Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas
Assessing spatial and nonspatial factors for healthcare access: towards an integrated approach to defining health professional shortage areas
复制标题
DOI：
10.1016/j.healthplace.2004.02.003
复制
发表时间：
2005-06-01
期刊：
影响因子：
4.8
通讯作者：
Luo, W
中科院分区：
文献类型：
--
作者：
Wang, FH;Luo, W
这项研究在检查伊利诺伊州初级医疗保健的可及性时考虑了空间和非空间因素。空间访问强调消费者和提供者之间地理障碍的重要性，非空间因素包括非地理障碍或促进因素，如年龄、性别、种族、收入、社会阶层、教育和语言能力。人口和社会经济数据来自2000年人口普查，同年的初级保健医生数据由美国医学会提供。首先，使用地理信息系统中实施的两步浮动集水区方法来测量基于旅行时间的空间可达性。其次，采用因子分析方法将各种社会人口变量分为三个因素：（1）社会经济劣势，（2）社会文化障碍和（3）高医疗保健需求。最后，整合空间和非空间因素来确定初级医疗保健机会较差的地区。该研究旨在开发一种综合方法来定义卫生专业人员短缺领域 (HPSA)，这可能有助于美国卫生与公众服务部和州卫生部门改进 HPSA 的指定。 (C) 2004 Elsevier Ltd. 保留所有权利。
This research considers both spatial and nonspatial factors in examining accessibility to primary healthcare in Illinois. Spatial access emphasizes the importance of geographic barrier between consumer and provider, and nonspatial factors include nongeographic barriers or facilitators such as age, sex, ethnicity, income, social class, education and language ability. The population and socioeconomic data are from the 2000 Census, and the primary care physician data for the same year are provided by the American Medical Association. First, a two-step floating catchment area method implemented in Geographic Information Systems is used to measure spatial accessibility based on travel time. Secondly, the factor analysis method is used to group various sociodemographic variables into three factors: (1) socioeconomic disadvantages, (2) sociocultural barriers and (3) high healthcare needs. Finally, spatial and nonspatial factors are integrated to identify areas with poor access to primary healthcare. The research is intended to develop an integrated approach for defining Health Professional Shortage Areas (HPSA) that may help the US Department of Health and Human Services and state health departments improve HPSA designation. (C) 2004 Elsevier Ltd. All rights reserved.