Volume 9, Issue 4 (Oct-Dec 2020)
JCHR 2020, 9(4): 241-255 |
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Askari R, Shafiee M, Charrahi Z, Almodarresi S A, Afrazandeh S M. Investigating the Level of Access to Hospital Medical Facilities Using the Geographical Information System (GIS) in Yazd, Iran, in 2019. JCHR 2020; 9 (4) :241-255
URL: http://jhr.ssu.ac.ir/article-1-592-en.html
URL: http://jhr.ssu.ac.ir/article-1-592-en.html
Roohollah Askari1 
, Milad Shafiee1 , Zabihollah Charrahi2 , Seyed Ali Almodarresi3 , Seyed Mohammad Afrazandeh * 4
, Milad Shafiee1 , Zabihollah Charrahi2 , Seyed Ali Almodarresi3 , Seyed Mohammad Afrazandeh * 4
1- 1. Health Policy and Management Research Center, Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences , Yazd , Iran
2- 2. Faculty of Geography, Department of Remote Sensing and GIS, Tehran University, Tehran, Iran
3- 3. Department of Remote Sensing, Islamic Azad University of Yazd, Yazd, Iran
4- Department of Healthcare Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran ,m_afrazandeh@bums.ac.ir
2- 2. Faculty of Geography, Department of Remote Sensing and GIS, Tehran University, Tehran, Iran
3- 3. Department of Remote Sensing, Islamic Azad University of Yazd, Yazd, Iran
4- Department of Healthcare Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran ,
Abstract: (2487 Views)
Introduction: proper geographical access to hospital medical facilities will increase people’s visits to receive non-emergency services and no delay in providing emergency services. This research aimed to determine the level of access to hospital medical facilities with Geographical Information System in Yazd in 2019.
Methods: This research is descriptive and applied. The required data for analyzing access included the information related to all existing hospitals, demographic data, and the layer of Yazd’s population blocks. Data analysis was carried out with GIS10.3 software.
Results: Yazd city has 11 hospitals and 1915 active beds. The number of hospitals was proportional to the total population, but there was a shortage of 147 active beds. The per capita hospital space was 0.40 square meters, which is more than the standard (0.37 m2). The distribution of hospitals and beds in different regions of Yazd was inequitable. The population with high or desirable access (the population within a 1500-meter radius of the hospitals) to the hospitals with emergency, internal and surgery, pediatric, and gynecology units made up 54.12, 41.92, 44.44, and 48.34 percent of the Yazd’s population, respectively. Also, the population with limited access (the population out of a 3000-meter radius of hospitals) to the hospitals with emergency, internal and surgery, pediatric, and gynecology units made up 15.40, 31.72, 21.78, and 18.89 percent of the Yazd’s population, respectively.
Conclusion: Regarding the obtained results, it is concluded that there is no shortage of hospitals and hospital space in Yazd, and the number of beds is not way below the international standard. However, locating the hospitals is not so that a large proportion of the population is placed within the radius of high or desirable access to hospitals.
Methods: This research is descriptive and applied. The required data for analyzing access included the information related to all existing hospitals, demographic data, and the layer of Yazd’s population blocks. Data analysis was carried out with GIS10.3 software.
Results: Yazd city has 11 hospitals and 1915 active beds. The number of hospitals was proportional to the total population, but there was a shortage of 147 active beds. The per capita hospital space was 0.40 square meters, which is more than the standard (0.37 m2). The distribution of hospitals and beds in different regions of Yazd was inequitable. The population with high or desirable access (the population within a 1500-meter radius of the hospitals) to the hospitals with emergency, internal and surgery, pediatric, and gynecology units made up 54.12, 41.92, 44.44, and 48.34 percent of the Yazd’s population, respectively. Also, the population with limited access (the population out of a 3000-meter radius of hospitals) to the hospitals with emergency, internal and surgery, pediatric, and gynecology units made up 15.40, 31.72, 21.78, and 18.89 percent of the Yazd’s population, respectively.
