The potential geographical accessibility to public hospitals for the population in Bucharest’ proximity

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Issue: Volume 15, Issue 1, 2021


Access to health services is essential for ensuring a fundamental human right: the right to health care. Traditional accessibility methods do not consider traffic changes and possible infrastructure works and do not always reflect the actual travel time to the nearest hospital. This study tries to measure the potential access to hospitals of the population from the proximity of Bucharest, an area overlapping Ilfov County, using API (Application Program Interface). Two scenarios were considered. The first represents accessibility in the morning, an interval with heavy traffic, and the second represents accessibility in the evening, an interval without heavy traffic. The results confirm that Ilfov County has good accessibility to public hospitals, with over 60% of the population travelling less than 30 minutes to the nearest hospital. The proximity of Bucharest makes it possible for residents to access hospitals in that area quickly. The findings provide a scientific basis for local authorities to optimize access to hospitals and planning resources.

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Authors Affiliations

Alexandra Cioclu* (1)
1) University of Bucharest, Romania
* Correspondence address.


Albert, W.M., Gesler, W.M. and Levergood, B. (eds) (2000), Spatial Analysis, GIS and Remote Sensing Applications in the Health Sciences, Ann Arbor Press, Chelsea, Michigan, p. 231.
Barbieri, S. and Jorm, L., (2019). “Travel time to hospitals in Australia”, Scientific Data, vol. 6, no. 248.
Bavoux, J.J., Beaucire, F., Chapelon, I. and Zembri, P. (2005), Géographie des transports, National Committee of Geography of Belgium, Société Royale Belge de Géographie, Paris, p. 232.
Brabyn, L. and Skelly, C., (2002), “Modeling population access to New Zealand public hospitals”, International Journal of Health Geographics, vol. 1, no. 3.
Chirilă, S. and Severin, B. (2018), “Reflecting population’s needs using health services – the family physicians’ perspective”,, vol. 123, no. 3, p.14-18.
Ciocan, M. (2016), “Aspecte privind reforma serviciilor medicale spitaliceşti din România”, Human Rights Journal, no. 3, p. 18-26.
Delamater, P.L., Messina, J.P., Shortridgem, A.M. and Grady, S.C., (2012), “Measuring geographic access to health care: raster and network-based methods”, International Journal of Health Geographics, vol. 11, no. 15.
Diagnostic Related Groups (DRG) (2020), Indicators of hospitalization circumstances, 3 April 2021,
Dumitrache, L., Nae, M., Dumbrăveanu, D., Simion, G. and Suditu, B. (2016), “Contrasting Clustering in Health Care Provision in Romania: Spatial and Aspatial Limitations”, Procedia Environmental Sciences, vol. 32, p. 290-299.
Dumitrache, L., Nae, M., Simion, G. and Taloș, A.M. (2020), “Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania”, International Journal of Environmental Research and Public Health, vol. 17, no. 22.
ESPON (2013), Growth Poles in South-East Europe – Emergence of Growth Poles Network in South-East of Europe, Applied Research 2013/2/19, Final Report, 3 April 2021,
European Observatory on Health Systems and Policies (2019), State of Health in the EU Romania: Country Health Profile, OECD Publishing: Paris, France.
Gage, J.A. and Calixte, M.G. (2006), “Effects of the physical accessibility of maternal health services on their use in rural Haiti”, A Journal of Demography, vol. 60, no. 3.
García-Albertos, P., Picornell, M., Salas-Olmedo, M.H. and Gutiérrez, J. (2018), “Exploring the potential of mobile phone records and online route planners for dynamic accessibility analysis, Transportation Research Part A: Policy Practice, vol. 125, p. 294-307.
Higgs, G. (2004), “A literature review of the use of GISbased measures of access to health care services”, Health Services & Outcomes Research Methodology, no. 5, p. 119–139.
Hiscock, R., Pearce, J., Blakely, T. and Witten, K. (2008), “Is Neighborhood Access to Health Care Provision Associated with Individual-Level Utilization and Satisfaction?”, Health Services Research, no. 43, p. 2183–2200.
Kelly, C., Hulme, C. and Farragher, T. (2016), “Are differences in travel time or distance to healthcare for adults in global north countries associated with an impact on health outcomes? A systematic review”, BMJ Open, vol. 24, no. 6, p. 11.
Kobayashi, S., Fujioka, T., Tanaka, Y., Inoue, M., Niho, Y. and Miyoshi, A. (2010), “A geographical information system using the Google Map API for guidance to referral hospitals”, Journal of Medical Systems, vol. 34, no. 6, p.1157–1160.
Lee, M., Barbosa, H., Youn, H., Holme, P. and Ghoshal, G. (2017), “Morphology of travel routes and the organization of cities”, Nature Communication, vol. 8, no. 1.
Li, Q., Zhang, T., Wang, H. and Zeng, Z. (2011), “Dynamic accessibility mapping using floating car data: a network-constrained density estimation approach”, Journal of Transport Geography, vol.19, no. 3, p. 379-393.
