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UID:pretalx-foss4g-2026-NJC3MZ@talks.osgeo.org
DTSTART;TZID=JST:20260901T130000
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DESCRIPTION:Comparative analysis of route and health care facilities for th
 e emergency patients of Pune and Bengaluru\n\nAdwait Priyadarshan1 and Man
 ish Kumar Mishra2\n\n1Department of Computer Science & Engineering\, IIIT-
 Bangalore-560100 - Adwait.Priyadarshan@iiitb.ac.in\n2Environmental Monitor
 ing and Assessment Division\, BARC\, Mumbai-400085 - manishkm@barc.gov.in\
 n\nKeywords: Emergency care\, Route\, Accessibility\, Bengaluru\, Pune  \n
 \n\nIntroduction\nDespite the vast and complex terrain of India\, attempts
  are now made to extend the digital resources developed for a particular r
 egion to other parts of the country. Open-source software is now effective
 ly used to assist the decision support system for better connectivity\, se
 rvice delivery\, emergency care and disaster management (https://fossunite
 d.org/public-policy). Accordingly\, a concept based on comparison of healt
 h care infrastructure and patient accessibility has been developed for two
  mega cities e.g. Pune and Bengaluru of India.  Pune (in Maharashtra) and 
 Bengaluru (in Karnataka) in India are two rapidly urbanizing South-Asian m
 etropolitan cities which have witnessed unprecedented and multifaceted inf
 rastructural growth. Recently\, traffic congestion (time lost in intracity
  travel)\, air pollution (AQI)\, educational institutions\, and availabili
 ty of multi-specialty hospitals (health) are leading reasons for opting or
  relocating to a city of choice. The Ease of Living Index (EOLI) data prov
 ided by the Government of India\, Bengaluru is ranked #1 (66.70) followed 
 by Pune (66.27). Both cities are ranked #1 and #5 in TomTom’s world cong
 estion index and #1 and #2 respectively in India (https://www.tomtom.com/t
 raffic-index/ranking/). The congestion in the traffic can be attributed to
  several dynamic as well as static factors. The dynamic factors are office
 /school rush hours\, sudden influx of vehicles from outside\, weekends\, f
 estivals\, vehicle breakdown\, road construction or repair etc. The static
  factors (which change with time but do not alter the traffic flow dynamic
 ally) are number of nodes\, population density\, number of lanes\, access 
 (one-way or two way)\, road width\, number of traffic signals\, bus-lanes\
 , rail-crossings etc.\nProviding rapid response during emergencies is cons
 idered an essential part of governance. The decision support system (DSS) 
 ought to decide the patient admission at the nearest available facility th
 at can cater for the emergency. Despite this\, several associated uncertai
 nties can affect the outcome of the decision based on limited information 
 about the proximity of the emergency service facilities. A comparative pic
 ture delineating the network behavior\, spatial saturation and the derivat
 ions of equity implications from the modeling for Pune and Bengaluru citie
 s of India is discussed in the paper. Availability of time-distance based 
 service areas for the admission of emergency and critical care patients at
  the nearest hospitals equipped to attend a specific type of emergency is 
 provided in the text. The traffic bottlenecks (both dynamic and static fac
 tors)\, congestion index\, KDE\, population and road density have been con
 sidered for the coverage calculation. \nMethods \nAfter repeated verificat
 ions from accredited agencies\, a total of sixty-two (62) and fifty-five (
 55) hospitals capable of catering an emergency has been selected from Beng
 aluru metro and Pune-\n\n\n\n\n\n\nPimpri cities of India. These hospitals
  were designated as centroids for modeling. The road layer which was extra
 cted from Open Street Map (OSM)\, using QuickOSM plugin consisted of prima
 ry\, secondary\, tertiary\, residential etc.\, types. Many highway types e
 .g.\, paths\, treks\, proposed etc. were programmatically or manually remo
 ved. The layer was processed for nodes and networks to enable routing. Fre
 e and open-source software QGIS (ver. 3.44\, Solothurn) has been used for 
 analysing the data. The population coverage around the hospitals were esti
 mated using the Voronoi polygons and the Global Human Settlement Layer (GH
 SL) data. The traffic data has been integrated into road networks of both 
 the cities\, with demarcations for 1\, 2 and 5 km service areas and the ti
 me isochrones of 5\, 10 and 15 minutes. In either case\, they have been co
 nverted into convex hulls. The percentage of the covered service area has 
 been calculated along with the overlay population raster and population pe
 rcentage coverage. TomTom Stat one month traffic data available for August
  2024 has been used as source data. For effective spatial data organisatio
 n\, the data acquired in GeoJSON format has been converted to GeoPackage (
 GPKG). For generating the analytical dataset\, an expansion of GPKG has be
 en done. Within the traffic performance fields\, this has enabled to deriv
 e a structured CSV\, via unpacking the nested JSON strings. The complex ti
 me-set data has been transformed through this “flattening” process int
 o individual columns that can be used for providing the Congestion Index- 
 a ratio of baseline speed limit to the actual harmonic speed. Lastly\, the
  geocoded CSV has been merged to the non-traffic road network. This was do
 ne through the nearest-neighbour spatial join breaking the traffic centroi
 ds to the nearest road geometries for creation of a combined\, traffic-sen
 sitive master network.\n\nDiscussion and conclusion\nAs far as the health 
 care accessibility and emergency response is concerned the two cities prov
 ide a contrasting urban layout. Unlike the dense-sponge structure of Benga
 luru\, a tree-like pattern is found for Pune city. The worked-out road len
 gth of Bengaluru (16\,319 km) is almost 1.5-times more than that of Pune (
 10\,659 km). Also\, an extensive network of high road density of Bengaluru
  (16.3 km/km2) provides the ambulance multiple route options thereby ensur
 ing alternative route flexibility in case of block on roads.  But slow mov
 ement is a likely phenomenon due to numerous intersections and street issu
 es with regular turns and stops. Tree-like structural feature of Pune has 
 a lower density of 12.1 km/km2\, the city relies on the main arterial road
  that can facilitate fast movement during regular days. But the underlying
  sensitivity of blockage of any kind\, cutting off from the access network
  can deeply affect the emergency access. Apart from the road layout\, the 
 cities are challenged due to the associated health care inequalities. \n\n
 Observations based on the Spatial Coefficient of Variation (CV) use\, a re
 latively higher score of 2.48 for Pune was obtained.  A clustering of hosp
 itals in the central region of Pune has been observed\; leaving the periph
 eral areas scarce in emergency care hospitals. Although Bengaluru provides
  a robust infrastructure\, the high inequality score of 2.28 corroborates 
 the uneven distribution of hospitals with unplanned growth as added limita
 tion. \n\n\nReferences\n\n1.	https://fossunited.org/public-policy\n2.	http
 s://www.tomtom.com/traffic-index/ranking/
DTSTAMP:20260717T220451Z
LOCATION:Cosmos2
SUMMARY:Comparative analysis of route and health care facilities for the em
 ergency patients of Pune and Bengaluru - Adwait Priyadarshan
URL:https://talks.osgeo.org/foss4g-2026/talk/NJC3MZ/
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