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Local Accessibility to the Health Care System

In the Eurocity of Valença-Tui

Ana AMANTE – Saleem KAROU – Sinem OKTEN – Sabina PULAWSKA – Silvia ROSSETTI

COST TU1002 Summer Training School 2013

Valença-Tui, 9th – 14th June 2013

1.  Background on the health care system in Valença-Tui

2.  Analysis of accessibility to health care services

3.  Proposal and recommendation

Outline

1. BACKGROUND

THE HEALTH CARE SYSTEM IN

VALENÇA-TUI

1. Background: the health care system in Valença-Tui

DEMAND: Valença (Portugal) -117,1 km² and app. 14,000 residents. Tui (Spain) - 68,3 km2 and app. 17,000 residents.

SUPPLY: • hospital in Viana do Castelo (PT - 50 km from Valenca-Tui) is a district hospital (hospital sta Luzia) with internal medicine, surgery, orthopedics … •  hospital in Vigo (ES - 30 km from Valenca-Tui) is a general hospital –with almost all specialties (hospital Meixoero) • Pontevedra has a second level hospital, Braga has a central hospital

Both Viana de Castelo and Vigo hospitals can be reached by car through motorway


HOSPITAL

HOSPITAL

EUROCITY


Procedures in emergency • One health centre in each of Tui and Valenca, with only a general doctor.

• Another health centre is located in Monçao (Portugal – 20 km from Valenca-Tui) providing other cares more specialized than Valenca-Tui.

• They cannot provide specialized treatments, with medical equipments. If the situation of the patient is more serious, even more specialised treatments can be provided only in the hospitals of Viana do Castelo or Vigo.


TUI

VALENÇA


VIGO

TUI HEALTH CENTRE

MONÇAO

VALENÇA HEALTH CENTRE

VIANA DO CASTELO


TUI


VALENCA


EMERGENCY SERVICE (INEM for Portugal) •  Ambulance for first aid; •  Van (1500 horse power) with a doctor and a nurse can join the ambulance

for serious cases; •  Helicopter can be used for the most serious cases.

EMERGENCY SERVICE (061 for Spain) •  Ambulance for first aid; •  Medical cars with doctors and nurse can also provide aid at home. •  Helicopter

2. ANALYSIS OF ACCESSIBILITY TO

HEALTH CARES

2. Analysis of accessibility to health care

INSERT GIS MAPS

Density of Tui

Density of Valenca

Health Centres Catchment Area by foot

Walking speed: 4 km/h Please note that walking accessibility not cross the river


Density of Tui

Density of Valenca

Health Centres Catchment Area by bike

Cycling speed: 12 km/h Please note that cycling accessibility not cross the river


Health Centres Catchment Area by car

Driving speed: 35 km/h

Density of Tui

Density of Valenca

3. PROPOSALS & RECOMMENDATION

3. Proposals and recommendations

- Improving the service of health centres in Eurocity by providing specialized cares as well (at least pediatrics, orthopedics, geriatrics), especially emergency services;

- Ensuring better and faster access to health centres through sustainable and efficient public transport choices

-  Improving safety and health by reducing accidents, increasing trips by walk and cycle

-  Improving air quality and reducing transport noise

Example of “black spots” analysis to locate road accidents Source: Tiboni & Rossetti, 2013

- Data on the location, frequency and severity of vehicles accidents in the active roads within the area of the both municipalities (black spots analysis) should be considered when a new emergency or secure service located or re-located

3. Proposals and recommendations

- Ensuring integration of institutional policies regarding health facilities between both municipalities to develop database on the number of patients who use their services as well as their home address in order to optimise their accessibility to the services of the Eurocity

- Accessibility maps can be used to perform ex ante evaluations on the location of new residential developments and health care facilities

- Comparing accessibility maps with the master plan urban areas of two municipilities (residential areas for development without walking accessibility to health care);

-  Some areas, even with high population density are not accessible by public transport, walking and cycling to the main health care services.

Thank you for your attention!

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