Spatial and Time Remoteness as a Subject of Transport and Logistics Research (by the Example of the Republic of Tatarstan Healthcare System)

By Egorov, D. O.; Nikolaev, R. S. | Journal of Economics and Economic Education Research, January 1, 2016 | Go to article overview

Spatial and Time Remoteness as a Subject of Transport and Logistics Research (by the Example of the Republic of Tatarstan Healthcare System)


Egorov, D. O., Nikolaev, R. S., Journal of Economics and Economic Education Research


(ProQuest: ... denotes formulae omitted.)

INTRODUCTION

Transport and logistics processes are present in any territorial and social system and concern all its components, involving them into the global transport and logistics turnover as producers and consumers of the various flows. This turnover is not only time-space moving. It also includes other operations, which are carried out with the material and intangible objects (storage, distribution, fragmentation, processing, transformation, etc.).

Traditionally, it was decided to talk about the role of logistics mainly in management of material (business) flows and military supplies. Subsequently logistic activities spread on questions of optimization financial and information flows; on the study of service, migration, labor and tourism flows; on issues of spatial optimization the health care system, educational processes, diffusion of innovation and scientific knowledge, etc. (Szoltysek, Twarog, 2012).

At the same time transportation and logistics approach can be successfully developed within the framework of human geography in dealing with matters of optimization and management of the social processes, ensuring the availability of social services.

Currently, there are new directions: social logistics, socially oriented logistics and logistics of the social infrastructure, that concern the problems of infrastructural maintenance of social needs. Thus, under the term of social logistics to be understood «the art of managing flows in society, in order to achieve certain spatial and temporal qualities, necessary to ensure the proper functioning of society and an appropriate quality of life» (Szoltysek, 2011).

Social logistics is becoming more common (Takahasi, 1988; Wei, Zhenggang, Zhang, 2009; Szoltysek, Twarog, 2011, 2012). It affects the health system, education and science, social support for certain population groups, culture and arts, physical culture and sport, recreation and leisure. In addition, many of the authors into the social sphere include personal services and supply of goods, security and policing, etc.

Effective spatial organization of logistics processes and the development of the transport complex significantly improve the life quality of the population (Spinney, 2009), by ensuring the physical and financial availability of any goods and services.

Also it remains actual the question about the spatial discrimination of the population, including existence of the physical, temporal and financial limits for people living in peripheral areas. These aspects are widely used in the study of social exclusion, which is closely associated with transport accessibility and time remoteness (Kenyon, Lyons, Rafferty, 2003; Preston, Raje, 2007; Neutens, Schwanen, Witlox, 2009; Battellino, 2009; Currie, 2010; Lucas, 2011).

According to the comprehensive survey of living conditions conducted by Federal State Statistics Service of Russian Federation (Rosstat) in 2011, 34% of the rural population in the Republic of Tatarstan noted the problem of inaccessibility of state and municipal services in the field of health care in their locality. Among the urban population the proportion who chose this option was 20%.

In this paper considered using transport-logistic approach in the study of the efficiency spatial and temporal organization of social infrastructure in the health system of the Republic of Tatarstan. Emphasis is placed on identifying the problems of spatial discrimination of population in terms of access to facilities of the health system at the regional level. As a rule, the population in the more remote areas is disadvantaged in receiving quality affordable healthcare at the expense of additional time, financial and physical costs, which ultimately affects the increasing disease incidences, accumulating of chronic diseases, reducing life expectancy and increasing mortality.

METHODOLOGY

S. Curtis in his work «Health and Inequality» shows that the distribution of income is not the fundamental cause, which determines the level of health. …

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