Disparities in geographical access to hospitals in Portugal

Detalhes bibliográficos
Autor(a) principal: Costa, Claudia
Data de Publicação: 2020
Outros Autores: Tenedório, José António, Santana, Paula
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/107683
Resumo: UIDB/04647/2020 UIDP/04647/2020 UIDB/04084/2020
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network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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spelling Disparities in geographical access to hospitals in PortugalDecentralizationGeographical accessibilityHealthcare servicesLocal scaleMunicipalitySpatial planningGeography, Planning and DevelopmentComputers in Earth SciencesEarth and Planetary Sciences (miscellaneous)SDG 3 - Good Health and Well-beingUIDB/04647/2020 UIDP/04647/2020 UIDB/04084/2020Geographical accessibility to health care services is widely accepted as relevant to improve population health. However, measuring it is very complex, mainly when applied at administrative levels that go beyond the small-area level. This is the case in Portugal, where the municipality is the administrative level that is most appropriate for implementing policies to improve the access to those services. The aim of this paper is to assess whether inequalities in terms of access to a hospital in Portugal have improved over the last 20 years. A population-weighted driving time was applied using the census tract population, the roads network, the reference hospitals' catchment area and the municipality boundaries. The results show that municipalities are 25 min away from the hospital-3 min less than in 1991-and that there is an association with premature mortality, elderly population and population density. However, disparities between municipalities are still huge. Municipalities with higher rates of older populations, isolated communities or those located closer to the border with Spain face harder challenges and require greater attention from local administration. Since municipalities now have responsibilities for health, it is important they implement interventions at the local level to tackle disparities impacting access to healthcare.Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)Departamento de Geografia e Planeamento Regional (DGPR)RUNCosta, ClaudiaTenedório, José AntónioSantana, Paula2020-11-23T23:46:35Z2020-102020-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article27application/pdfhttp://hdl.handle.net/10362/107683eng2220-9964PURE: 26493017https://doi.org/10.3390/ijgi9100567info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:52:20Zoai:run.unl.pt:10362/107683Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:41:01.862686Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Disparities in geographical access to hospitals in Portugal
title Disparities in geographical access to hospitals in Portugal
spellingShingle Disparities in geographical access to hospitals in Portugal
Costa, Claudia
Decentralization
Geographical accessibility
Healthcare services
Local scale
Municipality
Spatial planning
Geography, Planning and Development
Computers in Earth Sciences
Earth and Planetary Sciences (miscellaneous)
SDG 3 - Good Health and Well-being
title_short Disparities in geographical access to hospitals in Portugal
title_full Disparities in geographical access to hospitals in Portugal
title_fullStr Disparities in geographical access to hospitals in Portugal
title_full_unstemmed Disparities in geographical access to hospitals in Portugal
title_sort Disparities in geographical access to hospitals in Portugal
author Costa, Claudia
author_facet Costa, Claudia
Tenedório, José António
Santana, Paula
author_role author
author2 Tenedório, José António
Santana, Paula
author2_role author
author
dc.contributor.none.fl_str_mv Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)
Departamento de Geografia e Planeamento Regional (DGPR)
RUN
dc.contributor.author.fl_str_mv Costa, Claudia
Tenedório, José António
Santana, Paula
dc.subject.por.fl_str_mv Decentralization
Geographical accessibility
Healthcare services
Local scale
Municipality
Spatial planning
Geography, Planning and Development
Computers in Earth Sciences
Earth and Planetary Sciences (miscellaneous)
SDG 3 - Good Health and Well-being
topic Decentralization
Geographical accessibility
Healthcare services
Local scale
Municipality
Spatial planning
Geography, Planning and Development
Computers in Earth Sciences
Earth and Planetary Sciences (miscellaneous)
SDG 3 - Good Health and Well-being
description UIDB/04647/2020 UIDP/04647/2020 UIDB/04084/2020
publishDate 2020
dc.date.none.fl_str_mv 2020-11-23T23:46:35Z
2020-10
2020-10-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/107683
url http://hdl.handle.net/10362/107683
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2220-9964
PURE: 26493017
https://doi.org/10.3390/ijgi9100567
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 27
application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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