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Social vulnerability and spatial inequality in access to healthcare facilities: The case of the Santiago Metropolitan Region (RMS), Chile
Indexado
WoS WOS:001102291600001
Scopus SCOPUS_ID:85174718868
DOI 10.1016/J.SEPS.2023.101735
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



In Chile, the Metropolitan Region of Santiago (RMS) is exposed to several natural and anthropogenic hazards. This means that not only is there a constant need for healthcare, but also a significant increase whenever its inhabitants are affected by disasters. The RMS problem is not the lack of healthcare infrastructure; rather, the inequality in its spatial distribution, which does not consider the location of the most vulnerable population, who may have greater healthcare needs. In this paper, we have performed Pearson's correlation and multicollinearity analysis to select variables to include in the multiple regression analysis to identify the predictors of the number of healthcare facilities per commune in the RMS. Our research found that public healthcare facilities, average monthly income per person per commune, and population density predicts in a 74.1% the number of the total healthcare facilities per commune in the RMS. Network analysis allowed us to integrate distance-based and area-based approaches to spatially visualise the service area of the healthcare facilities in all the districts in the communes of the RMS according to three walking distances. Total coverage of service areas is observed only in 4% of the districts, while high and medium coverage is identified in 30%, low coverage is observed in 28% and 7% of districts are not covered at all. Those districts with low or non-coverage are mainly low-income and/or rural districts in the RMS communes.

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Disciplinas de Investigación



WOS
Economics
Management
Operations Research & Management Science
Scopus
Economics And Econometrics
Strategy And Management
Geography, Planning And Development
Management Science And Operations Research
Statistics, Probability And Uncertainty
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Contreras, Diana Mujer Cardiff University - Reino Unido
ANID/FONDAP/15110017 - Chile
Cardiff Univ - Reino Unido
Centro de Investigación para la Gestión Integrada del Riesgo de Desastres (CIGIDEN) - Chile
2 Bhamidipati, Srirama - Faculteit Techniek, Bestuur en Management, TU Delft - Países Bajos
Delft Univ Technol TU Delft - Países Bajos
3 Wilkinson, Sean - Newcastle University - Reino Unido
Newcastle Univ - Reino Unido

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Financiamiento



Fuente
EPSRC
Engineering and Physical Sciences Research Council
World Bank Group
Engineering and Physical Sciences Research Council (EPSRC)
Cardiff University
International Monetary Fund
United Nations University Institute for Environment and Human Security
Cologne University of Applied Sciences
Research Center for Integrated Disaster Risk Management (CIGI-DEN), ANID/FONDAP

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Agradecimientos



Agradecimiento
We are grateful to Professor Dr Alexander Fekete from Cologne University of Applied Sciences (TH Köln) and Dr. Simone Sandholz from the United Nations University - Institute for Environment and Human Security (UNU-EHS) for organising the session: 'Urban-Rural Infrastructure Interdependencies – Flows of people, services and disaster risks' at the Deutscher Kongress für Geographie (DKG) 2019 (Translated title: German Congress of Geography) , where we presented the preliminary results of this research and to the organisers of the DKG 2019 for the financial support to attend the conference.
We are grateful to Professor Dr Alexander Fekete from Cologne University of Applied Sciences (TH Köln) and Dr. Simone Sandholz from the United Nations University - Institute for Environment and Human Security (UNU-EHS) for organising the session: 'Urban-Rural Infrastructure Interdependencies – Flows of people, services and disaster risks' at the Deutscher Kongress für Geographie (DKG) 2019 (Translated title: German Congress of Geography) , where we presented the preliminary results of this research and to the organisers of the DKG 2019 for the financial support to attend the conference.
1) Research Center for Integrated Disaster Risk Management (CIGI-DEN), ANID/FONDAP/15110017.2) Engineering and Physical Sciences Research Council (EPSRC) [Grant No. EP/P025951/1].3) Cardiff University/AJ2200IN01

Muestra la fuente de financiamiento declarada en la publicación.