Measures of spatial accessibility to health centers: investigating urban and rural disparities in Kermanshah, Iran

• Published in: Journal of public health Vol. 27; no. 4; pp. 519 - 529
• Main Authors: Reshadat, Sohyla, Zangeneh, Alireza, Saeidi, Shahram, Teimouri, Raziyeh, Yigitcanlar, Tan
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2019; Springer Nature B.V
• Subjects: Accessibility; Children; Epidemiology; Geographic information systems; Geriatrics; Health; Health facilities; Health Promotion and Disease Prevention; Hospitals; Housing; Medicine; Medicine & Public Health; Network analysis; Older people; Original Article; Population statistics; Public Health; Rural areas; Rural populations; Spatial analysis; Spatial distribution; Statistical analysis; Iran; Geographic information systems (GIS); Urban and rural disparity; Healthcare inequality; Accessibility to health centers; Iran; Kermanshah
• ISSN: 2198-1833; 1613-2238
• DOI: 10.1007/s10389-018-0966-9

Aim Availability of and accessibility to health services are critical factors to maintain the wellbeing of any society. This study aims to investigate the spatial patterns and accessibility levels of urban and rural residents to health centers—i.e., hospitals—in the case of Kermanshah Province located at the western part of Iran. Subject and methods The study employs a spatial analysis technique as the methodological approach. Datasets were obtained from the latest population statistics—i.e., the 2011 Population and Housing Census—and public and private hospitals in the Kermanshah Province. Access levels to health centers were calculated in a geographical information system environment with network analysis capability. Results The results revealed that: (a) spatial distribution of health centers in the Kermanshah Province follows a random pattern, (b) health centers are mainly concentrated in the Kermanshah Township, (c) there is a clear inequality in terms of access to health centers in the Kermanshah Province, (d) children, women, and the elderly residing in rural areas are found to be the most vulnerable groups. Conclusion The bipolar status of the rural population’s access to healthcare compared with those residing in the Kermanshah Township clearly underlines an unequal structure of the health system in the Kermanshah Province. There is, hence, a need for effective interventions of policymakers and health managers in the province to eliminate this disparity.