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Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan

2022Artigo científico Acesso aberto
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dc.contributor.authorShaltynov, Askhat
dc.contributor.authorRocha, Jorge
dc.contributor.authorJamedinova, Ulzhan
dc.contributor.authorMyssayev, Ayan
dc.date.accessioned2022-05-30T15:10:40Z
dc.date.available2022-05-30T15:10:40Z
dc.date.issued2022
dc.description.abstractOut 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationShaltynov, A., Rocha, J., Jamedinova, U., & Myssayev, A. (2022). Assessment of primary healthcare accessibility and inequality in north-eastern Kazakhstan. Geospatial Health, 17(1), 1046. https://doi.org/10.4081/gh.2022.1046pt_PT
dc.identifier.doi10.4081/gh.2022.1046pt_PT
dc.identifier.eissn1970-7096
dc.identifier.issn1827-1987
dc.identifier.urihttp://hdl.handle.net/10451/53219
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPAGEPresspt_PT
dc.relation.publisherversionhttps://geospatialhealth.net/index.php/gh/article/view/1046/1087pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectPrimary Health Carept_PT
dc.subjectAccessibilitypt_PT
dc.subjectInequalitypt_PT
dc.subjectNorth-eastern Kazakhstanpt_PT
dc.titleAssessment of primary healthcare accessibility and inequality in north-eastern Kazakhstanpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage1046pt_PT
oaire.citation.titleGeospatial Healthpt_PT
oaire.citation.volume17pt_PT
person.familyNameRocha
person.givenNameJorge
person.identifier0000000069085031
person.identifier.ciencia-idEC15-76DC-9B96
person.identifier.orcid0000-0002-7228-6330
person.identifier.ridF-3185-2017
person.identifier.scopus-author-id56428061000
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9c7dabc1-d6c6-4636-9293-6babe2ba64c9
relation.isAuthorOfPublication.latestForDiscovery9c7dabc1-d6c6-4636-9293-6babe2ba64c9

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