |
author |
Ferreira,Rita |
author_facet |
Ferreira,Rita Costa,Nuno Marques da Costa,Eduarda Marques da |
author_role |
author |
author2 |
Costa,Nuno Marques da Costa,Eduarda Marques da |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Ferreira,Rita Costa,Nuno Marques da Costa,Eduarda Marques da |
dc.subject.por.fl_str_mv |
Accessibility Urgent care Services Emergency Ambulance Service Low-Density Areas |
topic |
Accessibility Urgent care Services Emergency Ambulance Service Low-Density Areas |
description |
Abstract Access to health care is a sensitive issue in low population density territories, as these areas tend to have a lower level of service provision. One dimension of access is accessibility. This paper focuses on measuring the accessibility to urgent and emergency care services in the Portuguese region of Baixo Alentejo, a territory characterized by low population density. Data for the calculation of accessibility is the road network, and the methodology considers the application of a two-level network analyst method: time-distance by own mean (car or taxi) to the urgent care services and the time distance to emergency services as a way to get assistance and to go to urgent care services. While urgent care accessibility meets the requirements stipulated in the Integrated Medical Emergency System’s current legislative framework, the simulation of different scenarios of potential accessibility shows intra-regional disparities. Some territories have a low level of accessibility. Older adults, the poorly educated, and low-income population, also have the lowest levels of accessibility, which translates into dually disadvantageous situation since the potential users of emergency services are most likely to belong to this group of citizens. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232021001502483 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232021001502483 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-81232021266.1.40882020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ABRASCO - Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
ABRASCO - Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Ciência & Saúde Coletiva v.26 suppl.1 2021 reponame:Ciência & Saúde Coletiva (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Ciência & Saúde Coletiva (Online) |
collection |
Ciência & Saúde Coletiva (Online) |
repository.name.fl_str_mv |
Ciência & Saúde Coletiva (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||cienciasaudecoletiva@fiocruz.br |
_version_ |
1754213048877318144 |