Abstract
Accessibility to medical services is an essential element for a higher quality of life. In a geographical sense, accessibility relies on location and distance. In the case of health geography, it is concerned with the location of health services and how they serve the health needs of the population. The present study tries to measure the potential access to hospital services for the population of Cluj County, using time and distance records provided by Google Maps API. For the most accurate measurement, two scenarios were considered. Both scenarios take place in heavy traffic conditions at different time intervals. The first scenario represents accessibility values for the morning period, between 09:00 and 11:00. The second scenario represents accessibility during the evening, between 16:00 and 18:00. The results show that Cluj County has good accessibility to hospitals, with over 70% of the population reaching the nearest hospital in less than 30 minutes, especially in Cluj-Napoca and the surrounding localities. The most challenging areas in terms of the accessibility to medical services are mainly in the southwest of the county. The discoveries provide a scientific basis to improve medical access in the mountainous areas of Cluj County.
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Authors Affiliations
Alexandru Mihăilescu* (1)
(1) University of Bucharest, Bucharest, Romania
* Correspondence address
Email: alexandru.mihailescu@s.unibuc.ro
References
Allen, B.W., Liu, D. and Singer, S. (1993), “Accesibility measures of U.S. metropolitan areas”, Transportation Research Part B: Methodological, vol. 27, no. 6, p. 439-449.
Ciutan, M. and Sasu, C. (2008), “Aspects on healthcare provision in Romanian rural areas, geographical accessibility” (In Romanian), Management in Health, vol. 12, no. 1, p. 26-33.
Dumitrache, L. and Dumbrăveanu, D. (2008), “Geographic Distribution of Sanitary Resources in Romania and its Consequences on Individual and Public Health”, Human Geographies: Journal of Studies and Research in Human Geography, vol. 2, no. 2, p. 51-60.
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. 2, p. 1-18.
European Observatory on Health Systems and Policies (2019), State of Health in the EU Romania: Country Health Profile, OECD Publishing: Paris, France.
García-Albertos, P., Picornell, M., Henar Salas-Olmedo, M. and Gutiérrez, J. (2019), “Exploring the potential of mobile phone records and online route planners for dynamic accessibility analysis”, Transportation Research Part A: Policy and Practice, vol. 125 (June), p. 294-307.
Higgs, G. (2004), “A literature review of the use of GIS-based measures of access to health care services”, Health Services and Outcomes Research Methodology, vol. 5, no. 2, p. 119-139.
Kelly, C., Hulme, C., Farragher, T. and Clarke, G. (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. 6, no. 11, p. 1-9.
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.
Magradean, V. (2019) “The vice-president of the Association of Family Doctors, about the young generation: When we retire, no one will take our place (In Romanian)”, Mediafax, viewed 3 October 2022, https://www.mediafax.ro/social/vicepresedintele-asociatiei-medicilor-de-familie-despre-generatia-tanara-cand-vom-iesi-la-pensie-nu-ne-va-lua-nimeni-locul-17891132.
Marinescu, A. and Aruștei, S. (2019), “The phenomenon of demographic aging has intensified in Romania (NIS)” (In Romanian), Agerpres, viewed 30 November 2022, https://www.agerpres.ro/economic-intern/2019/10/29/fenomenul-de-imbatranire-demografica-s-a-accentuat-in-romania-ins–393197.
Ministry of Health (2014), National Health Strategy 2014-2020 (In Romanian), p. 11.
Mocanu, M. (2018), “The right to health of elderly people in long-term care” (In Romanian), Human Rights Magazine, vol. 4, p. 25-30.
National Institute of Statistics (2019), Health Statistics (In Romanian), viewed 8 March 2021, https://insse.ro/cms/ro/content/statistica-sanatatii.
National Institute of Statistics (2021), Tempo Online Statistics 2021, viewed 30 November 2021, http://statistici.insse.ro:8077/tempo-online/#/pages/tables/insse-table.
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.
Puriș, C. (2020), Medical assistance in Vad commune is provided by a military doctor, 3 October 2022, https://ziarulfaclia.ro/a_1/asistenta-medicala-in-comuna-vad-e-oferita-de-un-medic-militar/.
Rodrigue, J.-P. (2020), The Geography of Transport Systems 5th ed., Routledge, New York.
Romanian Government (2015), “Law 95/2006 on Health Care Reform (Republished)”, Monitorul Oficial al României no. 652/2015, viewed 3 October 2022, https://legislatie.just.ro/Public/DetaliiDocument/71139.
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., Vargas-Ruiz, C.A., Gligorić, K., Bavadekar, S., Gabrilovich, E., Bertozzi-Villa, A., Rozier, J., Gibson, H.S., Shekel, T., Kamath, C., Lieber, A., Schulman, K., Shao, Y., Qarkaxhija, V., Nandi, A.K., Keddie, S.H., Rumisha, S., Amratia, P., Arambepola, R., Chestnutt, E.G., Millar, J.J., Symons, T.L., Cameron, E., Battle, K.E., Bhatt, S. and Gething, P.W. (2020), “Global maps of travel time to healthcare facilities”, Nature Medicine, vol. 26, no. 12, p. 1835-1838.
Zamfir, D., Dumitrache, L., Stoica, I. and Virdol, D. (2015), “Spatial inequalities in health care provision in Romania: Milestones for territorial sustainable development”, Carpathian journal of earth and environmental sciences, vol. 10, p. 177-188.
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