Li, R.Q., Dong, L., Zhang, J., Wang, X.R., Wang, W.X., Di, Z.R. and Stanley, H.E., (2017), “Simple spatial scaling rules behind complex cities”, Nature Communication, no. 8.
Mareci, A. (2008), “The Degree of Accessibility to Health Care – Issues Concerning the North-Eastern Population of Romania”, Human Geographies, vol. 2, no. 1.
Merciu, C., Stoian, D., Merciu, G. and Saghin, I.M. (2013), “Using GIS for calculating the accessibility to hospitals in the city of Bucharest and its metropolitan area (Romania)”, Geograhica Pannonica, vol. 17, no. 4.
Millman, M. (ed) (1993), Access to Health Care in America, Institute of Medicine, The National Academies Press, Washington DC.
Moist, L.M., Bragg-Gresham, J.L., Pisoni, R.L., Saran, R., Akiba, T., Jacobson, S.H., Fukuhara, S., Mapes, D.L., Rayner, H.C., Saito, A. and Port, F.K. (2008), “Travel Time to Dialysis as a Predictor of Health-Related Quality of Life, Adherence, and Mortality: The Dialysis Outcomes and Practice Patterns Study (DOPPS)”, American Journal of Kidney Diseases, vol. 51, no. 4, p. 641-650.
Naghawi, H. (2012), “Using Geographic Information System in Analyzing Hospital Accessibility: A Case Study in New Orleans”, Jordan Journal of Civil Engineering, vol. 6, no. 3, p. 353-360.
National Institute of Statistics (2020), Tempo Online Statistics 2020, 23 April 2021
Panait, C.L. (2011), “Supply vs. demand on health services in the actual demographic context of Romania”, Management in Health, vol. 15, no. 4, p. 13-20.
Petrescu, E.M. and Ioncică, D.E. (2012). “Perception of private and public medical services in Romania”, Contribution of Services to Economic Development, vol. 14, no. 4, p .653-664.
Pierce, R.P., Williamson, H.A. and Kruse, R.L. (1998), “Distance, use of resources, and mortality among rural Missouri residents with acute myocardial infarction”, The Journal of Rural Health, no. 14, p. 28–35.
Pumain, D. and Saint-Julien, T. (2004), L’analyse spatiale – Localisations dans l’Espace, Armand Coli, Paris.
Rodrigue, J., Comtois, C. and Slack, B. (2006), The Geography of Transport Systems, Routledge, New York.
Romanian Government (2015), Law 95/2006 on Health Care Reform (Republished), Monitorul Oficial al României no. 490 and 652/2015.
Russel, L.B. (1981), “An Aging Population and the Use of Medical Care”, Medical Care, vol. 19, p. 633-643.
Socharoentum, M. and Karimi, H. (2015), “A comparative analysis of routes generated by web mapping APIs”, Cartography and Geographic Information Science, vol. 42, no. 1, p. 33–43.
Sotoudehnia, F. and Comber, L. (2011), “Measuring perceived accessibility to urban green space: An integration of GIS and participatory map”, 14th AGILE Conference on Geographic Information: Advancing Geoinformation Science for a Changing World, April 18-22 2011.
Spiekermann, K. and Wegner, M. (2007), Update of selected potential accessibility indicators, Final report, Urban and regional research (S&W), RRG Spatial Planning and Geoinformation, p. 29.
Syed, T.S., Gerber, B.S. and Sharp, L.K. (2013), “Traveling Towards Disease: Transportation Barriers to Health Care Access”, Journal of Community Health, vol. 38, p. 976-993.
Tyrväinen, L., Mäkinen, K. and Schipperijn, J. (2007), “Tools for mapping social values of urban woodlands and other green areas”, Landscape and Urban Planning, vol. 79, no. 1, p. 5-19.
Wang, F. (2006), Quantitative methods and applications in GIS, Taylor and Francis Group, New York, p. 304.
Wang, F. and Xu, Y. (2011), “Estimating O-D travel time matrix by Google Maps API: Implementation, advantages, and implications”, Annals of GIS, vol. 17, no. 4, p. 199–209.
Weiss, D.J., Nelson, A., Gibson, H.S., Temperley, W., Peedell, S., Lieber, A., Hancher, M., Poyart, E., Belchior, S., Fullman, N., Mappin, B., Dalrymple, U., Rozier, J., Lucas, T.C.D., Howes, R.E., Tusting, L.S., Kang, S.Y., Cameron, E., Bisanzio, D., Battle, K.E., Bhatt, S. and Gething, P.W. (2018), “A global map of travel time to cities to assess inequalities in accessibility in 2015”, Nature, no. 553, p. 333-336.
Wright, J. and Williams R.W.J.R. (1998), “Development and importance of health needs assessment”, BMJ, p. 1310–1313.

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Title: Human Geographies - Journal of Studies and Research in Human Geography
ISSN online: 2067-2284
ISSN print: 1843-6587
Imprint: University of Bucharest
Frequency: Biannual (May&November)
First volume: 1/2007
Current volume: 15/2021
Language: English
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Prof. dr. Liliana Dumitrache
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Daniela Dumbrăveanu
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Mariana Nae
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

Dr. Gabriel Simion
University of Bucharest, Faculty of Geography- Human and Economic Geography Department, 1 Nicolae Balcescu Av., 010041, Bucharest, Romania

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