Original Articles
Vol. 18 No. 1 (2023)
https://doi.org/10.4081/gh.2023.1164

A geospatial study of the coverage of catheterization laboratory facilities (cath labs) and the travel time required to reach them in East Java, Indonesia

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Received: 19 October 2022
Accepted: 30 January 2023
Published: 25 May 2023
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acute coronary syndrome, percutaneous coronary intervention, cath lab, travel time, geospatial analysis, East Java, Indonesia

Authors

Andrianto Andrianto
andrianto@fk.unair.ac.id
Faculty of Medicine Universitas Airlangga, Surabaya, East Java, Indonesia.
Farizal Rizky Muharram
https://orcid.org/0000-0001-5353-8603
Faculty of Medicine Universitas Airlangga, Surabaya, East Java, Indonesia.
Chaq El Chaq Zamzam Multazam
Faculty of Medicine Universitas Airlangga, Surabaya, East Java, Indonesia.
Wigaviola Socha
Faculty of Medicine Universitas Airlangga, Surabaya, East Java, Indonesia.
Doni Firman
Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Centre Harapan Kita, West Jakarta, Indonesia.
Ahmad Chusnu Romdhoni
Faculty of Medicine Universitas Airlangga, Surabaya, East Java, Indonesia.
Senitza Anisa Salsabilla
Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.

Coronary heart disease is a non-communicable disease whose treatment is closely related to infrastructure, such as diagnostic imaging equipment visualizing arteries and chambers of the heart (cath lab) and infrastructure that supports access to healthcare. This research is intended as a preliminary geospatial study to carry out initial measurements of health facility coverage at the regional level, survey available supporting data and provide input on problems in future research. Data on cath lab presence was gathered through direct survey, while population data was taken from an open-source geospatial system. The cath lab service coverage was obtained by analysis based on a Geographical Information System (GIS) specific tool to evaluate travel time from the sub-district centre to the nearest cath lab facility. The number of cath labs in East Java has increased from 16 to 33 in the last six years and the 1-hour access time increased from 24.2% to 53.8%. However, accessibility remains a problem as16.5% of the total population of East Java cannot access a cath lab even within 2 hours. Thus, additional cath lab facilities are required to provide ideal healthcare coverage. Geospatial analysis is the tool to determine the optimal cath lab distribution.

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Scopus
Google Scholar
Europe PMC
Ahmat A, Asamani JA, Abdou Illou MM, Millogo JJS, Okoroafor SC, Nabyonga-Orem J, Karamagi HC, Nyoni J. 2021. Estimating the threshold of health workforce densities towards universal health coverage in Africa. BMJ Glob Health 7:e008310. DOI: https://doi.org/10.1136/bmjgh-2021-008310
Aminorroaya A, Yoosefi M, Rezaei N, Shabani M, Mohammadi E, Fattahi N, Azadnajafabad S, Nasserinejad M, Rezaei N, Naderimagham S, Ahmadi N, Ebrahimi H, Mirbolouk M, Blaha MJ, Larijani B, Farzadfar F. 2022. Global, regional, and national quality of care of ischaemic heart disease from 1990 to 2017: a systematic analysis for the Global Burden of Disease Study 2017. Eur J Prev Card 29:371–379. DOI: https://doi.org/10.1093/eurjpc/zwab066
Barbato E, Noc M, Baumbach A, Dudek D, Bunc M, Skalidis E, Banning A, Legutko J, Witt N, Pan M, Tilsted HH, Nef H, Tarantini G, Kazakiewicz D, Huculeci R, Cook S, Magdy A, Desmet W, Cayla G, Vinereanu D, Voskuil M, Goktekin O, Vardas P, Timmis A, Haude M. 2020. Mapping interventional cardiology in Europe: the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Atlas Project. Eur Heart J 41:2579–88. DOI: https://doi.org/10.1093/eurheartj/ehaa475
Baumgartner H, Falk V, Bax J, Bonis M, Hamm C, Holm P, Kung B, Lancellotti P, Lansac E, Munoz D, Rosenhek P, Sjorgen J, Mas P, Vahanian A, Walther T, Wendler O, Windecker S, Zamorano J. 2017. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J 38:2739–2786. DOI: https://doi.org/10.1016/j.rec.2017.12.013
Concannon T, Nelson J, Goetz, Griffith J. 2012. A Percoutaneous Coronary Intervention Lab in Every Hospital? Circulation Cardiovascular Quality Outcomes 5:14-20. DOI: https://doi.org/10.1161/CIRCOUTCOMES.111.963868
Gabb G, Arnolda L. 2017. Geographic location as a modifiable cardiac risk factor. Canad Med Assoc J 189:E482. DOI: https://doi.org/10.1503/cmaj.170116
Januś B, Rakowski T, Dziewierz A, Fljorek K, Sokolowski A, Dudek D. 2015. Effect of introducing a regional 24/7 primary percutaneous coronary intervention service network on treatment outcomes in patients with ST segment elevation myocardial infarction. Kardiologia Polska 73:323–30. DOI: https://doi.org/10.5603/KP.a2014.0229
Larson D, McKavanagh P, Henry T, Cantor W. 2016. Reperfusion options for ST elevation myocardial infarction patients with expected delays to percutaneous coronary intervention. Interventional Cardiol Clinics 5:439–450. DOI: https://doi.org/10.1016/j.iccl.2016.06.004
Neumann F, Sousa-Uva M, Ahlsson A, Alfonso F, Banning A, Benedetto U, Byrne R, Collet J, Falk V, Head S, Juni P, Kastrati A, Koller A, Kristensen S, Niebauer J, Richter D, Seferovic P, Sibbing D, Stefanini G, Windecker S, Yadav R, Zembala M. 2019. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 55:87–165. DOI: https://doi.org/10.15829/1560-4071-2019-8-151-226
Oliver A, Mossialos E. 2004. Equity of access to health care: outlining the foundations for action. J Epidemiol Comm Health 58:655–8. DOI: https://doi.org/10.1136/jech.2003.017731
Peters D, Garg A, Bloom G, Walker D, Brieger W, Rahman MH. 2008. Poverty and access to health care in developing countries. Ann New York Acad Sci 1136:161–71. DOI: https://doi.org/10.1196/annals.1425.011
Results of the 2020 Population Census. 2021. BPS East Java Province. Statistical Rummy News. No 07/01/35/ th. XIX. Available at: https://jatim.bps.go.id/pressrelease/2021/01/21/1224/jumlah-penduduk-jawa-timur-hasil-sensus-penduduk-2020--sp2020--sebesar-40-67-juta-orang.html
Timmis A, Townsend N, Gale C, Torbica A, Lettino M, Petersen S, Mossialos E, Maggioni A, Kazakiewicz D, May H, Smedt D, Flather M, Zuhlke L, Beltrame J, Huculeci R, Tavazzi, Hindricks G, Baz J, Casadei B, Achenbach S, Wright L, Vardas P, 2020. European society of cardiology: Cardiovascular disease statistics 2019. Eur Heart J 41:12–85.
Timonin S, Kontsevaya A, McKee M, Leon D., 2018. Reducing geographic inequalities in access times for acute treatment of myocardial infarction in a large country: The example of Russia. Int J Epidemiol 47:1594–602. DOI: https://doi.org/10.1093/ije/dyy146

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A geospatial study of the coverage of catheterization laboratory facilities (cath labs) and the travel time required to reach them in East Java, Indonesia. (2023). Geospatial Health, 18(1). https://doi.org/10.4081/gh.2023.1164
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