Geospatial assessment of physical accessibility of healthcare and agent-based modeling for system efficacy

Munir, Bilal; Hafeez, Sidrah; Rashid, Sajid; Iqbal, Rabia; Javed, Muhammad Asif

doi:10.1007/s10708-019-09987-z

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…Service catchment areas allow to quantify the total area and served population within the proposed thresholds (e.g., within 15-minute walking in a determined speed); to identify worse served communities, and hence more vulnerable; and to relate it to context indicators in the social, economic, and territorial domains [29,36,37]. This analysis is also a potential support element for the restructuring of the service networks through the identification of new service positioning for better population and territorial coverage rates [38], to adapt the transport system in order to promote better accessibility level, or even to support the design of innovative, flexible, and informal solutions promoted by various stakeholders [22].…”

Section: Accessibility To Healthcare Services For Age-friendly Enviro...mentioning

confidence: 99%

Walking Accessibility to Primary Healthcare Services: An Inequity Factor for Olders in the Lisbon Metropolitan Area (Portugal)

Costa¹,

Louro²,

Costa³

et al. 2024

Social Aspects of Ageing - Selected Challenges, Analyses, and Solutions

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This chapter discusses the walking accessibility to primary healthcare by the olders in Lisbon Metropolitan Area (LMA), Portugal, and its contribution for age-friendly environments as a factor of inequity. Constrains emerged from the collation of the supply approach, represented by service catchment areas based on walking distance time, and the demand approach, through a survey. The location and density of primary health network are a major factor, as it is related to distinct land use patterns within the LMA. The settlement structure influences the potential walkability to primary healthcare. The discrepancy between the potential walking accessibility and the real options is notorious, as olders` choices are diversified in terms of transportation modes and destinations, but mostly keeping relatively short time distances. This phenomenon is also influenced by factors such as personal preference, difficulty to walk, negative perceptions about the surroundings, and insufficient care support. This debate is already an effective concern of local authorities with spatial planning, social and health competences, insofar as solutions in terms of service flexibility and new travel solutions adapted to the specific needs of the olders are a growing reality in the LMA, promoting more age-friendly, health, and inclusive environments, and hence an equitable metropolis.

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Section: Accessibility To Healthcare Services For Age-friendly Enviro...mentioning

confidence: 99%

Walking Accessibility to Primary Healthcare Services: An Inequity Factor for Olders in the Lisbon Metropolitan Area (Portugal)

Costa¹,

Louro²,

Costa³

et al. 2024

Social Aspects of Ageing - Selected Challenges, Analyses, and Solutions

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“…Physical accessibility of healthcare (PA): it refers to geographically accessible healthcare, provided in settings where the necessary and adequate skills and resources are available and appropriate to medical needs (Munir, Hafeez, Rashid, Iqbal & Javed, 2019;WHO, 2006). It is about the physical ease with which patients receive healthcare services.…”

Section: Hospital Logistics and Its Interaction With Qc And Psmentioning

confidence: 99%

“…It is about the physical ease with which patients receive healthcare services. To attain favorable healthcare outcomes in terms of QC and PS, healthcare services should be combined with improvements in PA (Munir et al, 2019). The PA includes access to healthcare facilities, which means the availability of medical transportation and access to care within the healthcare facility, particularly in terms of the availability of human resources (doctors, nurses, laboratory technicians, etc.)…”

Section: Hospital Logistics and Its Interaction With Qc And Psmentioning

confidence: 99%

Modeling the impact of hospital logistics on quality of care and patient satisfaction: Results of a survey in three public healthcare facilities in Fez, Morocco

Frichi¹,

Jawab²,

Boutahari³

2020

JIEM

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Purpose: The objective of this research is to examine the role of hospital logistics in improving quality of care and patient satisfaction. Thus, the paper focuses on modeling and evaluating the relationship between these three constructs.Design/methodology/approach: In the present study, hospital logistics was specified as a second-order construct composed of five first-order constructs: physical accessibility, waiting time, consultation time, hospital hotel services, and administrative procedures. A questionnaire was developed and administered face-to-face to 384 hospitalized patients in three public healthcare facilities in Fez-Morocco. Collected data were processed and analyzed deploying the PLS-SEM method and using SmartPLS3 software. Data analysis was carried out by considering two types of patient circuits according to the admission modes in the healthcare facility: Urgent Patients Circuit and Scheduled Patients Circuit. Thus, two PLS-SEM models were evaluated and validated.Findings: Results highlighted the significant impact of hospital logistics on quality and satisfaction. In particular, the results of the two models showed that the most preponderant hospital logistics component is physical accessibility which consists of the availability and accessibility of ambulances, medical and nursing staff, support and guidance staff, technical facilities and equipment, etc. Thus, hospital managers and health system stakeholders should pay particular attention to hospital logistics activities in general and specifically to the physical accessibility to improve the quality of care and patient satisfaction.Research limitations/implications: This study only included patients from three public healthcare facilities in Fez-Morocco. Also, the model variables of hospital logistics construct are restricted and were applied in a specific context. Besides, the sample size was relatively reduced. Thus, results generalization might be limited. Further studies including more patients from other territories and including other logistics components are needed for large-scale validation of the proposed model. Originality/value: The results of this study contribute to the scientific literature on hospital logistics and its role as a lever for quality of care and patient satisfaction.