Conclusion: Regarding the obtained results, it is concluded that there is no shortage of hospitals and hospital space in Yazd, and the number of beds is not way below the international standard. However, locating the hospitals is not so that a large proportion of the population is placed within the radius of high or desirable access to hospitals.
Keywords: Health Services Accessibility, Hospital, Spatial distribution, Locating, geographical information system, Yazd
Review: Research |
Subject:
General
Received: 2019/12/3 | Accepted: 2020/12/20 | Published: 2020/12/26
Received: 2019/12/3 | Accepted: 2020/12/20 | Published: 2020/12/26
References
1. Tatari E. Spatial Analysis of Access to Health Services in Rural Areas of the Zabul Zone. University of Zabol. 2012[Msc Thesis].
2. Reshadat S, zangeneh A, Saeidi S, et al. Investigating Inequalities in Access to Hospital Medical Facilities Using Geographical Information System in Kermanshah's Metropolitan Area. Journal of Hospital. 2016;15(2): 9-22.[Persian]
3. Varesi HR, Sharifi N, Shahsavani MJ. Locating Sanitary- Therapeutic Centers Using Geographic Information System (GIS) and Analytical Hierarchy Process (AHP) (Case study: Najaf Abad city). Health information management. 2015; 11(7): 851-64. [Persian]
4. Malek Hosseini A, Shokri S. Investigating Spatial Distribution of Health Services (Hospital) Using GIS and AHP (Case Study: Hamedan City). First National Conference on Geography, Urban Development and Sustainable Development. Tehran: Living Environment Community. Koomesh. 2014. Available from: https://civilica.com/ doc/266262/.
5. Hatami Nejad H, Mahdian Bahmaniri M, Mahdi A. Investigation and Analysis of Spatial Justice in Health Care Services Using Topsis, Mourice and Taxonomy Model. Geographichal Planning of Space Quarterly Journal. 2012; 2(5):75-98. [Persian]
6. Ebrahimzadeh i, Ahadnejad M, Ebrahimzadeh Asmin H, et al. Spatial Organization and Planning of Health Services by the Use of GIS; The Case of Zanjan City. Human Geography Research. 2010;73: 39-58. [Persian]
7. Ebrahimzadeh i, Ahadinejad M, Zarei S. Study of spatial distribution of health services in Firoozabad and its optimization using the Geographic Information System. 2010:1. Available from: https://www.virascience. com/ thesis/522046/.
8. feli M, Sajjad A, Hatami Nejad H. Locating Health Centers Using Geographic Information System (Case Study: Shiraz Fourth District). Fourth Conference on Urban Planning and Management; Mashhad. 2012. Available from: https://civilica.com/doc/164780/.
9. Danaie Fard A, Shokouhi Ma, Khakpoor B. Analysis of the spatial distribution of health centers (hospitals) in Mashhad. 2011:3. [ Msc Thesis]
10. Ishikawa T, Mizuguchi H, Murayama H, et al. Relationship between Accessibility and Resources to Treat Acute Ischemic Stroke. Hokkaido, Japan: Analysis Of Inequality and Coverage Using Geographic Information Systems. Health Policy and Technology. 2019; 8(4): 337-42. [DOI:10.1016/j.hlpt.2019.10.001]
11. Jamali f, Sadrmousavi M, Eshlaghi M. An Evaluation of Hospitals Site Selection Patterns in Tabriz, Iran. Geography and Planning. 2014;18(47): 25-53. [Persian]
12. Ibrahim Sa. Comparing Alternative Methods of Measuring Geographic Access to Health Services: An Assessment of People's Access to Specialist Hospital in Kebbi State. Academic Journal of Interdisciplinary Studies. 2013; 2(12): 16-109. [DOI:10.5901/ajis.2013.v2n12p109]
13. Pourmohammadi MR. Urban Land Use Planning. Publication Samt. 2010.
14. Sahraeian Z, Zangiabadi A, Khosravi F. Spatial Analysis and Site Selection of Health Medical and Hospital Centers Using (GIS)(Case Study: Jahrom City). Geographic Space . 2013;13(43): 153-70. [Persian]
15. Fallahi GR, Teimuri N. Location of treatment centers using Geographical information system and hierarchical analysis (case area: Kabul-Afghanistan). National Conference on Spatial Information Technology Engineering. 2017.
