Dampak Hambatan Geografis dan Strategi Akses Pelayanan Kesehatan : Literature Review
Impact of Geographical Barriers and Strategies for Access to Health Services : Literature Review
Abstract
Latar Belakang: Layanan kesehatan harus dapat diakses oleh semua masyarakat. Penentuan lokasi layanan kesehatan memberi arti dalam kemudahan layanan yang dapat dibeli, diterima, dan digunakan oleh masyarakat (accessibility). Aksesibilitas dalam konteks kesehatan adalah tersedianya pelayanan kesehatan yang dapat diakses pada saat dibutuhkan oleh individu.
Tujuan: Untuk mengumpulkan dan menganalisis artikel yang berhubungan dengan dampak hambatan geografis dan strategi akses pelayanan kesehatan melalui tinjauan literatur.
Metode: Penelusuran literatur dilakukan pada 3 online database (PubMed, Scopus, dan ProQuest). Artikel dipilah dengan membaca judul, abstrak, dan naskah lengkap. Kriteria inklusi pada penelitian ini adalah artikel dalam Bahasa Inggris, diterbitkan pada tahun 2012-2022 dengan topik dampak hambatan geografis dan strategi akses pelayanan kesehatan.
Hasil: Didapatkan tiga belas artikel, enam di antaranya (46,15%) mendeskripsikan hambatan geografis, dampak hambatan geografis, dan menjabarkan solusi untuk mengatasi hambatan geografis tersebut. Tujuh artikel sisanya membahas hambatan geografis terhadap akses fasilitas kesehatan dan dampaknya pada sistem pelayanan kesehatan.
Kesimpulan: Melalui pemahaman mengenai dampak hambatan geografis terhadap akses pelayanan kesehatan, maka dapat disusun beberapa strategi yang dapat dilakukan oleh penyedia layanan kesehatan untuk mengatasi hambatan geografis, antara lain pemanfaatan sistem informasi geografis; fasilitas kesehatan mobile, dan telemedisin.
References
Health and Places Initiative. Geographic Healthcare Access and Place. A Res Brief [Internet]. 2014;Version 1.(September):1–11. Available from: http://research.gsd.harvard.edu/hapi/
Delamater PL, Messina JP, Shortridge AM, Grady SC. Measuring geographic access to health care: raster and network-based methods. IInternational J Heal Geogr. 2012;11.
Littenberg B, Strauss K, MacLean CD, Troy AR. The use of insulin declines as patients live farther from their source of care: results of a survey of adults with type 2 diabetes. BMC Public Health. 2006;6(1):198.
Gething PW, Johnson FA, Frempong-Ainguah F, Nyarko P, Baschieri A, Aboagye P, et al. Geographical access to care at birth in Ghana: a barrier to safe motherhood. BMC Public Health. 2012;12(1):991.
Hansson E, Sasa M, Mattisson K, Robles A, Gutiérrez JM. Using Geographical Information Systems to Identify Populations in Need of Improved Accessibility to Antivenom Treatment for Snakebite Envenoming in Costa Rica. PLoS Negl Trop Dis. 2013;7(1).
Tracey E, McCaughan B, Badgery-Parker T, Young J, Armstrong B. Survival of Australian lung cancer patients and the impact of distance from and attendance at a thoracic specialist centre: a data linkage study. Thorax. 2015 Feb;70(2):152–60.
Sharma DK, Vangaveti VN, Larkins S. Geographical access to radiation therapy in North Queensland: a retrospective analysis of patient travel to radiation therapy before and after the opening of an additional radiotherapy facility. Rural Remote Health. 2016;16(1):3640.
Baade PD, Dasgupta P, Youl PH, Pyke C, Aitken JF. Geographical inequalities in surgical treatment for localized female breast cancer, Queensland, Australia 1997–2011: Improvements over time but inequalities remain. Int J Environ Res Public Health. 2016;13(7):1–14.
Ronca E, Brunkert T, Koch HG, Jordan X, Gemperli A. Residential location of people with chronic spinal cord injury: the importance of local health care infrastructure. BMC Health Serv Res. 2018 Aug;18(1):657.
Njue C, Nicholas N, Robertson H, Dawson A. Geographical Access to Child and Family Healthcare Services and Hospitals for Africa-Born Migrants and Refugees in NSW, Australia; A Spatial Study. Int J Environ Res Public Health. 2021 Dec;18(24).
Caviglia M, Dell’Aringa M, Putoto G, Buson R, Pini S, Youkee D, et al. Improving Access to Healthcare in Sierra Leone: The Role of the Newly Developed National Emergency Medical Service. Int J Environ Res Public Health. 2021 Sep;18(18).
Holcomb DS, Pengetnze Y, Steele A, Karam A, Spong C, Nelson DB. Geographic barriers to prenatal care access and their consequences. Am J Obstet Gynecol MFM. 2021 Sep;3(5):100442.
Garnelo L, Parente RCP, Puchiarelli MLR, Correia PC, Torres MV, Herkrath FJ. Barriers to access and organization of primary health care services for rural riverside populations in the Amazon. Int J Equity Health. 2020 Jul;19(1):54.
Tuyisenge G, Hategeka C, Kasine Y, Luginaah I, Cechetto D, Rulisa S. Mothers’ perceptions and experiences of using maternal health-care services in Rwanda. Women Health. 2019 Jan;59(1):68–84.
Ihantamalala FA, Bonds MH, Randriamihaja M, Rakotonirina L, Herbreteau V, Révillion C, et al. Geographic barriers to establishing a successful hospital referral system in rural Madagascar. BMJ Glob Heal. 2021 Dec;6(12).
Rocha TAH, da Silva NC, Amaral P V, Barbosa ACQ, Rocha JVM, Alvares V, et al. Access to emergency care services: a transversal ecological study about Brazilian emergency health care network. Public Health. 2017 Dec;153:9–15.
Ramadina N, Ardisasmita MN, Sujatmiko B. Geographic accessibility towards primary health care in Karawang district. Kesmas. 2021;16(3):199–205.
Tuyisenge G, Hategeka C, Kasine Y, Luginaah I, Cechetto D, Rulisa S. Mothers’ perceptions and experiences of using maternal health-care services in Rwanda. Women Heal. 2019;59(1):68–84.
Rodriguez S. Native Americans Face Severe Geographic Barriers to Cancer Care Access. 2022.
Armini LN. Hambatan Rujukan pada Kasus Kegawatdaruratan Maternal. J Univ Ngudi Waluyo. 2020;1(1):46–53.
Lin CC, Bruinooge SS, Kirkwood MK, Olsen C, Jemal A, Bajorin D, et al. Association Between Geographic Access to Cancer Care, Insurance, and Receipt of Chemotherapy: Geographic Distribution of Oncologists and Travel Distance. J Clin Oncol Off J Am Soc Clin Oncol. 2015 Oct;33(28):3177–85.
Lilley R, De Graaf B, Kool B, Davie G, Reid P, Dicker B, et al. Geographical and population disparities in timely access to prehospital and advanced level emergency care in New Zealand: A cross-sectional study. BMJ Open. 2019;9(7):1–8.
Rahmanti AR, Prasetyo AKN. Sistem informasi geografis: Trend pemanfaatan teknologi informasi untuk bidang terkait kesehatan. Semin Nas Inform Medis III (SNIMed III). 2012;(September):6–12.
Barbosa W, Zhou K, Waddell E, Myers T, Dorsey ER. Improving Access to Care: Telemedicine Across Medical Domains. Annu Rev Public Health. 2021 Apr;42:463–81.
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