Document Type : Research Paper

Authors

• mojtaba poorrahimi ¹
• Meysam Argany ²

¹ Ph.D. student in remote sensing and geographic information system - Faculty of Geography, University of Tehran

² Associate Professor, Department of Remote Sensing and GIS - Faculty of Geography - University of Tehran

Abstract

One of the most important consequences of the rapid growth of urbanization and the physical development of the country's cities in the past decades is the breakdown of the distribution system of urban service centers, which has become the basis for social inequality of citizens and the level of enjoyment of urban services. In the meantime, medical services are of particular importance, so that the weakness and inefficiency of the management in the matter of providing optimal services in this field will have extensive negative consequences. In this research, we investigated the access of the population to the hospital as an integral part of a social organization that is responsible for providing complete health care including treatment and prevention measures in the population as an important measure in the health of the city in smartness. we paid In the current research, using the 2-step method of the floating basin, using network analysis and pre-processing of population blocks, to prevent the inflation of supply and demand, we have created the access limits of the population to the hospital. The results show that according to the growth of the urban population and the direction of these changes in each studied urban area, the population's access to the hospital is poor and limited population blocks have appropriate access, inappropriate distribution and dispersion in the location of hospitals and lack of planning regarding Increasing the approved beds and activating the beds are the things that cause the lack of easy and quick access to these services for the population of southern areas of Tehran.

Highlights

One of the most important consequences of the rapid growth of urbanization and the physical development of the country's cities in the past decades is the breakdown of the distribution system of urban service centers, which has become the basis for social inequality of citizens and the level of enjoyment of urban services. In the meantime, medical services are of particular importance, so that the weakness and inefficiency of the management in the matter of providing optimal services in this field will have extensive negative consequences. Hospitals as an inseparable part of a social organization that is responsible for providing complete health care including treatment and prevention measures in the population as an important measure in the health of the city in smartness. The city of Tehran, as the most prominent metropolis of Iran, has witnessed a large population growth and the development of planning in its urban areas. Unfair distribution of urban services, especially medical services, and lack of proper access to these services in some areas are among the urban problems of Tehran. In this research, the access of the population to the hospital in the southern areas of Tehran city was investigated using two flow catchment area method and pre-processing of population blocks and hospital indicators. In order to prevent the inflation of supply and demand, it was decided to establish the access limits of the population to the hospital with the method of network analysis and the deprived areas that did not have access to the hospital. The results show that less than 15% of the total population of the region has access to a hospital in the 15th region of Tehran municipality, in region 16, the lack of distribution, inappropriate dispersion, and lack of attention to directional population distribution and forecasting are the main reasons for the population's lack of access to treatment services. In Region 17, the correct site selection of the only existing hospital has caused half of the population to have access to medical services, in Region 18, inappropriate location and lack of attention to directional population distribution have caused 65% of the population to not have sufficient access to medical services.in region 19, the lack of attention and planning and the absence of a hospital caused the population of this region to turn to other regions to use hospital services.in Region 20, the lack of attention to population changes has caused half of the population not to be covered by hospital services.

Keywords

• General hospital
• floating catchment area
• directional population distribution
• access range
• hospital index

10.22034/gp.2023.55039.3091

Main Subjects

• GIS&RS