Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan
Out of the many aspects of health care, the concept of physical accessibility is a priority that not only encompasses availability of health care resources, but also requires that they are easily accessible for all. To assess this factor as expressed in terms of the number of available physicians i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2022-05-01
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| Series: | Geospatial Health |
| Subjects: | |
| Online Access: | https://geospatialhealth.net/index.php/gh/article/view/1046 |
| _version_ | 1818203796195508224 |
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| author | Askhat Shaltynov Jorge Rocha Ulzhan Jamedinova Ayan Myssayev |
| author_facet | Askhat Shaltynov Jorge Rocha Ulzhan Jamedinova Ayan Myssayev |
| author_sort | Askhat Shaltynov |
| collection | DOAJ |
| description |
Out of the many aspects of health care, the concept of physical accessibility is a priority that not only encompasses availability of health care resources, but also requires that they are easily accessible for all. To assess this factor as expressed in terms of the number of available physicians in the north-eastern part of Kazakhstan, we used the enhanced two-step float catchment area in a geographic information system approach. The Gini index and the Lorentz curve were used to evaluate the economic inequality within this region. Based on the data obtained, we developed models to increase the availability of health care considering allocation of additional primary health care resources. A low to zero index was found to be typical for most rural settlements, which currently make up less than 15% of the total population. We also identified a correlation between the index of accessibility and that of inequality, which indicates that areas with high accessibility show a more equitable distribution of resources. The developed location/ allocation models of additional primary health care resources can be useful in implementing government initiatives to improve the availability of primary health care in rural areas.
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| first_indexed | 2024-12-12T03:31:02Z |
| format | Article |
| id | doaj.art-493c658362d44f919c6c9f239c372288 |
| institution | Directory Open Access Journal |
| issn | 1827-1987 1970-7096 |
| language | English |
| last_indexed | 2024-12-12T03:31:02Z |
| publishDate | 2022-05-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Geospatial Health |
| spelling | doaj.art-493c658362d44f919c6c9f239c3722882022-12-22T00:39:55ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962022-05-0117110.4081/gh.2022.1046Assessment of primary healthcare accessibility and inequality in north-eastern KazakhstanAskhat Shaltynov0Jorge Rocha 1Ulzhan Jamedinova2Ayan Myssayev3Public Health Department, Semey Medical University, Semey CityInstitute of Geography and Spatial Planning, University of LisboaEpidemiology and Biostatistics Department, Semey Medical University, Semey CityDepartment of the Science and Human Resources, Ministry of Healthcare of the Republic of Kazakhstan, Nur-Sultan City Out of the many aspects of health care, the concept of physical accessibility is a priority that not only encompasses availability of health care resources, but also requires that they are easily accessible for all. To assess this factor as expressed in terms of the number of available physicians in the north-eastern part of Kazakhstan, we used the enhanced two-step float catchment area in a geographic information system approach. The Gini index and the Lorentz curve were used to evaluate the economic inequality within this region. Based on the data obtained, we developed models to increase the availability of health care considering allocation of additional primary health care resources. A low to zero index was found to be typical for most rural settlements, which currently make up less than 15% of the total population. We also identified a correlation between the index of accessibility and that of inequality, which indicates that areas with high accessibility show a more equitable distribution of resources. The developed location/ allocation models of additional primary health care resources can be useful in implementing government initiatives to improve the availability of primary health care in rural areas. https://geospatialhealth.net/index.php/gh/article/view/1046Primary health careaccessibilitygeographic information systemenhanced two-step float catchment areaequityinequality |
| spellingShingle | Askhat Shaltynov Jorge Rocha Ulzhan Jamedinova Ayan Myssayev Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan Geospatial Health Primary health care accessibility geographic information system enhanced two-step float catchment area equity inequality |
| title | Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan |
| title_full | Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan |
| title_fullStr | Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan |
| title_full_unstemmed | Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan |
| title_short | Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan |
| title_sort | assessment of primary healthcare accessibility and inequality in north eastern kazakhstan |
| topic | Primary health care accessibility geographic information system enhanced two-step float catchment area equity inequality |
| url | https://geospatialhealth.net/index.php/gh/article/view/1046 |
| work_keys_str_mv | AT askhatshaltynov assessmentofprimaryhealthcareaccessibilityandinequalityinnortheasternkazakhstan AT jorgerocha assessmentofprimaryhealthcareaccessibilityandinequalityinnortheasternkazakhstan AT ulzhanjamedinova assessmentofprimaryhealthcareaccessibilityandinequalityinnortheasternkazakhstan AT ayanmyssayev assessmentofprimaryhealthcareaccessibilityandinequalityinnortheasternkazakhstan |