DBPapers
DOI: 10.5593/SGEM2016/B53/S21.041

LATVIAN URBAN SYSTEM IN CONTEXT OF TRANSFORMATION OF HEALTH CARE SYSTEM IN ECONOMIC CRISIS PERIOD

V.Zaluksne, Z.Bulderberga, B. Rivza
Wednesday 7 September 2016 by Libadmin2016

References: 16th International Multidisciplinary Scientific GeoConference SGEM 2016, www.sgem.org, SGEM2016 Conference Proceedings, ISBN 978-619-7105-67-4 / ISSN 1314-2704, June 28 - July 6, 2016, Book5 Vol. 3, 321-326 pp

ABSTRACT
In this study of authors interest the changes which happened in health system of Latvia, especially in aspect of availability of hospitals which occurred in the period of an economic crisis and mentioned urban system in the country. These changes show as the decrease in the accessibility of multiprofile round-the-clock hospitals in several urban groups of regional significance centres, which, on one hand, may be evident of city peripheralisation process that has started before the changes in healthcare infrastructure, and, on the other hand, may have a serious effect on the attractiveness of any given urban group for new groups of inhabitants in the future, thereby causing the concentration of inhabitants in urban groups where such infrastructure is available in full. In accordance with the purpose of studying the urban system within this study, the authors wishes to emphasise the spatial significance of healthcare infrastructure as an element of the social infrastructure, which might be indicative of anticipated changes in the urban system itself. For this purpose, the authors have calculated the round-the-clock multiprofile hospital coverage index that produces a value of 0 to 1. The authors believe that any actions on a national scale, including those involving changes in the infrastructure, inevitably cause a response within the urban system. When the availability of social infrastructure within a territory deteriorates, this territory runs the risk of periphery effect, which in turn affects the distribution of population and the professional structure of the inhabitants of cities or towns. These changes are difficult to follow up from the standpoint of research and practice, as the aforementioned does not appear at once. The processes of regional economy are fairly inertial. However, within the prospect of the next 10-20 years, the tendency that has arisen today might have essential detrimental consequences, and this risk is to be taken into consideration when making any further urban development prospects.

Keywords: Urban system, hospitals, transformation