Medical Infrastructure Evolution and Spatial Dimension of the Population Health State from the Danube Delta

The Danube Delta is a region of great tourist attractiveness but at the same time it is a space of contrasts in terms of infrastructure, access to medical services, the standard of living and community development. The population’s health status is conditioned, among other things, by natural conditions. Geographical accessibility refers to the ease with which the inhabitants of a certain area can reach services and facilities. The National Institute of Statistics provided the data used in this study. For the health analyzes for the territorial systems located entirely on the territory of the Danube Delta and partially on the territory of the Danube Delta, a database was created at the level of territorial administrative units, for the period of 20 years, 2000–2019. Spatial models were made following several well-established steps, starting with processing of medical records using a relational database system RDBMS-Postgres SQL, thus generating the database used in this material, a database that allows multiple records. The data analysis regarding the medical infrastructure in the period 2000–2019, reveals two important aspects: one that refers to the decline (sometimes until the total disappearance) of the facilities belonging to the public domain; the other emphasizes the development of private medical infrastructure. The analyzed period was marked by repeated attempts to reform and modernize the public health system. One aspect highlighted in the present study is the spatial disparities in the distribution of medical infrastructure, with an obvious advantage for territorial administrative units located partly in the Danube Delta, therefore better connected through infrastructure.