Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia
Disparities in access to health services in rural areas represent a global health issue. Various external factors contribute to these disparities and each root requires specific remedial action to alleviate the issue. This study elucidates an approach to assessing the spatial accessibility of primar...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Published: |
MDPI AG
2023
|
| _version_ | 1817927614167252992 |
|---|---|
| author | Ab Hamid, Jabrullah Juni, Muhamad Hanafiah Abdul Manaf, Rosliza Syed Ismail, Sharifah Norkhadijah Lim, Poh Ying |
| author_facet | Ab Hamid, Jabrullah Juni, Muhamad Hanafiah Abdul Manaf, Rosliza Syed Ismail, Sharifah Norkhadijah Lim, Poh Ying |
| author_sort | Ab Hamid, Jabrullah |
| collection | UPM |
| description | Disparities in access to health services in rural areas represent a global health issue. Various external factors contribute to these disparities and each root requires specific remedial action to alleviate the issue. This study elucidates an approach to assessing the spatial accessibility of primary care, considering Malaysia’s dual public–private system specifically in rural areas, and identifies its associated ecological factors. Spatial accessibility was calculated using the Enhance 2-Step Floating Catchment Area (E2SFCA) method, modified as per local context. Data were secondary sourced from Population and Housing Census data and administrative datasets pertaining to health facilities and road network. The spatial pattern of the E2SFCA scores were depicted using Hot spot Analysis. Hierarchical multiple linear regression and geographical weight regression were performed to identify factors that affect E2SFCA scores. Hot spot areas revolved near the urban agglomeration, largely contributed by the private sector. Distance to urban areas, road density, population density dependency ratios and ethnic composition were among the associated factors. Accurate conceptualization and comprehensive assessment of accessibility are crucial for evidence-based decision making by the policymakers and health authorities in identifying areas that need attention for a more specific and localized planning and development. |
| first_indexed | 2024-12-09T02:21:14Z |
| format | Article |
| id | upm.eprints-109050 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-12-09T02:21:14Z |
| publishDate | 2023 |
| publisher | MDPI AG |
| record_format | dspace |
| spelling | upm.eprints-1090502024-10-14T03:54:59Z http://psasir.upm.edu.my/id/eprint/109050/ Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia Ab Hamid, Jabrullah Juni, Muhamad Hanafiah Abdul Manaf, Rosliza Syed Ismail, Sharifah Norkhadijah Lim, Poh Ying Disparities in access to health services in rural areas represent a global health issue. Various external factors contribute to these disparities and each root requires specific remedial action to alleviate the issue. This study elucidates an approach to assessing the spatial accessibility of primary care, considering Malaysia’s dual public–private system specifically in rural areas, and identifies its associated ecological factors. Spatial accessibility was calculated using the Enhance 2-Step Floating Catchment Area (E2SFCA) method, modified as per local context. Data were secondary sourced from Population and Housing Census data and administrative datasets pertaining to health facilities and road network. The spatial pattern of the E2SFCA scores were depicted using Hot spot Analysis. Hierarchical multiple linear regression and geographical weight regression were performed to identify factors that affect E2SFCA scores. Hot spot areas revolved near the urban agglomeration, largely contributed by the private sector. Distance to urban areas, road density, population density dependency ratios and ethnic composition were among the associated factors. Accurate conceptualization and comprehensive assessment of accessibility are crucial for evidence-based decision making by the policymakers and health authorities in identifying areas that need attention for a more specific and localized planning and development. MDPI AG 2023-02 Article PeerReviewed Ab Hamid, Jabrullah and Juni, Muhamad Hanafiah and Abdul Manaf, Rosliza and Syed Ismail, Sharifah Norkhadijah and Lim, Poh Ying (2023) Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia. International Journal of Environmental Research and Public Health, 20 (4). art. no. 3147. pp. 1-21. ISSN 1661-7827; ESSN: 1660-4601 https://www.mdpi.com/1660-4601/20/4/3147 10.3390/ijerph20043147 |
| spellingShingle | Ab Hamid, Jabrullah Juni, Muhamad Hanafiah Abdul Manaf, Rosliza Syed Ismail, Sharifah Norkhadijah Lim, Poh Ying Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title | Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title_full | Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title_fullStr | Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title_full_unstemmed | Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title_short | Spatial accessibility of primary care in the dual public–private health system in rural areas, Malaysia |
| title_sort | spatial accessibility of primary care in the dual public private health system in rural areas malaysia |
| work_keys_str_mv | AT abhamidjabrullah spatialaccessibilityofprimarycareinthedualpublicprivatehealthsysteminruralareasmalaysia AT junimuhamadhanafiah spatialaccessibilityofprimarycareinthedualpublicprivatehealthsysteminruralareasmalaysia AT abdulmanafrosliza spatialaccessibilityofprimarycareinthedualpublicprivatehealthsysteminruralareasmalaysia AT syedismailsharifahnorkhadijah spatialaccessibilityofprimarycareinthedualpublicprivatehealthsysteminruralareasmalaysia AT limpohying spatialaccessibilityofprimarycareinthedualpublicprivatehealthsysteminruralareasmalaysia |