التفاصيل البيبلوغرافية
| العنوان: |
Cross-Sectional Equity Analysis of Accessibility by Automobile to Haemodialysis Services in Cali, Colombia, in 2020 |
| المؤلفون: |
Cuervo, Luis Gabriel |
| المساهمون: |
Villamizar, Carmen Juliana (VerfasserIn); Osorio, Lyda (VerfasserIn); Ospina, Maria B. (VerfasserIn); Cuervo, Diana E. (VerfasserIn); Cuervo, Daniel (VerfasserIn); Bula, Maria (VerfasserIn); Zapata, Pablo (VerfasserIn); Owens, Nancy J. (VerfasserIn); Hatcher-Roberts, Janet (VerfasserIn); Martín, Edit Alejandra (VerfasserIn); Piquero Villegas, Felipe (VerfasserIn); Pinilla, Luis Fernando (VerfasserIn); Martínez Herrera, Eliana (VerfasserIn); Jaramillo, Ciro (VerfasserIn) |
| المصدر: |
2023 |
| الناشر: |
[S.l.]: SSRN |
| اللغة: |
English |
| نوع الوثيقة: |
Elektronische Ressource im Fernzugriff |
| Manifestation: |
Monographie [unabhängig ob Stück einer Reihe] |
| مستخلص: |
Objectives: To obtain dynamic spatial-temporal accessibility measurements of travel times by car to haemodialysis services and assess potential benefits of adding new services.Design: Cross-sectional analyses of dynamic spatial-temporal accessibility, accounting for traffic congestion. A web-based platform integrating public census and health services datasets, with travel-time big data from Google Distance Matrix API and Traffic Analysis Zones, supported these analyses. Predictive and prescriptive analytics were used to identify optimal locations for new haemodialysis services and estimate potential accessibility improvements.Setting and participants: Cali, Colombia (2020 population: 2.258 million) using geographic and disaggregated sociodemographic data from the adjusted 2018 Colombian census. Predicted travel times were obtained for 6–12 July 2020 and 23–29 November 2020. This study is part of a proof-of-concept study measuring accessibility to health services.Primary and secondary outcomes: Percentage of residents within 20 minutes by car of a haemodialysis service at peak and free-flow traffic congestion. Locations where new services maximise accessibility and estimated improvements. Findings were disaggregated by sociodemographic characteristics, providing an equity perspective.Results: Accessibility was lower in July, when COVID-19 pandemic-related traffic restrictions were not in effect. Traffic congestion sharply reduces accessibility to haemodialysis and hurts more people with lower educational attainment, residents of low-income housing and outlying neighbourhoods, and specific ethnic groups.For 6–12 July, accessibility was 96.3% with free-flow traffic and 42.7% with peak traffic; 10.2% for the lowest-income stratum. Adding a service in the eastern district of Agua Blanca would increase accessibility to 81.4% at peak traffic hours; another service in southern Cali could raise accessibility to 90.5%. Accessibility for 23–29 November was better.Conclusions: Providing haemodialysis services to people in eastern Cali would greatly improve overall accessibility and reduce inequities. This study justifies informing health services and land-use planning with dynamic accessibility measures |
| DOI: |
10.2139/ssrn.4299562 |
| رقم الأكسشن: |
EDSZBW1845219937 |
| قاعدة البيانات: |
ECONIS |
