Dynamic geographical accessibility assessments to improve health equity : Protocol for a test case in Cali, Colombia
Cuervo, L.G (Universitat Autònoma de Barcelona)
Jaramillo, Ciro (Universidad del Valle (Cali, Colòmbia))
Cuervo, Daniel (Iquartil SAS)
Martínez-Herrera, Eliana (Universidad de Antioquia)
Hatcher Roberts, Janet (Brùyere Research Institute and Adjunct School of Epidemiology and Public Health, University of Ottawa)
Pinilla, Luis Fernando (Universidad de La Sabana)
Bula, Maria Olga (Egis Consulting)
Osorio, Lyda (Universidad del Valle (Cali, Colòmbia))
Zapata Murillo, Pablo (Iquartil SAS)
Piquero Villegas, Felipe (Opportunities Amidst Uncertainty)
Ospina, Maria Beatriz (Queen's University, Canada)
Villamizar, Carmen Juliana (Johns Hopkins Bloomberg School of Public Health)

Títol variant:	Evaluaciones dinámicas de accesibilidad geográfica para mejorar la equidad : prueba en Cali, Colombia: Protocolo de investigación
Data:	2022
Descripció:	31 pag.
Resum:	This protocol proposes an approach to assessing the place of residence as a spatial determinant of health in cities where traffic congestion might impact health services accessibility. The study provides dynamic travel times presenting data in ways that help shape decisions and spur action by diverse stakeholders and sectors. Equity assessments in geographical accessibility to health services typically rely on static metrics, such as distance or average travel times. This new approach uses dynamic spatial accessibility measures providing travel times from the place of residence to the health service with the shortest journey time. It will show the interplay between traffic congestion, accessibility, and health equity and should be used to inform urban and health services monitoring and planning. Available digitised data enable efficient and accurate accessibility measurements for urban areas using publicly available sources and provide disaggregated sociodemographic information and an equity perspective. Test cases are done for urgent and frequent care (i. e. , repeated ambulatory care). Situational analyses will be done with crosssectional urban assessments; estimated potential improvements will be made for one or two new services, and findings will inform recommendations and future studies. This study will use visualisations and descriptive statistics to allow non-specialized stakeholders to understand the effects of accessibility on populations and health equity. This includes "time-to-destination" metrics or the proportion of the people that can reach a service by car within a given travel time threshold from the place of residence. The study is part of the AMORE Collaborative Project, in which a diverse group of stakeholders seeks to address equity for accessibility to essential health services, including health service users and providers, authorities, and community members, including academia.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre i quan aquestes es distribueixin sota la mateixa llicència que regula l'obra original i es reconegui l'autoria.
Llengua:	Anglès
Document:	Working paper ; Versió de l'autor
Matèria:	Health Services Accessibility ; City Planning ; Urban Health ; Health Inequality Monitoring ; Spatial Analysis ; Residence Characteristics ; Spatial Distribution Population ; Accessibility Health Services ; Health Services Geographic Accessibility ; Health Services Research ; Health Services Evaluation
Publicat a:	F1000Research, Vol. 11 (2022) Art. 1394, ISSN 2046-1402

DOI: 10.12688/f1000research.127294.1
PMID: 37469626

Preprint 31 p, 1.5 MB

Article 20 p, 1.6 MB

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