ArticleSocial science & medicine (1982)2021
Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 136 citations in OpenAlex.
- Connecting care-telemedicine breaks barriers for low-income Brazilians battling breast cancer: a prospective cohort study.Sao Paulo medical journal = Revista paulista de medicina · 2026Article
- Spatial Distribution of COVID-19 Diagnostic Services in Mopani District, Limpopo Province, South Africa.Public health challenges · 2025Article
- Infrastructure-health nexus in Brazil: a scoping review.Global health research and policy · 2025Article
- Extreme geographic misalignment of healthcare resources and HIV treatment deserts in Malawi.Nature medicine · 2025Article
- Article
- Demographic, social, and clinical aspects associated with access to COVID-19 health care in Pará province, Brazilian Amazon.Scientific reports · 2024Observational
- Location selection of field hospitals amid COVID-19 considering effectiveness and fairness: A case study of Florida.International journal of disaster risk reduction : IJDRR · 2023Article
- Public transport access to drug treatment before and during COVID-19: Implications for the opioid epidemic.The International journal on drug policy · 2023Article
- Daily changes in spatial accessibility to ICU beds and their relationship with the case-fatality ratio of COVID-19 in the state of Texas, USA.Applied geography (Sevenoaks, England) · 2023Article
- Impact of network centrality and income on slowing infection spread after outbreaks.Applied network science · 2023Article
- Socioeconomic inequality in hospital case fatality rate and care among children and adolescents hospitalized for COVID-19 in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Introducing spatial availability, a singly-constrained measure of competitive accessibility.PloS one · 2023Article
- Pandemic preparedness and response: exploring the role of universal health coverage within the global health security architecture.The Lancet. Global health · 2022Review
- Understanding the Potential Impact of Different Drug Properties on Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Transmission and Disease Burden: A Modelling Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Article
- Examining the impact of COVID-19 vaccination rates on differential access to critical care.Applied geography (Sevenoaks, England) · 2022Article
- An Examination of the Stochastic Distribution of Spatial Accessibility to Intensive Care Unit Beds during the COVID-19 Pandemic: A Case Study of the Greater Houston Area of Texas.Geographical analysis · 2022Article
- Spatial and temporal fluctuations in COVID-19 fatality rates in Brazilian hospitals.Nature medicine · 2022Article
- Facility or Transport Inequality? Decomposing Healthcare Accessibility Inequality in Shenzhen, China.International journal of environmental research and public health · 2022Article
- Urban and sub-urban disparities in health outcomes among patients with COVID-19; a cross-sectional study of 234 418 patients in Iran.BMC public health · 2022Article
- COVID-19's intra-urban inequalities and social vulnerability in a medium-sized city.Revista da Sociedade Brasileira de Medicina Tropical · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The rapid spread of COVID-19 across the world has raised concerns about the responsiveness of cities and healthcare systems during pandemics. Recent studies try to model how the number of COVID-19 infections will likely grow and impact the demand for hospitalization services at national and regional levels. However, less attention has been paid to the geographic access to COVID-19 healthcare services and to hospitals' response capacity at the local level, particularly in urban areas in the Global South. This paper shows how transport accessibility analysis can provide actionable information to help improve healthcare coverage and responsiveness. It analyzes accessibility to COVID-19 healthcare at high spatial resolution in the 20 largest cities of Brazil. Using network-distance metrics, we estimate the vulnerable population living in areas with poor access to healthcare facilities that could either screen or hospitalize COVID-19 patients. We then use a new balanced floating catchment area (BFCA) indicator to estimate spatial, income, and racial inequalities in access to hospitals with intensive care unit (ICU) beds and mechanical ventilators while taking into account congestion effects. Based on this analysis, we identify substantial social and spatial inequalities in access to health services during the pandemic. The availability of ICU equipment varies considerably between cities, and it is substantially lower among black and poor communities. The study maps territorial inequalities in healthcare access and reflects on different policy lessons that can be learned for other countries based on the Brazilian case.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.