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“…Given Aotearoa NZ's public health mandate for vaccination that limited movements for those who were not vaccinated, there was a public health responsibility to ensure that vaccination centres were accessible. A physically well-spaced, easily accessible and available health environment has been found to improve the functioning of healthcare systems, through improved flow and management (Munir et al, 2020). This was an important requirement of the Aotearoa NZ vaccination centres when considering the need to have a high turnover for vaccinations, as was the case during COVID-19.…”

Section: The Undermining Of Health Equity and Public Health Goalsmentioning

confidence: 99%

“…Stress, resulting from the physical environment, is caused when individuals are deprived of their needs. That is, each individual will have their own set of needs that are required to be met in order to reduce stress and not every individual is affected on the same level by the same need being deprived (Munir et al, 2020).…”

Section: The Undermining Of Health Equity and Public Health Goalsmentioning

confidence: 99%

Self-Identified Fat Peoples Experiences of COVID-19 Vaccination Centre's in Aotearoa NZ

Stolte

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<p><strong>This study investigates self-identified fat people’s experiences of COVID-19 vaccination centres in Aotearoa NZ. This includes attention to multiple facets of the experience of COVID-19 vaccination centres including the physical environment, interaction with service providers, and knowledge of and access to a long needle in accordance with Ministry of Health vaccination guidelines. The thesis employs a critical realist/contextualist approach, underpinned by the theory of body privilege. Qualitative content analysis is used to analyse open-ended survey responses collected as part of a broader international study. Three main themes are identified from the data set. The first theme, ‘“Crammed in Like Sardines”: Navigating COVID-19 vaccination centre environments’ found mixed experiences and a number of challenges in fat people’s access to and movement through vaccination centres. The second theme, “Thank fuck for fat activists”: The need for COVID-19 vaccination advocacy’ captured the importance that fat people’s advocacy played, both at the individual and community level in ensuring access to COVID-19 vaccinations and in raising awareness about long needle guidelines. The third theme, ‘“I worry about the effectiveness of my vaccine now”: Trust and authority in the vaccination encounter’ identifies the power imbalance within vaccination centres that placed authority with the vaccinator and undermined fat people’s self-advocacy and self-determination for long needle use. I demonstrate the corrosive impact this had on fat people’s confidence that they were protected from COVID-19 and subsequently their trust in the governments COVID-19 responsiveness for fat people. Findings highlight the healthcare inequities experienced by fat people when accessing COVID-19 vaccination that can also be seen reflected in everyday healthcare systems and settings. Vaccination centers were found to privilege thinness at both a structural and interactional level which excluded fat people and disregarded the needs of the fat community as well as other marginalized communities. These inequities ultimately served to undermine public health policies that were meant to protect and provide equitable care to the entire population. The neglect of fat people’s needs led to the requirement of advocacy by fat people to seek accessible and equitable healthcare. Whilst effective in helping promote protection for fat people, public health programmes that rely on community and self-advocacy to ensure responsiveness to marginalized communities is neither a fair solution nor is it sustainable in the long term. Research findings point to important lessons to be learned to ensure the inclusion of and responsiveness to fat people in future pandemic responses and in healthcare systems more generally.</strong></p>

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Geospatial assessment of physical accessibility of healthcare and agent-based modeling for system efficacy

Cited by 4 publications

References 17 publications

Walking Accessibility to Primary Healthcare Services: An Inequity Factor for Olders in the Lisbon Metropolitan Area (Portugal)

Walking Accessibility to Primary Healthcare Services: An Inequity Factor for Olders in the Lisbon Metropolitan Area (Portugal)

Modeling the impact of hospital logistics on quality of care and patient satisfaction: Results of a survey in three public healthcare facilities in Fez, Morocco

Self-Identified Fat Peoples Experiences of COVID-19 Vaccination Centre's in Aotearoa NZ

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