Physical accessibility to health services – Case study in Lisbon Metropolitan Area, Portugal

Authors: Ana Louro, Centre of Geographical Studies / Institute of Geography and Spatial Planning Universidade de Lisboa, Eduarda Marques Da Costa*, Universidade de Lisboa - Centro de Estudos Geográficos, Nuno Marques da Costa, Centre of Geographical Studies / Institute of Geography and Spatial Planning Universidade de Lisboa
Topics: Geography and Urban Health, Transportation Geography
Keywords: Physical accessibility, public health facilities, Network Analysis, Lisbon Metropolitan Area
Session Type: Paper
Day: 4/6/2019
Start / End Time: 3:05 PM / 4:45 PM
Room: Marshall South, Marriott, Mezzanine Level
Presentation File: No File Uploaded


Health planning includes several elements, such as the distribution of human, physical and health care resources, accessibility to public health facilities, among others. This paper focuses on physical accessibility to primary healthcare public services in distinct residential locations in the Lisbon Metropolitan Area (LMA). This approach assumes two methodological phases. Firstly, using the GIS network analysis, physical accessibility to services were calculated in a 15 m limit considering: walking time distance, conditioned walking time distance (elderly or disabled person) and drive time distance, to calculate the potential coverage of patient population. Secondly, through a survey applied to 408 households in a sample of 11 areas (including Lisbon city center, suburban and periurban contexts within LMA), the health services demand (spent time and travel mode) was recorded. It was concluded that: despite being services of proximity, the highest potential of coverage is attended by private car; real demand by car and by pedestrian mode in 15 m distance are lowest than potential, highlighting factors as density and urban form and ageing process. Aged people reveals less access by walkable mode, conducting to inequity in access to primary care.

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