Assessing inequalities in geographical access to emergency medical services in metropolitan Lisbon: a cross-sectional and ecological study.

ABSTRACT:

Objectives

Studies have suggested that material deprivation is strongly associated with negative health outcomes, and lower usage of various levels of healthcare. We aim to analyse geographical access to emergency medical services (EMSs) and hospital emergency units by EMS in relation to deprivation in the Lisbon Metropolitan Area (LMA), Portugal.

Design

This study estimates road network-based access times from the centroids of statistical sections (census block groups equivalent) to locations of EMS and hospital emergency services. Each statistical section has been linked to a Material Deprivation Index (MDI). A non-parametric analysis of variance (ANOVA) was undertaken to compare MDI-linked statistical sections in terms of access to emergency care. Geographical access anal

SUBMITTER: Silva KSDN 

PROVIDER: S-EPMC7651750 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature