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Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries

Background: Palliative care is a priority for health systems worldwide, yet equity in access remains unknown. To shed light on this issue, this study compares populations’ driving time to specialized palliative care services in three countries: Ireland, Spain, and Switzerland. Methods: Network analy...

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Autores principales: van Steijn, Danny, Pons Izquierdo, Juan José, Garralda Domezain, Eduardo, Sánchez-Cárdenas, Miguel Antonio, Centeno Cortés, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507925/
https://www.ncbi.nlm.nih.gov/pubmed/34639645
http://dx.doi.org/10.3390/ijerph181910345
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author van Steijn, Danny
Pons Izquierdo, Juan José
Garralda Domezain, Eduardo
Sánchez-Cárdenas, Miguel Antonio
Centeno Cortés, Carlos
author_facet van Steijn, Danny
Pons Izquierdo, Juan José
Garralda Domezain, Eduardo
Sánchez-Cárdenas, Miguel Antonio
Centeno Cortés, Carlos
author_sort van Steijn, Danny
collection PubMed
description Background: Palliative care is a priority for health systems worldwide, yet equity in access remains unknown. To shed light on this issue, this study compares populations’ driving time to specialized palliative care services in three countries: Ireland, Spain, and Switzerland. Methods: Network analysis of the population’s driving time to services according to geolocated palliative care services using Geographical Information System (GIS). Percentage of the population living within a 30-min driving time, between 30 and 60 minutes, and over 60 min were calculated. Results: The percentage of the population living less than thirty minutes away from the nearest palliative care provider varies among Ireland (84%), Spain (79%), and Switzerland (95%). Percentages of the population over an hour away from services were 1.87% in Spain, 0.58% in Ireland, and 0.51% in Switzerland. Conclusion: Inequities in access to specialized palliative care are noticeable amongst countries, with implications also at the sub-national level.
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spelling pubmed-85079252021-10-13 Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries van Steijn, Danny Pons Izquierdo, Juan José Garralda Domezain, Eduardo Sánchez-Cárdenas, Miguel Antonio Centeno Cortés, Carlos Int J Environ Res Public Health Article Background: Palliative care is a priority for health systems worldwide, yet equity in access remains unknown. To shed light on this issue, this study compares populations’ driving time to specialized palliative care services in three countries: Ireland, Spain, and Switzerland. Methods: Network analysis of the population’s driving time to services according to geolocated palliative care services using Geographical Information System (GIS). Percentage of the population living within a 30-min driving time, between 30 and 60 minutes, and over 60 min were calculated. Results: The percentage of the population living less than thirty minutes away from the nearest palliative care provider varies among Ireland (84%), Spain (79%), and Switzerland (95%). Percentages of the population over an hour away from services were 1.87% in Spain, 0.58% in Ireland, and 0.51% in Switzerland. Conclusion: Inequities in access to specialized palliative care are noticeable amongst countries, with implications also at the sub-national level. MDPI 2021-09-30 /pmc/articles/PMC8507925/ /pubmed/34639645 http://dx.doi.org/10.3390/ijerph181910345 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
van Steijn, Danny
Pons Izquierdo, Juan José
Garralda Domezain, Eduardo
Sánchez-Cárdenas, Miguel Antonio
Centeno Cortés, Carlos
Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title_full Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title_fullStr Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title_full_unstemmed Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title_short Population’s Potential Accessibility to Specialized Palliative Care Services: A Comparative Study in Three European Countries
title_sort population’s potential accessibility to specialized palliative care services: a comparative study in three european countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8507925/
https://www.ncbi.nlm.nih.gov/pubmed/34639645
http://dx.doi.org/10.3390/ijerph181910345
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