Abstract
Purpose: to evaluate the potential accessibility to public hospitals between 2019 and 2021. Methodology/Approach: comparative analysis of travel times by public transport, calculated using the r5r package in R with the GTFS provided by the municipality. Findings: for the three hospital categories evaluated, travel times increased around 20% in the study period, and the most vulnerable quintiles of population increased their travel times 8 points above the less vulnerable quintiles. Research Limitation/implication: travel times were calculated with programmed schedules and frequencies and fixed values of maximum travel time and maximum walking distance. Originality/Value of paper: comparative analysis pre-COVID and during COVID of geographical accessibility to healthcare centers. Use of the r5r package that allows changes in the parameters to calculate travel times such as maximum walking distance, maximum travel time, departure time or percentiles.
Highlights
The access to healthcare services and its relationship with the accessibility provided by the transport system available is widely studied
Others present the relationship between scarce infrastructure and different levels of accessibility (Chen et al, 2021; Agbenyo et al, 2017; Gage & Calixte, 2006) or the general inequalities among the population in their access to healthcare centers taking into account their social and economic characteristics (Kim et al, 2021; Li et al, 2021; Pereira et al, 2021b; Wang et al, 2020; Shah et al, 2016; Wan et al, 2013; Dai, 2010)
The main objective of this research was to compare geographical accessibility to public hospitals between 2019 and 2021, as well as to evaluate if the changes introduced in the public transport system during the pandemic in the city of Córdoba impacted on the access to healthcare services by means of public transport
Summary
The access to healthcare services and its relationship with the accessibility provided by the transport system available is widely studied. Others present the relationship between scarce infrastructure and different levels of accessibility (Chen et al, 2021; Agbenyo et al, 2017; Gage & Calixte, 2006) or the general inequalities among the population in their access to healthcare centers taking into account their social and economic characteristics (Kim et al, 2021; Li et al, 2021; Pereira et al, 2021b; Wang et al, 2020; Shah et al, 2016; Wan et al, 2013; Dai, 2010). Public healthcare centers are a reference for the local population; many people rely on public services to access to vaccination schemes, to monitor chronic diseases or even for surgical interventions
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