Spatial modeling of factors influencing outpatient healthcare accessibility at the municipal level: An empirical analysis (case study of Sverdlovsk oblast)

Svetlana Begicheva and Antonina Begicheva
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Svetlana Begicheva: Ural State University of Economics, Ekaterinburg, Russian Federation
Antonina Begicheva: HSE University, Moscow, Russian Federation

Applied Econometrics, 2026, vol. 81, 117-139

Abstract: The article examines the factors of spatial accessibility of outpatient healthcare at the municipal level. The study is based on data from 65 municipalities of Sverdlovsk Region for the year 2021. A modified gravity-based accessibility index was applied, accounting for the distribution of medical personnel and the transport connectivity of territories. The impact of explanatory factors was assessed using the Spatial Durbin Model (SDM), while local disparities were identified through LISA analysis. The results confirmed the significant impact of institutional and economic factors on the accessibility of medical services, with this influence manifesting both directly and through mechanisms of resource redistribution between territories. A negative spatial lag coefficient (ρ = –0.49, p

Keywords: spatial regression models; healthcare accessibility; inter-territorial interactions; local Indicators of Spatial Association; LISA; typology of municipalities; healthcare (search for similar items in EconPapers)
Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:ris:apltrx:022384

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