Yazar
Cavit Işık YAVUZ
Prof. Dr., Hacettepe ÜTF Halk Sağlığı Anabilim Dalı (ORCID No: 0000-0001-9279-1740)
Özet
-
Kentleşme ve dijitalleşme günümüzün sağlık alanını etkileyen iki önemli konusudur. Dünyada yerleşim alanı kentler dünya nüfusunun %55’ten fazlasını barındırmakta ve bu oranın 2050 yılında %68-70 olacağı tahmin edilmektedir. Bugün dünyada kentlerde yaşayan 4 milyardan fazla insan konut ve ulaşım sorunları, hava kirliliği, çevre ve atık sorunları, gürültü, su ve toprak kirliliği, kentsel ısı adaları başta olmak üzere birçok halk sağlığı sorunuyla karşı karşıyadır. Bu sorunların çözümü için yeni dijital teknolojiler bir seçenek olarak sunulmakta ve akıllı kentler giderek daha fazla gündeme gelmektedir. Akıllı kentler farklı tanım ve kapsamları olmakla birlikte “verimlilik, sürdürülebilirlik, ekonomik büyüme” eksenli bir dijitalleşme süreci olduğu dikkati çekmektedir. Akıllı kentlerde sağlık alanı kilit rol oynayacak on önemli alan arasında sayılmaktadır. Coğrafi Bilgi Sistemleri de dijital gelişmelerin hızlanmasıyla birlikte sağlık alanında yaygınlaşan bir yer edinmiştir. Sağlık alanında mekânsal değerlendirmeler, sürveyans, risk analizi, sağlığa erişim ve planlama, profil oluşturma gibi alanlarda kullanımı artmaktadır. Bu yazıda halk sağlığının eşitlik ve hakkaniyet tartışması ve çabasının artarak sürdüğü bir dönemde, gündemdeki yeri giderek artan akıllı kentler ve Coğrafi Bilgi Sistemlerinin sağlık alanındaki kullanımı irdelenmiştir.
Summary
-
Urbanisation and digitalisation are two major issues affecting the health sector today. More than 55% of the world’s population lives in cities, and it is estimated that by 2050 this figure will be 68-70%. Today, more than 4 billion people living in cities in the world face many public health challenges, including housing and transport problems, air pollution, environmental and waste problems, noise, water and soil pollution, urban heat islands. New digital technologies are being offered as an option to solve these problems, and smart cities are increasingly on the agenda. Although smart cities have different definitions and scopes, it is noteworthy that it is a digitalisation process based on “efficiency, sustainability and economic growth”. Health has been identified as one of the top ten areas that will play a key role in smart cities. With the acceleration of digital developments, Geographical Information Systems have also become widely used in the health sector. In the field of health, its use is increasing in areas such as surveillance, risk analysis, health access and planning, profiling with spatial assessments. This article analyses the use of smart cities and geographic information systems in health, which are increasingly on the agenda at a time when discussions and efforts to achieve equity and justice in public health are growing.
Anahtar Sözcükler / Keywords
Kaynaklar / References
-
Ahasan, R., Alam, M.S., Chakraborty, T., Hossain, M.M. (2020) Applications of GIS and geospatial analyses in COVID-19 research: A systematic review. F1000Res, 27;9:1379. doi: 10.12688/f1000research.27544.2. Carter, S., Green, J., Speed, E. (2018) Digital technologies and the biomedicalisation of everyday activities: The case of walking and cycling. Sociology Compass. 2018;12:e12572. https://doi.org/10.1111/soc4.12572 Cook, D.J., Duncan, G., Sprint, G., Fritz, R. (2018). Using Smart City Technology to Make Healthcare Smarter. Proc IEEE Inst Electr Electron Eng. 106(4):708-722. doi: 10.1109/JPROC.2017.2787688. Deloitte (2022). Smart cities, smarter public health. Erişim Tarihi 31 Mart 2025. https://www2.deloitte.com/us/en/insights/focus/smart-city/building-a-smart-city-with-smart-digital-health.html. Deloitte (2025). Erişim Tarihi 31 Mart 2025. https://www.deloitte.com/global/en/Industries/life-sciences-health-care/analysis/global-health-care-outlook.html De Jong, M., Joss, S., Taeihagh, A. (2024) Smart cities as spatial manifestations of 21st century capitalism, Technological Forecasting & Social Change, 202: 123299 https://doi.org/10.1016/j.techfore.2024.123299. Fradelos, E.C., Papathanasiou, I.V., Mitsi, D., Tsaras, K., Kleisiaris, C.F., Kourkouta, L. (2014). Health