Basoa Rivas G, Otero Puime A
Centro Universitario de Salud Pública, Madrid.
Rev Sanid Hig Publica (Madr). 1994 Jul-Aug;68(4):503-11.
The accessibility of care can be inappropriate due to a scarce or nonexistent collaboration between health and urban planners at the time of urban planning.
The study was carried in the city of Fuenlabrada (145.506 inhabitants), located in the metropolitan area of Madrid. The city is divided in six Basic Zones with a Primary Health Care Center (PHCC) in each one of them. Isometric curves between were drawn on a map between the "starting" and "destination" points (Residential points formed by group of houses and their PHCC, respectively). The average and maximal distances were calculated. A scale to measure geographical accessibility was designed.
The 55.646 houses of the city were grouped into 209 "starting points" for the six PHCC ("destination points"). 93 isometric curves were drawn. The average and maximal distances were 910 and 3.900 meters, respectively. The application of our accessibility scale shows that 3 Basic Zones have optimum accessibility, 2 have good accessibility an the last one has bad accessibility.
The accessibility to the PHCC in Fuenlabrada is adequate. If the housing plan continues, in 1995 the city will need a new PHCC and a reorganization of Basic Zones.
由于城市规划时卫生部门与城市规划者之间缺乏合作或根本没有合作，医疗服务的可及性可能不恰当。
该研究在位于马德里大都市区的丰拉夫拉达市（有145,506名居民）开展。该市分为六个基本区域，每个区域都有一个初级卫生保健中心（PHCC）。在地图上绘制“起点”和“终点”（分别为由房屋群组成的居住点及其PHCC）之间的等距曲线。计算平均距离和最大距离。设计了一个衡量地理可及性的量表。
该市的55,646所房屋被归为六个PHCC（“终点”）的209个“起点”。绘制了93条等距曲线。平均距离和最大距离分别为910米和3900米。我们的可及性量表的应用表明，3个基本区域具有最佳可及性，2个具有良好可及性，最后一个具有较差可及性。
丰拉夫拉达市初级卫生保健中心的可及性是足够的。如果住房规划继续下去，到1995年该市将需要一个新的初级卫生保健中心并对基本区域进行重新组织。
