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Geography and Natural Resources

2021 year, number 1

GIS ANALYSIS OF THE ACCESSIBILITY OF HEALTHCARE FACILITIES FOR THE POPULATION OF ZABAIKALSKII KRAI

K.V. Parfenova, L.M. Faleychik
Institute of Natural Resources, Ecology and Cryology, Siberian Branch, Russian Academy of Sciences, 672014, Chita, ul. Nedorezova, 16a, Russia
Keywords: healthcare, geographical accessibility, GIS technology, spatial and temporal inequality in obtaining healthcare

Abstract

This article presents the results of the GIS analysis of the transport accessibility of regional centers for residents of Zabaikalskii krai with the central regional hospitals located in them. The analysis was performed in the ArcGIS environment using the authors’ approach and the custom tools created, such as models of geoprocessing processes. For analysis, we used official statistical information from the databases of Rosstat and Zabaikalkraistat, and data from the Ministry of Health and the Ministry of Construction, Transport and Road Facilities of Zabaikalskii krai. Based on the existing settlement systems and the road network, service areas consisting of “temporary” access zones determined by the time of travel by car were built for each central district hospital. The results of the analysis indicate the existence of spatial and temporal inequality for region’s residents in the possibility of obtaining medical services. It was found that more than half of the region’s settlements, that is, 82 % of the krai’s inhabitants, are located in the hourly accessibility zone by car. Twelve percent of the region’s population lives in settlements that are one to two hours away by car from the district centers. The acute problem is the availability of medical care for residents of the northern districts of the region. It has been established that residents of 69,3 % of settlements in the region are located remotely from official inter-municipal bus routes, their population can mainly rely on private and fixed-route taxi or their own transport. Therefore, even for those living in the hourly accessibility zone, the ability to reach the district center can be a significant problem.