Patients’ Perception and Health care Accessibility of Primary Health care centre in Madurai District - A Geo-Medical Study

By : Vinothini C. , Suja Rose R.S. , Saravanabavan V

Page No: 233-249

Abstract
The promotion and protection of public health are vital for sustainable economic and social development, enhancing overall quality of life. In geographically diverse regions, distance greatly impacts healthcare accessibility, as individuals prefer facilities closer to home. This study examines the spatial distribution and accessibility of Primary Health Centres (PHCs) in Madurai District, Tamil Nadu, focusing on how socio-economic and demographic factors influence health service utilisation and travel patterns. The objectives include analysing PHC distribution, assessing patients’ socio-economic conditions, and evaluating travel behaviours by age and sex, emphasising distance and transport modes. Data from 600 respondents were collected through stratified random sampling using structured questionnaires, supplemented by primary and secondary sources. GIS tools like overlay and buffer analysis, along with factor analysis and Z-score standardisation, were employed. Findings show that PHC location, environment, transport, and socio economic status significantly affect healthcare use. Patient perception, an under-theorised but vital factor, is central to understanding healthcare accessibility, spatial justice, and equity within health systems.

Authors:
Vinothini C.: Research Scholar (RUSA), Department of Geography, School of Earth and Atmospheric Sciences, Madurai Kamaraj University, Madurai, Tamil Nadu, 
Suja Rose R.S.: Assistant Professor and Head, Environmental Remote Sensing and Cartography, School of Earth and Atmospheric Sciences, Madurai Kamaraj University, Madurai, Tamil Nadu, .
Saravanabavan V.: Associate Professor, Department of Geography, North Eastern Hill University, Shillong, Meghalaya, 
 

DOI: https://doi.org/10.32381/ATNAGI.2025.45.02.1