Improving territorial accessibility of mental health services: The case of Spain

Lara, Enrique López; Garrido‐Cumbrera, Marco; Díaz-Cuevas, María Pilar

doi:10.4321/s0213-61632012000400002

Cited by 9 publications

(7 citation statements)

References 12 publications

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“…Our geospatial analyses used ArcGIS version 10.4 software (Environmental Systems Research Institute (ESRI), Redlands, CA, USA), the Map Algebra tool, and the Network Analyst extension, as is common in many published studies on the topic [22,28,29].…”

Section: Methodsmentioning

confidence: 99%

“…Gravity-based [22][23][24][25][26][27][28][29] and cumulative opportunity-based [19,25,30] studies have measured accessibility by investigating various topics, such as accessibility to medical or social services [22,23,30] or to urban services and shops [24][25][26][27][28]. However, these studies [22][23][24][25][26][27][28][29][30] focus on measuring accessibility towards a specific activity or opportunity, i.e., taking into account only one variable of analysis. Few studies [19,31] explore the multidimensional aspects of accessibility or propose a model that seeks a global notion of accessibility.…”

Section: Introductionmentioning

confidence: 99%

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Assessing and Qualifying Neighborhood Walkability for Older Adults: Construction and Initial Testing of a Multivariate Spatial Accessibility Model

Amaya

Moulaert

Gwiazdzinski

et al. 2022

IJERPH

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Population aging and urban development pose major challenges for societies today. Joining the literature assessing urban accessibility, the present exploratory research developed a multivariate accessibility model based on four independent variables—related to formal and structural urban space—that influence walkability for older adults (pedestrian network; facilities and shops; public benches; and slopes and gradients). The model used ArcGIS software. For the accessibility calculations, we selected two suburban neighborhoods in the conurbation of Grenoble (France) and selected three types of older adults’ profiles to reflect the variety of aging: an older adult in good health, an older adult with a chronic disease, and an older adult with reduced mobility. The results suggest that the accessibility of a neighborhood depends not only on its physical and urban characteristics, but it is also influenced by the physical and health characteristics of its inhabitants. The originality of the model lies mainly in its ability to estimate the spatial accessibility of a territory by taking into account, firstly, objective data such as the physical characteristics and the built environment of the neighborhood through objectification variables that consider such original variables as the presence of benches or the slopes and gradients and, secondly, specific data such as the physical and/or health characteristics of the study population. The measurement of geospatial accessibility could be of great value for public health in urban contexts, which is why relevant tools and methodologies are needed to objectively examine and intervene in public spaces in order to make them age-friendly.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessing and Qualifying Neighborhood Walkability for Older Adults: Construction and Initial Testing of a Multivariate Spatial Accessibility Model

Amaya

Moulaert

Gwiazdzinski

et al. 2022

IJERPH

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show abstract

“…Nykiforuk and Flaman [ 27 ] carried out a literature review to identify how GIS applications have been used in health-related research. They found that in general, researchers had focused on the distance or travel time to health facilities [ 28 – 32 ] rather than time taken for home care services employees to travel to home care recipients.…”

Section: Introductionmentioning

confidence: 99%

A descriptive retrospective study of time consumption in home care services: how do employees use their working time?

Holm

Angelsen²

2014

BMC Health Serv Res

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BackgroundHome care services in Norway are provided for free, and municipalities are responsible for their provision to all those in need of them, in accordance with the Act on Municipal Health and Care Services. The costs of home care services are increasing. Many municipalities are now working to find the best cost-effective solutions to ensure that home care services are of sufficient quality but still affordable. This paper describes how nurses and health workers spend their working time, with a hypothesis that driving time and time required to document details of the care given are underestimated in weekly planning schedules.MethodsThis article sets out a descriptive retrospective study of day-schedules and driving routes for staff working in home care services. Data were analyzed using GIS.ResultsThe driving time was between 18% and 26% of working time in municipality A, and between 21% and 23% in municipality B. Visiting time varied between 44% and 62% in municipality A, and 40% and 56% in municipality B. Other tasks, including the legally-required documentation of the care given, varied between 19% and 32% in municipality A and 21% and 38% in municipality B. Overall, 22% of the driving routes in municipality A, and 14% in municipality B, took more time than expected. In municipality A, 22% of the day-schedules underestimated overtime; this figure was 14% in municipality B.ConclusionsIn home care services, time taken for driving and to write statutory documentation seems to have been underestimated. Better planning and organization of driving routes would reduce driving time and allow more time for other necessary work.

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“…Estudios como los de López, E.J., et al (2003), Garrido, M., et al (2005), López, E., et al (2012) y Naharro, A.M., et al (2017) evidencian que la existencia de servicios socio-sanitarios próximos a la población ofrece un cuidado más cercano y evita mayores ingresos hospitalarios posteriores, así como una mejora en la calidad de vida de la población mayor de 65 años y un menor gasto público en sanidad (Ministerio de Sanidad, Servicios Sociales e Igualdad, 2013). A partir de esta afirmación, el objetivo de este trabajo es analizar la oferta y planificación de los recursos sanitarios y socio-sanitarios públicos en la región extremeña con el propósito de comprobar si la localización de los mismos se adecúa a las necesidades de una región cada vez más envejecida y con problemas de accesibilidad territorial en sus municipios más limítrofes y más ruralizados (Nieto, A. et al, 2015) y determinar si existen desigualdades espaciales que, en consecuencia, son también sociales.…”

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La Distribución Territorial de Recursos Sanitarios y Socio-Sanitarios Públicos para Población Mayor en Extremadura

Masot¹,

Moriche²,

Alonso³

2019

REA

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Improving territorial accessibility of mental health services: The case of Spain

Cited by 9 publications

References 12 publications

Assessing and Qualifying Neighborhood Walkability for Older Adults: Construction and Initial Testing of a Multivariate Spatial Accessibility Model

Assessing and Qualifying Neighborhood Walkability for Older Adults: Construction and Initial Testing of a Multivariate Spatial Accessibility Model

A descriptive retrospective study of time consumption in home care services: how do employees use their working time?

La Distribución Territorial de Recursos Sanitarios y Socio-Sanitarios Públicos para Población Mayor en Extremadura

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