All public hospitals with Bellwether capacities were identified from the Philippines Ministry of Health website. The service area tool in ArcGIS Pro was used to determine the population within a 2-hour drive time of a Bellwether facility. Finally, suitability modelling was conducted to identify potential future sites for a surgical facility that targets the most underserved regions in the Philippines.
428 Bellwether capable hospitals were identified. 85.1% of the population lived within 2 hours of one of these facilities. However, 6 regions had less than 80% of its population living within 2 hours of a Bellwether capable facility: Bicol, Eastern Visayas, Zamboanga, Autonomous region of Muslim Mindanao, Caraga and Mimaropa. Suitability analysis identified four regions-Caraga, Mimaropa, Calabarzon and Zamboanga-as ideal locations to build a new hospital with surgical capacity to improve access rates.
85.1% of the population of the Philippines are able to reach Bellwether capable hospitals within 2 hours, with regional disparities in terms of access rates. However, other factors such as weather, traffic conditions, financial access, availability of 24-hour surgical services and access to motorised vehicles should also be taken into consideration, as they also affect actual access rates.
方法:所有具有领头羊能力的公立医院均来自菲律宾卫生部网站。ArcGISPro中的服务区域工具用于确定Bellwether设施2小时车程内的人口。最后,进行了适宜性建模,以确定针对菲律宾服务最薄弱地区的外科设施的潜在未来地点。
结果:确定了428家具有领头羊能力的医院。85.1%的人口在其中一个设施的2小时内居住。然而,6个地区的人口不到80%的人口生活在具有领头羊能力的设施的2小时内:Bicol,东米沙亚,三宝颜,棉兰老岛穆斯林自治区,Caraga和Mimaropa.适宜性分析确定了四个区域-卡拉加,Mimaropa,卡拉巴松和三宝颜是建立具有手术能力的新医院的理想地点,可以提高接诊率。
结论:菲律宾85.1%的人口能够在2小时内到达具有领头羊能力的医院,在接入率方面存在地区差异。然而,其他因素,如天气,交通状况,金融准入,还应考虑24小时手术服务的可用性和使用机动车辆的机会,因为它们也会影响实际的访问率。