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: (2489 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
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