16. Moradi H, Shetab Boshehri N, Kornak Beheshti A, et al. Location of Competitive Service Centers for Reducing City Traffic (Case Study: Health Centers of The City of Isfahan). Production and Operations Management. 2011;1(1): 31-52. [Persian]
17. Bazargan M. A Case Study on Accessibility of Medical and Healthcare Facilities in Mashhad using GIS. Studies of Architecture, Urbanism and Environmental Sciences Journal. 2018;1(1): 39-48.
18. Taghvaye m, Zakeri e. Analysis of the spatial distribution of hospital and clinic services using GIS and models Tapsis (The study: City of Esfahan). Health information management. 2013;10(4): 581-591. [Persian]
19. sadeghi s, eslahchi e, saniee m. Spital planning of usage of health services using geographic information systems(gis) case study: dezful county. first geography conference, environmental risks and sustainable development; ahvaz: Islamic azad uiversity of ahvaz; 2012. Available from: https://civilica.com/doc/211674/
20. Ahadinejad M, Ghaderi H, Hadian M, et al. Location Allocation of Health Care Centers Using Geographical Information System: Region 11of Tehran. Journal of Fasa University of Medical Sciences. 2015; 4(4): 463-74. [Persian]
21. Khakpoor B, Purghayoomi H, Ghanbari M. Location Health-Therapeutic Centers of Nourabad by use Analytical Hierarchy Process in GIS. Health information management. 2014; 11(2): 221-33. [Persian]
22. Pan J, Shallcross D. Geographic Distribution of Hospital Beds Throughout China: A County-Level Econometric Analysis. International Journal for Equity in Health. 2016;15(1):179-88. [DOI:10.1186/s12939-016-0467-9]
23. Masoodi M, Rahimzadeh M. Measuring Access to Urban Health Services Using Geographical Information System (GIS): A Case Study of Health Service Management in Bandar Abbas, Iran. International Journal of Health Policy and Management. 2015; 4(7): 439- 45. [DOI:10.15171/ijhpm.2015.23]
24. Mansour S. Spatial Analysis of Public Health Facilities in Riyadh Governorate, Saudi Arabia: A GIS-Based Study To Assess Geographic Variations of Service Provision and Accessibility. Geo-Spatial Information Science. 2016; 19(1): 26-38. [DOI:10.1080/10095020.2016.1151205]
25. Zhang P, Ren X, Zhang Q, et al. Spatial Analysis of Rural Medical Facilities Using Huff Model: A Case Study of Lankao County, Henan Province. International Journal of Smart Home. 2015; 9(1):161-8. [DOI:10.14257/ijsh.2015.9.1.17]
26. Merciu C, Stoian D, Merciu G, et al. Using GIS for Calculating The Accessibility to Hospitals in The City of Bucharest and Its Metropolitan Area (Romania). Geographica Pannonica. 2013; 17(4): 106-13. [DOI:10.5937/GeoPan1304106M]
27. Yang N, Chen S, Hu W, et al. Spatial Distribution Balance Analysis of Hospitals in Wuhan. International Journal of Environmental Research and Public Health. 2016; 13(10): 971. [DOI:10.3390/ijerph13100971]
28. 28 Brabyn L, Skelly C. Modeling Population Access to New Zealand Public Hospitals. International Journal of Health Geographics. 2002;1(1): 3. [DOI:10.1186/1476-072X-1-3]
29. Rosero-Bixby L. Spatial Access to Health Care in Costa Rica and Its Equity: A GIS-Based Study. Social Science & Medicine. 2004; 58(7): 1271-84. [DOI:10.1016/S0277-9536(03)00322-8]
30. Wiśniewski S. Spatial Accessibility of Hospital Healthcare in Łódź Voivodeship. Quaestiones Geographicae. 2016;35(4):157-66. [DOI:10.1515/quageo-2016-0043]
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