Assessing spatial accessibility to mental health facilities in an urban environment
Assessing spatial accessibility to mental health facilities in an urban environment
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DOI：
10.1016/j.sste.2011.11.001
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发表时间：
2012-09-01
影响因子：
3.4
通讯作者：
Vanasse, Alain
中科院分区：
文献类型：
--
作者：
Ngui, Andre Ngamini;Vanasse, Alain
加拿大各省卫生系统有义务确保所有公民都能获得卫生服务，主要基于《加拿大卫生法》规定的“普遍性”和“可及性”原则。然而，只有不到 40% 有心理健康问题的加拿大人使用心理健康服务。了解心理健康服务利用不足的努力主要集中在个人和社区特征上。本研究的目的是检验我们是否能够确定蒙特利尔西南部精神卫生设施短缺的地区，这可能解释了使用精神卫生设施的差异。我们应用两步浮动流域面积法进行分析。我们的分析结果表明，蒙特利尔西南部的心理健康服务分布并不均匀，因此各个 DA 之间的可及性分数差异很大。 (C) 2011 Elsevier Ltd. 保留所有权利。
Canadian provincial health systems are obligated to ensure access to health services for all citizens, based primarily on the principles of "universality'' and "accessibility'' which is enshrined in the Canada Health Act. Nevertheless, less than 40% of Canadian with mental health problems uses mental health services. Efforts to understand underutilization of mental health services have focused on individual and neighborhood characteristics. The aim of this study was to examine whether we could identify areas with mental health facilities shortage in the southwest of Montreal which may possibly explain disparities in access to mental health facilities. We applied the two-step floating catchment area method for our analyses. The results of our analysis show that mental health services are not equally distributed in the southwest of Montreal and in consequence, accessibility scores vary greatly from one DA to another. (C) 2011 Elsevier Ltd. All rights reserved.