This article synthesizes two GIS-based accessibility measures into one framework, and applies the methods to examining spatial accessibility to primary health care in the Chicago ten-county region. The floating catchment area (FCA) method defines the service area of physicians by a threshold travel time while accounting for the availability of physicians by their surrounded demands. The gravity-based method considers a nearby physician more accessible than a remote one and discounts a physician's availability by a gravity-based potential. The former is a special case of the latter. Based on the 2000 Census and primary care physician data, this research assesses the variation of spatial accessibility to primary care in the Chicago region, and analyzes the sensitivity of results by experimenting with ranges of threshold travel times in the FCA method and travel friction coefficients in the gravity model. The methods may be used to help the US Department of Health and Human Services and state health departments improve designation of Health Professional Shortage Areas.

Recent advances in organic spin response include long polaron spin-coherence times measured by optically detected magnetic resonance (ODMR), substantive room-temperature magnetoelectroluminescence and magnetoconductance obtained in organic light-emitting diodes (OLEDs) and spin-polarized carrier injection from ferromagnetic electrodes in organic spin valves (OSVs). Although the hyperfine interaction (HFI) has been foreseen to have an important role in organic spin response, no clear experimental evidence has been reported so far. Using the chemical versatility advantage of the organics, we studied and compared spin responses in films, OLED and OSV devices based on pi-conjugated polymers made of protonated, H-, and deuterated, D-hydrogen having a weaker HFI strength. We demonstrate that the HFI does indeed have a crucial role in all three spin responses. OLED films based on the D-polymers show substantially narrower magneto-electroluminescence and ODMR responses, and as a result of the longer spin diffusion obtained, OSV devices based on D-polymers show a substantially larger magnetoresistance.

No abstract

Despite spending more than any other nation on medical care per person, the United States ranks behind other industrialized nations in key health performance measures. A main cause is the deep disparities in access to care and health outcomes. Federal programs such as the designations of Medically Underserved Areas/Populations and Health Professional Shortage Areas are designed to boost the number of health professionals serving these areas and to help alleviate the access problem. Their effectiveness relies first and foremost on an accurate measure of accessibility so that resources can be allocated to truly needy areas. Various measures of accessibility need to be integrated into one framework for comparison and evaluation. Optimization methods can be used to improve the distribution and supply of health care providers to maximize service coverage, minimize travel needs of patients, limit the number of facilities, and maximize health or access equality. Inequality in health care access comes at a personal and societal price, evidenced in disparities in health outcomes, including late-stage cancer diagnosis. This review surveys recent literature on the three named issues with emphasis on methodological advancements and implications for public policy.

This paper examines the relationship between street centrality and densities of commercial and service activities in the city of Bologna, northern Italy. Street centrality is calibrated in a multiple centrality assessment model composed of multiple measures such as closeness, betweenness, and straightness. Kernel density estimation is used to transform datasets of centrality and activities to one scale unit for analysis of correlation between them. Results indicate that retail and service activities in Bologna tend to concentrate in areas with better centralities. The distribution of these activities correlates highly with the global betweenness of the street network, and also, to a slightly lesser extent, with the global closeness. This confirms the hypothesis that street centrality plays a crucial role in shaping the formation of urban structure and land uses.