Andrea N. Davis , Neng Wan , Sarnai Erdene , Ganbold Lundeg , James VanDerslice , Jade Nunez
{"title":"Mapping essential surgical care in Mongolia: Do natural barriers and seasonality alter access to essential surgical care?","authors":"Andrea N. Davis , Neng Wan , Sarnai Erdene , Ganbold Lundeg , James VanDerslice , Jade Nunez","doi":"10.1016/j.apgeog.2024.103297","DOIUrl":null,"url":null,"abstract":"<div><p>Measures of access to essential surgery in Mongolia have not accounted for natural barriers to movement, seasonality, and the modifiable areal unit problem scale effects. This physical accessibility analysis indicates natural barriers and seasonality threaten access to surgical care, shifting Mongolia from an attaining to a non-attaining country with estimates below the target population goal of 80%. Remote communities are particularly impacted, with access reduced by up to 6.1%. Spatial resolution of the input data influences the results by up to 14.2%. This highlights the importance of including natural barriers and seasonality in healthcare access scenarios using a fine spatial resolution.</p></div>","PeriodicalId":48396,"journal":{"name":"Applied Geography","volume":null,"pages":null},"PeriodicalIF":4.0000,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Geography","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0143622824001024","RegionNum":2,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GEOGRAPHY","Score":null,"Total":0}
引用次数: 0
Abstract
Measures of access to essential surgery in Mongolia have not accounted for natural barriers to movement, seasonality, and the modifiable areal unit problem scale effects. This physical accessibility analysis indicates natural barriers and seasonality threaten access to surgical care, shifting Mongolia from an attaining to a non-attaining country with estimates below the target population goal of 80%. Remote communities are particularly impacted, with access reduced by up to 6.1%. Spatial resolution of the input data influences the results by up to 14.2%. This highlights the importance of including natural barriers and seasonality in healthcare access scenarios using a fine spatial resolution.
期刊介绍:
Applied Geography is a journal devoted to the publication of research which utilizes geographic approaches (human, physical, nature-society and GIScience) to resolve human problems that have a spatial dimension. These problems may be related to the assessment, management and allocation of the world physical and/or human resources. The underlying rationale of the journal is that only through a clear understanding of the relevant societal, physical, and coupled natural-humans systems can we resolve such problems. Papers are invited on any theme involving the application of geographical theory and methodology in the resolution of human problems.