<i>On Linkages</i>; Using GIS for Administrative Decision-Making in a Local Public Health Setting

Taylor, Devon M; Yeager, Valerie A.; Ouimet, Claude; Menachemi, Nir

doi:10.1177/003335491212700316

Cited by 12 publications

(12 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, the newly established hospitals did improve the inhabitants' geographical access over the period of study. Lack of geographical access to such services has been observed in similar studies such as the one conducted in Alabama and Kentucky, United States of America (27), which revealed that a 22.9% drop in mortality rates was a direct result of improved availability and accessibility to healthcare services. In addition, the study pointed out that mortality rates were not only a result of demographic characteristics (28), but inequity might have also affected the epidemic patterns of disorders and might have resulted in unexpected events (29).…”

Section: Discussionmentioning

confidence: 65%

“…The age group of > 65 years experienced an upward trend of non-accessibility from 4.70% in 1997 to 5.38% in 2007, yet witnessed a downward trend from 5.38% in 2007 to 4.84% in 2012 (Table 1 and Figure 2). Possible explanations for this include: 1) reducing age group population; 2) migration of young and middle-age groups city centre areas where most hospitals are located, to areas without access according to our criteria (32); and 3) geographical access to healthcare services is a high priority for the elderly population of the target community; the results of studies performed in the United States and Spain demonstrated that the elderly population had a tendency to live in the immediate vicinity of medical facilities (27,33). Furthermore, in another study it was shown that long travel intervals between the place of residence for the elderly and medical centres created substantial physical obstacles for them (34).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

Reshadat¹,

Zangeneh²,

Saeidi³

et al. 2019

East Mediterr Health J

View full text Add to dashboard Cite

Background: Nowadays, the significance of applying Geographic information system (GIS) to survey accessibility to hospitals and understanding disparities in this regard has increased. Aims: The main aim of this descriptive-analytical research was to study the spatial accessibility of the population of Kermanshah for 3 years 1997 (n=693157), 2007 (n=794863), and 2012 (n=851 405) to hospitals based on age and gender groups through GIS. Methods: The study was conducted based on network analysis models, mean centre, and standard distance in the environment of Arc/GIS. A standard radius of 1500 metres was set for the medical centres, and a 25-minute walking span was set for the distance of each person from home to the nearest hospital. Results: The results of the network analysis demonstrated that the hospitals were inaccessible to the populations according to our criteria, and their geographical access to hospitals measured 68.80%, 64.23% and 66.20% in 1997, 2007, and 2012, respectively. Women aged 65 years and above were more at risk in this regard. Conclusions: Over the total period under study, the results revealed that hospitals were concentrated in the central and southern areas of Kermanshah.

show abstract

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

Reshadat¹,

Zangeneh²,

Saeidi³

et al. 2019

East Mediterr Health J

View full text Add to dashboard Cite

show abstract

“…However, Taylor et al [87] argue that the use of GIS as a tool to determine where clinics can be placed to maximise access to care is particularly relevant for primary care services associated with ongoing changes to the health system, especially in light of the Patient Protection and Affordable Care Act 2010. The study by Taylor et al is important because it demonstrates a way in which GIS can be used for administrative decision-making at the local public health level.…”

Section: Resultsmentioning

confidence: 99%

Catchments of general practice in different countries– a literature review

Allan

2014

Int J Health Geogr

View full text Add to dashboard Cite

The purpose of this paper is to review the current research on catchment areas of private general practices in different developed countries because healthcare reform, including primary health care, has featured prominently as an important political issue in a number of developed countries. The debates around health reform have had a significant health geographic focus.Conceptually, GP catchments describe the distribution, composition and profile of patients who access a general practitioner or a general practice (i.e. a site or facility comprising one or more general practitioners). Therefore, GP catchments provide important information into the geographic variation of access rates, utilisation of services and health outcomes by all of the population or different population groups in a defined area or aggregated area.This review highlights a wide range of diversity in the literature as to how GP catchments can be described, the indicators and measures used to frame the scale of catchments. Patient access to general practice health care services should be considered from a range of locational concepts, and not necessarily constrained by their place of residence. An analysis of catchment patterns of general practitioners should be considered as dynamic and multi-perspective. Geographic information systems provide opportunities to contribute valuable methodologies to study these relationships. However, researchers acknowledge that a conceptual framework for the analysis of GP catchments requires access to real world data. Recent studies have shown promising developments in the use of real world data, especially from studies in the UK.Understanding the catchment profiles of individual GP surgeries is important if governments are serious about patient choice being a key part of proposed primary health reforms. Future health planning should incorporate models of GP catchments as planning tools, at the micro level as well as the macro level, to assist policies on the allocation of resources so that opportunities for good health outcomes for all groups within society, especially those who have been systematically denied equitable access, are maximised.

show abstract

“…When linked with publicly available health information, which is becoming more and more plentiful, 50 this method has tremendous potential to inform health administration and community advocacy. 48,51 The types of spatial and health data used in this study are widely available, an important factor in policy-relevant research.…”

Section: Discussionmentioning

confidence: 99%

Using GIS and Secondary Data to Target Diabetes-Related Public Health Efforts

et al. 2013

View full text Add to dashboard Cite

Objectives. To efficiently help communities prevent and manage diabetes, health departments need to be able to target populations with high risk but low resources. To aid in this process, we mapped county-level diabetes-related rates and resources/use using publicly available secondary data to identify Michigan counties with high diabetes prevalence and low or no medical and/or community resources.Methods. We collected county-level diabetes-related rates and resources from Web-based sources and mapped them using geographic information systems (GIS) software. Data included age-adjusted county diabetes rates, diabetesrelated medical resource and resource use (i.e., the number of endocrinologists and percentage of Medicare patients with diabetes who received hemoglobin A1c testing in the past year), community resources (i.e., the number of certified diabetes self-management education and diabetes support groups), as well as population estimates and demographics (e.g., rural residence, education, poverty, and race/ethnicity). We created GIS maps highlighting areas that had higher-than-median rates of disease and lower-than-median resources. We also conducted linear, logistic, and Poisson regression analyses to confirm GIS findings.Results. There were clear regional trends in resource distribution across Michigan. The 15 counties in the Upper Peninsula were lacking in medical resources but higher in community resources compared with the 68 counties in the Lower Peninsula. There was little apparent association between need (diabetes prevalence) and diabetes-related resources/use. Specific counties with high diabetes prevalence and low resources were easily identified using GIS mapping.Conclusion. Using public data and mapping tools identified diabetes healthservice shortage areas for targeted public health programming.

show abstract

On Linkages; Using GIS for Administrative Decision-Making in a Local Public Health Setting

Abstract: Articles for From the Schools of Public Health highlight practice-and academic-based activities at the schools. To submit an article, faculty should send a short abstract (50-100 words) via e-mail to Allison Foster, ASPH Deputy Executive Director, at afoster@asph.org.

Cited by 12 publications

References 28 publications

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

Inequalities in access to hospitals: a case study in the Islamic Republic of Iran 1997–2012

Catchments of general practice in different countries– a literature review

Using GIS and Secondary Data to Target Diabetes-Related Public Health Efforts

Contact Info

Product

Resources

About