The accessibility analysis of dementia care facilities across Hamilton's wards reveals notable disparities, underscoring the uneven provision of healthcare services for elderly residents. Wards 15 and 13 exhibit the highest accessibility to dementia care facilities, suggesting that residents in these wards are in closer proximity to specialized dementia care. However, this advantage is not complemented by the availability of other essential healthcare-related infrastructure.
Figure 8: Bus Stops and Dementia Health Service Point Distribution in Hamilton CD
1. Combined Weighted Facility Density
The combined weighted facility density map (Figure 9), which incorporates the distribution of long-term care facilities, pharmacies, and bus stops with respect to each ward's senior population ratio, provides a comprehensive view of overall service accessibility. Wards 2, 7, 8, and 14 show the highest combined facility density, indicating a concentration of supporting services in central areas. In contrast, Wards 11, 12, 13, and 15 have significantly lower combined facility densities, pointing to a lack of complementary facilities that would support elderly residents in accessing dementia care.
Figure 9: Long-Term Care, Pharmacy, and Bus Stops Distribution by Hamilton CD Wards
2. Individual Facility Density Analysis
Pharmacy Density (Figure 10): The pharmacy density analysis shows Ward 2 with the highest concentration of pharmacies, while suburban Wards 9, 11, 12, 13, and 15 have minimal availability, limiting residents' access to essential medications.
Figure 10: Pharmacy Distribution by Hamilton CD Wards
Bus Stop Density (Figure 11): Similarly, bus stop density is highest in Wards 2, 7, 8, and 14, supporting ease of transit in these areas. In contrast, Wards 9, 11, 12, 13, and 15 have limited public transit options, posing challenges for residents needing transportation to healthcare facilities.
Figure 11: Bus Stops Distribution by Hamilton CD Wards
Long-Term Care Facility Densit (Figure 12): The density of long-term care facilities also varies significantly across wards. Ward 14 has the highest concentration of long-term care facilities, whereas Wards 11, 12, 13, and 15 are underserved in this regard.
Figure 12: Long-Term Care Distribution by Hamilton CD Wards
3. Overall Findings and Recommendations
Overall, the findings emphasize that while Wards 15 and 13 may have better accessibility to dementia care facilities due to the proximity of bus stops, they lack the supporting infrastructure required for effective and convenient access, especially toward their peripheral areas. The combined weighted facility density map highlights the uneven distribution of critical services across Hamilton's wards, creating barriers for elderly residents in accessing necessary care. There is an urgent need for targeted interventions to address these disparities and ensure equitable access to healthcare services, particularly in underserved areas.
To Conclude
The mapping and analysis reveal that while central wards such as Wards 2, 7, 8, and 14 have a higher concentration of essential facilities—pharmacies, bus stops, and long-term care homes—the peripheral wards, including Wards 11, 12, 13, and 15, remain underserved. Seniors displaced to these areas face limited access to pharmacies and healthcare services, compounded by a lack of public transit connectivity. Even in Wards 15 and 13, which have better accessibility to dementia care facilities, the supporting infrastructure is insufficient, particularly in their outer regions. These disparities in facility density and accessibility create significant barriers for vulnerable elderly populations, leaving many socially and economically isolated.
This analysis also underscores the interconnectedness of housing affordability, healthcare access, and public transit infrastructure. Seniors’ mobility and ability to remain engaged in their communities hinge on equitable access to these critical services. The ongoing loss of affordable rental units and the migration of seniors to less accessible areas pose a risk of further widening the gap in healthcare and social support for Hamilton’s aging population.
To address these challenges, targeted policy interventions are essential. These could include increasing investment in public transit infrastructure in underserved wards, incentivizing the development of healthcare facilities and pharmacies in peripheral areas, and prioritizing affordable housing initiatives to allow seniors to remain in centrally located, well-serviced neighborhoods. Additionally, integrating healthcare and transit planning into broader urban development strategies would ensure a more equitable distribution of services for seniors across all wards.
Citation
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