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Advisor(s)
Abstract(s)
This chapter discusses the walking accessibility to primary healthcare by the olders
in Lisbon Metropolitan Area (LMA), Portugal, and its contribution for age-friendly
environments as a factor of inequity. Constrains emerged from the collation of the
supply approach, represented by service catchment areas based on walking distance
time, and the demand approach, through a survey. The location and density of
primary health network are a major factor, as it is related to distinct land use patterns
within the LMA. The settlement structure influences the potential walkability to
primary healthcare. The discrepancy between the potential walking accessibility and
the real options is notorious, as olders` choices are diversified in terms of transportation modes and destinations, but mostly keeping relatively short time distances. This
phenomenon is also influenced by factors such as personal preference, difficulty to
walk, negative perceptions about the surroundings, and insufficient care support.
This debate is already an effective concern of local authorities with spatial planning,
social and health competences, insofar as solutions in terms of service flexibility and
new travel solutions adapted to the specific needs of the olders are a growing reality
in the LMA, promoting more age-friendly, health, and inclusive environments, and
hence an equitable metropolis.
Description
Keywords
Older people Walking accessibility Primary health services Service catchment area Inequity Healthy cities Age-friendly environment Lisbon Metropolitan Area
Pedagogical Context
Citation
Marques da Costa, E., Louro, A., Marques da Costa, N., Dias, M., & Barata, M. (2022). Walking accessibility to primary healthcare services: an inequity factor for olders in the Lisbon Metropolitan Area (Portugal). In: A. Klimczuk, (ed). Social Aspects of Ageing: Selected Challenges, Analyses, and Solutions. IntechOpen. https://doi.org/10.5772/intechopen.106265
Publisher
Intechopen