دورية أكاديمية
أعرض في EDS

Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach.

التفاصيل البيبلوغرافية
العنوان: Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach.
المؤلفون: Pereira RHM; Institute for Applied Economic Research - Ipea, Brazil. Electronic address: rafael.pereira@ipea.gov.br., Braga CKV; Institute for Applied Economic Research - Ipea, Brazil., Servo LM; Institute for Applied Economic Research - Ipea, Brazil., Serra B; Institute for Transport Policy & Development - ITDP Brazil, Brazil., Amaral P; Centre for Development and Regional Planning (CEDEPLAR) at Universidade Federal de Minas Gerais (UFMG), Brazil., Gouveia N; Department of Preventive Medicine, University of São Paulo Medical School (FMUSP), Brazil., Paez A; School of Earth, Environment, and Society, McMaster University, Canada.
المصدر: Social science & medicine (1982) [Soc Sci Med] 2021 Mar; Vol. 273, pp. 113773. Date of Electronic Publication: 2021 Feb 12.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford ; New York : Pergamon, c1982-
مواضيع طبية MeSH: COVID-19* , Catchment Area, Health* , Health Services Accessibility* , Pandemics*, Brazil ; Humans ; SARS-CoV-2
مستخلص: The rapid spread of COVID-19 across the world has raised concerns about the responsiveness of cities and healthcare systems during pandemics. Recent studies try to model how the number of COVID-19 infections will likely grow and impact the demand for hospitalization services at national and regional levels. However, less attention has been paid to the geographic access to COVID-19 healthcare services and to hospitals' response capacity at the local level, particularly in urban areas in the Global South. This paper shows how transport accessibility analysis can provide actionable information to help improve healthcare coverage and responsiveness. It analyzes accessibility to COVID-19 healthcare at high spatial resolution in the 20 largest cities of Brazil. Using network-distance metrics, we estimate the vulnerable population living in areas with poor access to healthcare facilities that could either screen or hospitalize COVID-19 patients. We then use a new balanced floating catchment area (BFCA) indicator to estimate spatial, income, and racial inequalities in access to hospitals with intensive care unit (ICU) beds and mechanical ventilators while taking into account congestion effects. Based on this analysis, we identify substantial social and spatial inequalities in access to health services during the pandemic. The availability of ICU equipment varies considerably between cities, and it is substantially lower among black and poor communities. The study maps territorial inequalities in healthcare access and reflects on different policy lessons that can be learned for other countries based on the Brazilian case.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
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فهرسة مساهمة: Keywords: Accessibility; Brazil; COVID-19; Equity; Floating catchment area; ICU; Race; Ventilators
تواريخ الأحداث: Date Created: 20210220 Date Completed: 20210402 Latest Revision: 20221221
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC7879934
DOI: 10.1016/j.socscimed.2021.113773
PMID: 33609968
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-5347
DOI:10.1016/j.socscimed.2021.113773