Travel time to hospitals and mortality patterns: A multidimensional analysis by age, sex and cause of death
This study analyzed the relationship between hospital travel times and mortality in Spain from 2010 to 2019 by combining population and mortality microdata with census-section level car travel times to the five nearest hospitals. The analysis evaluated all-cause mortality alongside specific causes of death, finding that longer travel times correlate with higher mortality, particularly for adults aged 65 and older and for time-sensitive conditions. Circulatory diseases showed increased mortality risks even at short travel distances, while external causes of death exhibited steeper risk gradients at longer travel times.
Why it matters — It provides empirical evidence that geographic disparities in healthcare access lead to inequalities in mortality even within a country operating under a universal health coverage system.
Caveat: The study relies on car travel times from census-section centroids, which may not fully capture the actual transit modes or precise starting locations of individuals seeking emergency care.
Applied Geography · pdf · doi