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  • Spatial distribution and accessibility to public sector tertiary care teaching hospitals: case study from Pakistan / Naeem A. Malik;Masood A. Shaikh
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Spatial distribution and accessibility to public sector tertiary care teaching hospitals: case study from Pakistan / Naeem A. Malik;Masood A. Shaikh

Tác giả : Naeem A. Malik;Masood A. Shaikh

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2019

Chủ đề : 1. Demography. 2. Geographic Information Systems. 3. Health Services Accessibility. 4. Hospitals, Teaching. 5. Information, Evidence and Research. 6. Mediterranean Region. 7. Pakistan. 8. Public Sector. 9. Spatial Analysis. 10. Tertiary Care Centers. 11. Journal / periodical articles.

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Background: Public sector provision of health care services is important for addressing health morbidity and mortali-ty burden for population health in developing countries like Pakistan. Physical accessibility and spatial distribution of healthcare facilities affect their utilization for improving population health.Aims: This study aimed to analyze the spatial distribution of five public sector, tertiary care, teaching, general hospitals in the city of Lahore, Pakistan. Methods: The point locations of all five hospitals were obtained from Google Earth. While the vector road network file was downloaded from the OpenStreetMap website. GIS software ArcGIS 10.5 and the Network Analyst extension were used for processing, analysis and mapping. The Lahore city shapefiles and the hospital point locations were projected to ensure correct spatial distance analysis.Results: The five hospitals are located in the northeastern and east-central parts of Lahore. Most of the Lahore “towns” (administrative subdivisions) are either partially or completely covered by the 12-kilometre buffer as well as the 12-kilo-metre service area around these five selected hospitals. However, either the 12-kilometre buffer or service area did not cover large swaths of Wagha, Nishtar, and Iqbal towns.Conclusions: Availability of geographic and attribute data on road network and population characteristics would facili-tate planning for allocating locations for new health care facilities based on utilitarian principles. Contexte : La prestation de services de santé par le secteur public est importante pour faire face à la charge de morbidité et de mortalité dans les pays en développement tels que le Pakistan. L’accessibilité physique et la répartition spatiale des établissements de santé influent sur leur utilisation pour améliorer la santé de la population.Objectifs : La présente étude visait à analyser la répartition spatiale de cinq hôpitaux publics, de soins tertiaires, universitaires et généraux, de la ville de Lahore au Pakistan. Méthodes : La localisation des cinq hôpitaux a été obtenue au moyen de Google Earth. Par contre, le fichier du réseau routier vectoriel a été téléchargé depuis le site OpenStreetMap. Le logiciel SIG ArcGIS 10.5 et l’extension Network Analyst ont été utilisés pour le traitement, l’analyse et la cartographie. Les fichiers de forme de la ville de Lahore et l’emplacement des points d’hôpital ont été projetés pour assurer une analyse spatiale correcte de la distance.Résultats : Les cinq hôpitaux sont situés dans le nord-est et le centre-est de Lahore. La plupart des circonscriptions de Lahore sont partiellement ou totalement couvertes par la zone tampon de douze kilomètres ainsi que par la zone de service de douze kilomètres autour de ces cinq hôpitaux sélectionnés. Toutefois, ni la zone tampon ni la zone de service ne couvrait de larges surfaces des villes de Wagha, Nishtar et Iqbal.Conclusions : La disponibilité de données géographiques et d’attributs sur le réseau routier et les caractéristiques de la population faciliterait la planification de l’allocation des emplacements des nouveaux établissements de soins de santé selon des principes utilitaires.
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https://iris.who.int/handle/10665/361458

 

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Tác giả : Masood A. Shaikh

Nhà xuất bản : World Health Organization. Regional Office for the Eastern Mediterranean

Năm xuất bản : 2020