Cartographic analysis of ensuring availability of outpatient organizations of million-plus cities of the Ural Federal District

Abstract

Introduction. The article is devoted to identifying features of spatial placement of health clinics in megacities and assessing the degree of compliance/ deviation with standards of pedestrian accessibility. Methods. The theoretical and methodological basis of the research is scientific ideas in the field of regional economics, spatial and normative analysis. Scientific novelty of the research consists in as- sessing availability and saturation of territories by health clinics, in the context of features of their spatial placement, taking into account the estab- lished regulatory requirements. Results. The place of the megacities of Ural Federal District among the megacities of Russia has been determined according to the conditions affecting availability of health clinics for the population. When carrying out a cartographic analysis of spatial placement of health clinics in Yekaterinburg and Chelyabinsk, district features of the cities studied were established, which made it possible to identify the existing problem areas characterized by an im- balance in the level of infrastructure facilities acces- sibility in relation to the regulatory requirements. The authors show the uneven coverage of clinic service areas, which reduces pedestrian and transport accessibility for citizens when receiving medical services. The features and differences of territorial localization of clinics in the actively built- up areas of Yekaterinburg and Chelyabinsk are revealed. Conclusions. The results obtained can be applied in the framework of determining priorities for implementing spatial transformations of studied territories and the authorities’ decision-making in order to increase medical services availability.