Based Geographic Information Systems (GIS) and their Applications. Acta Inform Med, 22(6):402-5. doi: 10.5455/aim.2014.22.402-405. Franch-Pardo, I., Napoletano, B.M., Rosete-Verges, F., Billa, L. (2020) Spatial analysis and GIS in the study of COVID-19. A review. Sci Total Environ, 15;739:140033. doi: 10.1016/j.scitotenv.2020.140033. https://www.oecd.org/content/dam/oecd/en/publications/reports/2019/06/enhancing-the-contribution-of-digitalisation-to-the-smart-cities-of-the-future_ef961723/f6970913-en.pdf IBM web sayfası. What is the IoT? Erişim Tarihi 2 Nisan 2025. https://www.ibm.com/think/topics/internet-of-things Lupton, D. (2013). Quantifying the body: monitoring and measuring health in the age of mHealth technologies. Critical Public Health, 23(4): 393–403. https://doi.org/10.1080/09581596.2013.794931. Lyseen, A.K., Nøhr, C., Sørensen, E.M., Gudes, O., Geraghty, E.M., Shaw, N.T., Bivona-Tellez, C. (2014). A Review and Framework for Categorizing Current Research and Development in Health Related Geographical Information Systems (GIS) Studies. Yearb Med Inform, 15;9(1):110-24. doi: 10.15265/IY-2014-0008. Mohammadzadeh, Z., Saeidnia, H.R., Lotfata, A. ve ark. (2023) Smart city healthcare delivery innovations: a systematic review of essential technologies and indicators for developing nations. BMC Health Serv Res 23: 1180. https://doi.org/10.1186/s12913-023-1020. Molchanov, M.A., Molchanova, V. (2022). Smart City—A Global Project of Late Capitalism. In: Lebedeva, M., Morozov, V. (eds) Turning Points of World Transformation. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-19-1758-5_3 Mouton, M., Ducey, A., Green, J., Hardcastle, L., Hoffman, S., Leslie, M., Rock, M. (2019) Towards ‘smart cities’ as ‘healthy cities’: health equity in a digital age. Can J Public Health, 110(3):331-334. doi: 10.17269/s41997-019-00177-5. Musa, G.J., Chiang, P.H., Sylk, T., Bavley, R., Keating, W., Lakew, B., Tsou, H.C., Hoven, C.W. (2013) Use of GIS Mapping as a Public Health Tool-From Cholera to Cancer. Health Serv Insights, 19;6:111-6. doi: 10.4137/HSI.S10471. Norris P. (2001). Digital Divide. Civic Engagement, Information Poverty, and the Internet Worldwide. Cambridge University Press. OECD (2019). Enhancing the Contributıon of Digitalisation to the Smart Cities of the Future. Olvingson, C., Hallberg, J., Timpka, T., Lindqvist, K. (2002) Ethical issues in public health informatics: implications for system design when sharing geographic information. J Biomed Inform, 2002;35(3):178-85. doi: 10.1016/s1532-0464(02)00527-0. Pramanik, I., Lau, R.Y.K., Demirkan, H., Azad, A.K. (2017) Smart health: Big data enabled health paradigm within smart cities. Expert Systems with Applications, 87: 370-383. https://doi.org/10.1016/j.eswa.2017.06.027. Shaw, N. T., McGuire, S. K. (2017). Understanding the use of geographical information systems (GISs) in health informatics research: a review: BMJ Health & Care Informatics, 24(2):228–233.doi:10.14236/jhi.v24i2.940. Taylor, J., Biddulph, P., Davies, M., Lai, K. (2013). Predicting the microbial exposure risks in urban floods using GIS, building simulation, and microbial models. Environment International;51:182–195. https://www.sciencedirect.com/science/article/pii/S0160412012002309 Trooskin, S.B., Hadler, J., St Louis, T., Navarro, V.J. (2005) Geospatial analysis of hepatitis C in Connecticut: a novel application of a public health tool. Public Health ,119(11):1042-7. doi: 10.1016/j.puhe.2005.03.016. Türk Dil Kurumu web sayfası. Erişim Tarihi 28 Mart 2025 https://sozluk.gov.tr/ UNHCR web sayfası. Refugee Data Finder. Erişim Tarihi 28 Mart 2025 https://www.unhcr.org/refugee-statistics/data-summaries WHO web sayfası. Erişim Tarihi 31 Mart 2025. https://www.who.int/news-room/fact-sheets/detail/urban-health World Bank web sayfası. Erişim Tarihi 1 Nisan 2025 https://www.worldbank.org/en/topic/poverty/overview World Economic Forum. Erişim Tarihi 31 Mart 2025 https://www.weforum.org/agenda/2023/04/world-health-day-healthcare-trends/
Geliş Tarihi / Received Date
-
19.04.2025
Kabul Tarihi / Accepted Date
-
23.06.2025