Measuring access to primary healthcare services after stroke: A spatial analytic approach

Finch, Emma; Liu, Yan; Foster, Michele; Cruwys, Tegan; Fleming, Jennifer; Worrall, Linda; Williams, Ian; Shah, Darshan; Aitken, Philip; Corcoran, Jonathan

doi:10.1017/brimp.2019.11

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…In many disciplines, Geographic Information System (GIS)-based methodology has been widely used to assess and measure transportation accessibilities (Finch et al, 2019; Ozel et al, 2016). We utilized ArcMap 10.7.1, which is the central application used in ArcGIS.…”

Section: Methodsmentioning

confidence: 99%

Identifying Communities of Concern for Older Adults Using Spatial Analysis: Focusing on Accessibility to Health, Social, and Daily Services

2021

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Ensuring accessibility to necessary services is critical for older adults. However, there often exist spatial disparities in the levels of accessibility to services. Because the application of Geographic Information System (GIS) has gained attention in the gerontology field, we used spatial analysis to identify communities of concern for older adults from the perspective of accessibility. We defined the communities of concern based on the proportion of older adults and the level of accessibility to health, social, and daily services via two specific modes of transportation—walking and public transit. Our findings show that newly developed communities tend to have less accessibility to necessary services, and aging communities are randomly distributed across the city. Our results call for interdisciplinary collaboration, between urban planning and gerontology professionals, to better understand the spatial pattern of aging communities and its implication for properly addressing the mobility needs of older adults in the communities.

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Section: Methodsmentioning

confidence: 99%

Identifying Communities of Concern for Older Adults Using Spatial Analysis: Focusing on Accessibility to Health, Social, and Daily Services

2021

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“…Data from patients' electronic medical records had been used in some studies in different countries and was proven to be available for scientific research. [4][5][6][7][8][9] However, historical medical records are greatly underused in healthcare accessibility studies. One reason is due to geoprivacy issue which might hinder using historical medical record data.…”

Section: Introductionmentioning

confidence: 99%

Measuring Accessibility to Healthcare Using Taxi Trajectories Data: A Case Study of Acute Myocardial Infarction Cases in Beijing

Liu

Chang

et al. 2022

Int J Health Policy Manag

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Several methods have been applied to measure health care accessibility, i.e., the Euclidean distance, the network distance, and the transport time based on speed limits. However, these methods generally produce less accurate estimates than actual measurements. This research proposed a method to estimate historical health care accessibility more accurately by using taxi Global Positioning System (GPS) traces. The proposed method’s advantages were evaluated vis a case study using acute myocardial infarction (AMI) cases in Beijing in 2008. Comparative analyses of the new measure and three conventionally used measures suggested that the median estimated transport time to the closest hospital with percutaneous coronary intervention (PCI) capability for AMI patients was 5.72 min by the taxi GPS trace-based measure, 2.42 min by the network distance-based measure, 2.28 min by the speed limit-based measure, 1.73 min by the Euclidean distance-based measure; and the estimated proportion of patients who lived within 5 min of a PCI-capable hospital was 38.17%, 89.20%, 92.52%, 95.05%, respectively. The three conventionally used measures underestimated the travel time cost and overestimated the percentage of patients with timely access to health care facilities. In addition, the new measure more accurately identifies the areas with low or high access to health care facilities. The taxi GPS trace-based accessibility measure provides a promising start for more accurately estimating accessibility to health care facilities, increasing the use of medical records in studying the effects of historical health care accessibility on health outcomes, and evaluating how accessibility to health care changes over time.

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“…Various factors may contribute to problems of service access and associated unmet needs. For example, a recent geospatial mapping study in Australia for stroke patients found that access to general practices, pharmacies and allied health services was variable according to geographical location and often substandard in non‐urban areas (Finch et al, ). Previous research on outcomes and service use after minor stroke has tended to use cross‐sectional approaches, which do not account for changes during recovery, despite recognition of the diverse and temporal nature of emotional, social and participation needs, particularly in the early post‐discharge phase (Edwards et al, ; Rozon & Rochette, ).…”

Section: Introductionmentioning

confidence: 99%

Exploring changing needs following minor stroke

Finch

Foster

Fleming

et al. 2019

Health Soc Care Community

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Medical advances have led to many of the severe consequences of stroke being averted. Consequently, more people are being discharged from hospital following treatment for what is classed as minor stroke. The needs of people with minor stroke have received little research attention. The aim of the current study was to conduct an exploratory prospective needs analysis to document the unmet health, rehabilitation and psychosocial needs of a recently hospitalised minor stroke cohort approximately 2 weeks (T1) and 2 months (T2) post‐hospital discharge. An exploratory cohort design was used to explore the unmet health, service and social needs of 20 patients with minor stroke. Participants completed questionnaires (Survey of Unmet Needs and Service Use, Mayo‐Portland Adaptability Inventory‐4, Exeter Identity Transition Scales, RAND 36‐Item Health Survey 1.0) at T1 and T2. Nine participants reported unmet needs at T1 and seven participants reported unmet needs at T2. Between T1 and T2, there was a significant improvement in perceived role limitations due to physical health. Participation in society was significantly better at T2. In conclusion, patients with minor stroke report health, service and social needs that are unmet by existing services. This patient cohort urgently requires co‐ordinated services to detect and manage these unmet needs.

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Measuring access to primary healthcare services after stroke: A spatial analytic approach

Cited by 6 publications

References 12 publications

Identifying Communities of Concern for Older Adults Using Spatial Analysis: Focusing on Accessibility to Health, Social, and Daily Services

Identifying Communities of Concern for Older Adults Using Spatial Analysis: Focusing on Accessibility to Health, Social, and Daily Services

Measuring Accessibility to Healthcare Using Taxi Trajectories Data: A Case Study of Acute Myocardial Infarction Cases in Beijing

Exploring changing needs following minor stroke

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