About: Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach

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About: Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach
Creator	Gouveia, Nelson Paez, Antonio Pereira, Rafael Amaral, Pedro Braga, Vieira Kauê, Carlos Mendes, Luciana Serra, Bernardo
source	MedRxiv
abstract	The rapid spread of the new coronavirus 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 the response capacity of hospitals 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.
has issue date	2020-07-19(xsd:dateTime)
bibo:doi	10.1101/2020.07.17.20156505
has license	medrxiv
sha1sum (hex)	1ba38a9d557ebb7875424b9b86773f5f555dba66
schema:url	https://doi.org/10.1101/2020.07.17.20156505
resource representing a document's title	Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach
resource representing a document's body	covid:1ba38a9d557ebb7875424b9b86773f5f555dba66#body_text
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