Geospatial Analytics, eResearch Knowledge Centre, Human Sciences Research Council, Pretoria 0001, South Africa.
Geography, Environmental Management and Energy Studies, University of Johannesburg, Johannesburg 2006, South Africa.
Int J Environ Res Public Health. 2023 Feb 18;20(4):3651. doi: 10.3390/ijerph20043651.
Access to healthcare services is largely determined by socioeconomic factors, with economically well-off individuals obtaining healthcare services more efficiently than those who are disadvantaged. This paper aims to assess the effects of socioeconomic and other related factors on access to healthcare facilities in the City of Tshwane, South Africa, during the COVID-19 pandemic. Data were sourced from the Gauteng City-Region Observatory (GCRO) quality of life survey (2020/2021). Multivariate logistic regression was applied. Results showed that 66.3% of the respondents reported that they had access to public healthcare facilities within their area. Furthermore, results showed that those who lived in informal houses were significantly (OR = 0.55, 95% CI [0.37-0.80], < 0.01) less likely to report that they had access to public healthcare facilities in their area compared to those who lived in formal houses. More efforts need to be undertaken to ensure that all citizens have access to public healthcare facilities, especially among those who are disadvantaged, such as informal dwellers. In addition, future research should encompass locality in relation to the factors that affect access to public healthcare facilities, especially during pandemics such as the COVID-19 pandemic, in order to have geographically targeted interventions.
获得医疗保健服务在很大程度上取决于社会经济因素，经济条件较好的个人比处于不利地位的个人更能有效地获得医疗保健服务。本文旨在评估社会经济和其他相关因素对南非茨瓦内市在 COVID-19 大流行期间获得医疗设施的影响。数据来自豪登城市地区观察站（GCRO）生活质量调查（2020/2021 年）。应用多变量逻辑回归。结果显示，66.3%的受访者表示他们在所在地区能够获得公共医疗设施。此外，结果表明，与居住在正规房屋的人相比，居住在非正式房屋的人报告说他们在所在地区能够获得公共医疗设施的可能性显著降低（OR=0.55，95%CI[0.37-0.80]，<0.01）。需要做出更多努力，以确保所有公民都能获得公共医疗设施，特别是那些处于不利地位的人，如非正式居民。此外，未来的研究应包括与影响获得公共医疗设施的因素有关的地方因素，特别是在 COVID-19 等大流行期间，以便进行有针对性的地理干预。
