EVALUATION OF ACCESSIBILITY TO HEALTH FACILITIES PROBLEMATIQUE VIA SPACE SYNTAX METHOD IN THE CONTEXT OF TURKIYE LEGISLATION

Abstract

The regulation on the Preparation of Spatial Plans guides health infrastructure planning at the zoning scale, including provisions for minimum per capita land requirements in Türkiye. However, at the local level, the spatial distribution and accessibility of health facilities play a critical role in ensuring equitable and efficient healthcare service delivery. This study aims to evaluate the adequacy of health facility areas at the neighborhood scale in the Central District of Kastamonu Province. First, the health facility area per capita was calculated for each neighborhood to assess compliance with the legal standards. Subsequently, spatial intelligibility was analyzed using DepthMapX-0.29 software by generating connectivity and integration maps and calculating their correlation coefficient (R²). The findings reveal that while the Saraçlar neighborhood had the highest intelligibility value (R² = 0.48), it was found to be insufficient regarding the allocated health facility area. These findings indicate that although the area is perceptually accessible, there is a spatial deficiency in healthcare provision. Ensuring access to health services is a fundamental human right, and from this perspective, transportation and spatial planning must prioritize enhancing access to public services. The results underline the necessity of revising spatial planning regulations by incorporating perceptual accessibility considerations to address local healthcare needs better.

Keywords

• Accessibility
• space syntax method
• connectivity
• integration
• health facilities.

Sağlık Tesislerine Erişilebilirlik Sorunsalının Türkiye Mevzuatı Çerçevesinde Mekân Dizim Yöntemi İle Değerlendirilmesi

Abstract

Türkiye’de sağlık altyapısının imar ölçeğinde planlanmasında “Mekânsal Planlar Yapım Yönetmeliği” uygulanmakta olup yönetmeliğe göre kişi başına düşen alan koşulu bulunmaktadır. Ancak sağlık tesis alanları yerel ölçekte sağlık arzı açısından önemli olup erişebilir konumda yer seçmesi verimli hizmet sunumu açısından oldukça önemlidir. Bu bağlamda araştırmanın amacı Kastamonu İli Merkez İlçesinde mahalle ölçeğinde sağlık tesis alanlarının yeterliliğini analiz etmektir. Araştırmada öncelikle her mahalle için kişi başına düşen sağlık tesisi alanı hesaplanarak mevzuata bağlı yeterlilik durumu tespit edilmiştir. Ardından DepthMapX-0.29 yazılımı kullanılarak bağlantısallık ve bütünleşiklik haritalarının korelasyon katsayısı (R²) elde edilerek okunabilirlik analizi yapılmıştır. Araştırma sonucunda Saraçlar Mahallesi’nde R² değeri en yüksek (0.48) iken sağlık tesislerinin alansal açıdan yeterliliği düşük bulunmuştur. Sağlık tesis alanı eksikliği olduğu belirlenen mahallede yüksek okunabilirlik değeri alanın algısal erişilebilirlik açısından iyi düzeyde olduğunu göstermektedir. Günümüzde de önemli olan sağlık tesislerine erişim kolaylığı tüm insanların temel haklarından birisidir. Bu bağlamda, insanların yaşam kalitelerini de etkileyen ulaşım planlamasının “kamusal mekânlara geçişin artırılması” çerçevesinde ele alınması önemli bir gerekliliktir. Sonuçlar aynı zamanda algısal erişilebilirlik boyutunda mekânsal planlara ilişkin mevzuatın geliştirilmesi gerekliliğini ortaya koymaktadır.

Keywords

• Erişilebilirlik
• mekân dizim yöntemi
• bağlantısallık
• bütünleşiklik
• sağlık tesisleri.

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