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Spatial Accessibility of Primary Care in the Dual Public-Private Health System in Rural Areas, Malaysia.
Ab Hamid, Jabrullah; Juni, Muhamad Hanafiah; Abdul Manaf, Rosliza; Syed Ismail, Sharifah Norkhadijah; Lim, Poh Ying.
Afiliação
  • Ab Hamid J; Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, Malaysia.
  • Juni MH; Institute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Blok B2, Kompleks NIH, No. 1, Jalan Setia Murni U13/52, Seksyen U13 Setia Alam, Shah Alam 40170, Selangor, Malaysia.
  • Abdul Manaf R; Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, Malaysia.
  • Syed Ismail SN; Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, Malaysia.
  • Lim PY; Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia (UPM), Serdang 43400, Selangor, Malaysia.
Article em En | MEDLINE | ID: mdl-36833838
ABSTRACT
Disparities in access to health services in rural areas represent a global health issue. Various external factors contribute to these disparities and each root requires specific remedial action to alleviate the issue. This study elucidates an approach to assessing the spatial accessibility of primary care, considering Malaysia's dual public-private system specifically in rural areas, and identifies its associated ecological factors. Spatial accessibility was calculated using the Enhance 2-Step Floating Catchment Area (E2SFCA) method, modified as per local context. Data were secondary sourced from Population and Housing Census data and administrative datasets pertaining to health facilities and road network. The spatial pattern of the E2SFCA scores were depicted using Hot spot Analysis. Hierarchical multiple linear regression and geographical weight regression were performed to identify factors that affect E2SFCA scores. Hot spot areas revolved near the urban agglomeration, largely contributed by the private sector. Distance to urban areas, road density, population density dependency ratios and ethnic composition were among the associated factors. Accurate conceptualization and comprehensive assessment of accessibility are crucial for evidence-based decision making by the policymakers and health authorities in identifying areas that need attention for a more specific and localized planning and development.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Acesso à Atenção Primária / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies País como assunto: Asia Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Acesso à Atenção Primária / Acessibilidade aos Serviços de Saúde Tipo de estudo: Prognostic_studies País como assunto: Asia Idioma: En Ano de publicação: 2023 Tipo de documento: Article