Spatial modelling of medical reform strategies

Regardless of their type, public policies and strategies are developed in relation to a defined geographic space and they result in changes visible in territory. In this context, the effectiveness of public strategies is conditioned by the access of decision makers to analysis tools able to simulate the impact of political decisions. These tools must be able to transpose coherently and efficiently in the spatial-temporal context the legislative decisions. The main recipient of any public strategy or policy is the citizen who uses or is directly impacted by the effects of decisions taken at central level. At the same time, the society is the tool that allows the most objective measurement for strategy efficiency by using life quality indicators. Unfortunately, any such assessment can only be done in the period following strategy application, a moment when any methodology or execution correction will fail to redress the impact already in effect. This outlines both the principles that are the foundation of this research as well as the methods which can be used to evaluate the efficiency of this study.