Mobility and accessibility to health
Studies about the role of geographic conditions as a barrier to healthcare access have been focused in the context of megacities. Objective: The aim of this study is to develop a literature review about intersections between the mobility paradigm and geographical accessibility to health in rura...
| Main Authors: | , , |
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| Format: | Online |
| Language: | Spanish |
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Universidad Academia de Humanismo Cristiano
2020
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| Online Access: | https://revistas.academia.cl/index.php/esp/article/view/1495 |
| _version_ | 1861519948394790912 |
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| author | Lazo, Alejandra Carreño-Calderón, Alejandra Astorga, Sofía |
| author_browse | Astorga, Sofía Carreño-Calderón, Alejandra Lazo, Alejandra |
| author_facet | Lazo, Alejandra Carreño-Calderón, Alejandra Astorga, Sofía |
| author_sort | Lazo, Alejandra |
| collection | UAHC-Revistas |
| description | Studies about the role of geographic conditions as a barrier to healthcare access have been focused in the context of megacities. Objective: The aim of this study is to develop a literature review about intersections between the mobility paradigm and geographical accessibility to health in rural territories and islands. Methodology: During 2019 a literature review was carried out searching international evidence using ISI Web of Science. 54 peer-reviewed publications were selected because they were focused on geographic accessibility to health in rural or island territories, considering key issues to mobility approach: distance, organization of health system, experiences of travel, transport system, geographical conditions, etc. Results: From the results, four categories were identified: a) Disparities in access to specific health services, b) discussions about geographic methods to measure health accessibility, c) case studies about mobility of health workers d) transport systems, daily mobility of patients and the experiences of journeys to health facilities. Conclusions: The major part of the studies use a traditional approach that considers distance and distribution as critical factor of geographical accessibility. Notwithstanding there is agree on the neccesity of including multiple dimensions of mobility in measuring geographical accessibility, as subjective experiences of travel and specific conditions of some territories. Mobility for health reason is specially not well studied in islands. |
| format | Online |
| id | oai-article-1495 |
| institution | UAHC-Revistas |
| language | spa |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Universidad Academia de Humanismo Cristiano |
| publisherStr | Universidad Academia de Humanismo Cristiano |
| record_format | ojs |
| spelling | oai-article-14952021-07-12T22:53:34Z Mobility and accessibility to health Movilidad y accesibilidad a la salud Lazo, Alejandra Carreño-Calderón, Alejandra Astorga, Sofía Studies about the role of geographic conditions as a barrier to healthcare access have been focused in the context of megacities. Objective: The aim of this study is to develop a literature review about intersections between the mobility paradigm and geographical accessibility to health in rural territories and islands. Methodology: During 2019 a literature review was carried out searching international evidence using ISI Web of Science. 54 peer-reviewed publications were selected because they were focused on geographic accessibility to health in rural or island territories, considering key issues to mobility approach: distance, organization of health system, experiences of travel, transport system, geographical conditions, etc. Results: From the results, four categories were identified: a) Disparities in access to specific health services, b) discussions about geographic methods to measure health accessibility, c) case studies about mobility of health workers d) transport systems, daily mobility of patients and the experiences of journeys to health facilities. Conclusions: The major part of the studies use a traditional approach that considers distance and distribution as critical factor of geographical accessibility. Notwithstanding there is agree on the neccesity of including multiple dimensions of mobility in measuring geographical accessibility, as subjective experiences of travel and specific conditions of some territories. Mobility for health reason is specially not well studied in islands. El estudio de la influencia que tienen las condiciones geográficas y la movilidad como barreras de acceso a la salud se ha focalizado principalmente en áreas urbanas y suburbanas. En este escenario, el objetivo de esta revisión es presentar una sistematización de las investigaciones existentes sobre movilidad y accesibilidad a la salud en territorios archipelágicos e isleños. Para ello, durante el año 2019 se realizó una revisión de literatura usando ISI Web of Science. Específicamente, fueron revisados 54 artículos que abordaban aspectos relacionados con la movilidad, como son la distancia, la organización geográfica de los sistemas de salud, las experiencias de viaje y los sistemas de transporte en estos territorios. Los resultados que emergen de la búsqueda se agruparon en cuatro categorías: 1) artículos relacionados con las disparidades en el acceso a prestaciones médicas específicas; 2) artículos de discusión metodológica sobre la medición de la accesibilidad a salud; 3) estudios de caso sobre la movilidad del personal de salud y 4) artículos sobre sistemas de transporte y movilidad cotidiana de usuarios en sus viajes hacia la salud. Finalmente, se observa que la mayor parte de los estudios identificados mantienen un enfoque tradicional que pone a la distancia y la distribución de los servicios médicos al centro del debate. Sin embargo, se evidencia un escaso interés por abordar la accesibilidad desde el punto de vista de la movilidad, incorporando en algunos casos dimensiones subjetivas del viaje, así como la especificidad del territorio como variables que determinan el acceso a salud. En este sentido, constatamos que la movilidad por motivos de salud en archipiélagos e islas ha sido escasamente problematizada. Universidad Academia de Humanismo Cristiano 2020-07-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion artículo evaluado por pares application/pdf https://revistas.academia.cl/index.php/esp/article/view/1495 10.25074/07197209.19.1495 Revista de Geografía Espacios; Vol 10 No 19 (2020); 44-65 Revista de Geografía Espacios; Vol. 10 Núm. 19 (2020); 44-65 Revista de Geografía Espacios; v. 10 n. 19 (2020); 44-65 0719-7209 0719-0573 spa https://revistas.academia.cl/index.php/esp/article/view/1495/1858 Derechos de autor 2020 Revista de Geografía Espacios |
| spellingShingle | Lazo, Alejandra Carreño-Calderón, Alejandra Astorga, Sofía Mobility and accessibility to health |
| title | Mobility and accessibility to health |
| title_alt | Movilidad y accesibilidad a la salud |
| title_full | Mobility and accessibility to health |
| title_fullStr | Mobility and accessibility to health |
| title_full_unstemmed | Mobility and accessibility to health |
| title_short | Mobility and accessibility to health |
| title_sort | mobility and accessibility to health |
| url | https://revistas.academia.cl/index.php/esp/article/view/1495 |
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