ArticleInternational journal of environmental research and public health2020
Modelling Potential Geographical Access of the Population to Public Hospitals and Quality Health Care in Romania.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Evaluating the impact of national hospital plan on healthcare service performance in Albania: evidence from the regional Memorial Hospital in Fier.BMC health services research · 2026Article
- Associations Between Self-Esteem and Postpartum Depression and Anxiety: A Cross-Sectional Study Using the Rosenberg Scale in Romanian Women.Journal of clinical medicine · 2026Article
- Travel times and distances to health services in Australia.Scientific data · 2025Article
- Supporting public transit research in healthcare settings: testing a free, fast, and secure method for routing public transit from patient address to the point of care.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Geospatial Insights into Healthcare Accessibility in Europe: A Scoping Review of GIS Applications.Healthcare (Basel, Switzerland) · 2025Review
- Past, current status, and future trends of the rural healthcare network in the Republic of Kazakhstan.Scientific reports · 2025Article
- Tackling Cardiovascular Care Deserts in Romania: Expanding Population Access in Underserved Areas.Healthcare (Basel, Switzerland) · 2024Article
- Applying a "medical deserts" lens to cancer care services in the North-West region of Romania from 2009 to 2022 - a mixed-methods analysis.Archives of public health = Archives belges de sante publique · 2024Article
- The economic burden of atopic dermatitis in Romania: a broad perspective.Frontiers in public health · 2024Article
- Optimal Network of General Hospitals in Slovenia.International journal of environmental research and public health · 2023Article
- Experiences and Perceived Barriers of Asylum Seekers and People with Refugee Backgrounds in Accessing Healthcare Services in Romania.Healthcare (Basel, Switzerland) · 2022Article
- Population Vulnerability to the SARS-CoV-2 Virus Infection. A County-Level Geographical-Methodological Approach in Romania.GeoHealth · 2021Article
- Effects of the COVID-19 Pandemic on the Budgetary Mechanism Established to Cover Public Health Expenditure. A Case Study of Romania.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The geographical accessibility to hospitals relies on the configuration of the hospital network, spatial impedance and population distribution. This paper explores the potential geographic accessibility of the population to public hospitals in Romania by using the Distance Application Program Interface (API) Matrix service from Google Maps and open data sources. Based on real-time traffic navigation data, we examined the potential accessibility of hospitals through a weighted model that took into account the hospital competency level and travel time while using personal car transportation mode. Two scenarios were generated that depend on hospitals' level of competency (I-V). When considering all categories of hospitals, access is relatively good with over 80% of the population reaching hospitals in less than 30 min. This is much lower in the case of hospitals that provide complex care, with 34% of the population travelling between 90 to 120 min to the nearest hospital classed in the first or second category of competence. The index of spatial accessibility (ISA), calculated as a function of real travel time and level of competency of the hospitals, shows spatial patterns of services access that highlight regional disparities or critical areas. The high concentration of infrastructure and specialised medical personnel in particular regions and large cities limits the access of a large part of the population to quality health services with travel time and distances exceeding optimal European level values. The results can help decision-makers to optimise the location of health services and improve health care delivery.
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