Car travel time and accessibility by bus to general practitioner services:: a study using patient registers and GIS
Car travel time and accessibility by bus to general practitioner services:: a study using patient registers and GIS
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DOI：
10.1016/s0277-9536(01)00212-x
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发表时间：
2002-07-01
影响因子：
5.4
通讯作者：
Gale, S
中科院分区：
文献类型：
--
作者：
Lovett, A;Haynes, R;Gale, S
英国东安格利亚（剑桥郡、诺福克和萨福克）的一项人口研究调查了全科医生 (GP) 手术的可及性。患者登记信息与全科医生手术地点、道路网络特征、公交路线和社区交通服务的详细信息相结合，并使用地理信息系统（GI）来计算公共和私人交通进行手术的可达性。结果指标包括汽车出行时间以及公交车服务可用于就诊全科医生诊所的程度的指标。这些变量针对选区或教区进行汇总，然后与居住在这些地区的人口的社会经济特征进行比较。结果表明，只有 10% 的居民需要花 10 分钟以上的车程才能去看全科医生。约 13% 的人口无法每天乘坐公交车获得一般医疗服务。对于 5% 的人口来说，前往最近的手术室的车程超过 10 分钟，并且每个工作日没有合适的巴士服务。在较偏远的农村教区，个人流动性最低和健康需求指标最高的地方是每周日没有日间巴士服务且没有社区交通的地方。无障碍问题的总体范围以及一些农村地区逆向护理法影响的存在对 NHS 产生了影响，NHS 旨在为无论居住在何处的人们提供公平的服务。该研究还证明了患者登记和地理标志作为研究和规划工具的潜力，但不应低估使用这些数据源和技术的实际困难。 (C) 2002 Elsevier Science Ltd. 保留所有权利。
Accessibility to general practitioner (GP) surgeries was investigated in a population study of East Anglia (Cambridgeshire, Norfolk and Suffolk) in the United Kingdom. Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIs) was used to calculate measures of accessibility to surgeries by public and private transport. Outcome measures included car travel times and indicators of the extent to which bus services could be used to visit GP surgeries. These variables were aggregated for wards or parishes and then compared with socio-economic characteristics of the populations living in those areas. The results indicated that only 10% of residents faced a car journey of more than 10 min to a GP. Some 13% of the population could not reach general medical services by daily bus. For 5% of the Population, the car journey to the nearest surgery was longer than 10 min and there was no suitable bus service each weekday. In the remoter rural parishes, the lowest levels of personal mobility and the highest health needs indicators were found in the places with no daytime bus service each weekday and no community transport. The overall extent of accessibility problems and the existence of inverse care law effects in some rural localities have implications for the NHS, which aims to provide an equitable service to people wherever they live. The research also demonstrates the potential of patient registers and GIs as research and planning tools, though the practical difficulties of using these data sources and techniques should not be underestimated. (C) 2002 Elsevier Science Ltd. All rights reserved.