Bellantuono Loredana, Bellotti Roberto, Bergantino Angela Stefania, Gardelli Alessandro, Intini Mario, Kheirkhahan Niloofar, Monturano Gianluca
Department of Translational Biomedicine and Neuroscience (DiBraiN), University of Bari Aldo Moro, 70124, Bari, Italy.
National Institute of Nuclear Physics (INFN), Sezione di Bari, 70125, Bari, Italy.
Sci Rep. 2025 Jul 2;15(1):22880. doi: 10.1038/s41598-025-05060-7.
Access to healthcare services is vital for urban public health, significantly influencing life expectancy, equity, and economic development. This study investigates the spatial accessibility of healthcare services in Rome through public transportation, emphasizing system resilience during disruptions. We explore transport poverty, emphasizing that individuals without cars often rely solely on public transit for medical access. Our methodology integrates network analysis with spatial accessibility assessments. We constructed a graph model of Rome's transit system, where nodes represent stops and edges connect neighborhoods to healthcare facilities. This model incorporates actual travel times from the city's official public transport timetables. We applied centrality metrics to identify crucial transit hubs and evaluated how their removal impacts travel times to healthcare facilities. The findings reveal significant disparities in accessibility resilience, influenced primarily by network redundancy and the strategic importance of high-centrality nodes. To enhance resilience, it is essential to monitor critical transit nodes and implement real-time flow monitoring to respond to disruptions. Collaboration among local authorities, transport agencies, and healthcare providers is crucial for risk assessment and identifying vulnerable populations. Developing targeted interventions and strengthening network redundancy will ensure more equitable and reliable access to healthcare, particularly for those dependent on public transportation.
获得医疗保健服务对城市公共卫生至关重要,对预期寿命、公平性和经济发展有重大影响。本研究通过公共交通调查罗马医疗保健服务的空间可达性,强调中断期间系统的恢复力。我们探讨交通贫困问题,强调没有汽车的个人通常只能依靠公共交通就医。我们的方法将网络分析与空间可达性评估相结合。我们构建了罗马公交系统的图模型,其中节点代表站点,边连接社区与医疗设施。该模型纳入了该市官方公共交通时刻表中的实际出行时间。我们应用中心性指标来识别关键公交枢纽,并评估移除这些枢纽对前往医疗设施的出行时间的影响。研究结果显示,可达性恢复力存在显著差异,主要受网络冗余和高中心性节点的战略重要性影响。为提高恢复力,监测关键公交节点并实施实时流量监测以应对中断至关重要。地方当局、交通机构和医疗服务提供者之间的合作对于风险评估和识别弱势群体至关重要。制定有针对性的干预措施并加强网络冗余将确保更公平、可靠地获得医疗保健服务,尤其是对于那些依赖公共交通的人。
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