Physician accessibility: an urban case study of pediatric providers
Physician accessibility: an urban case study of pediatric providers
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DOI：
10.1016/j.healthplace.2003.01.001
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发表时间：
2004-09-01
期刊：
影响因子：
4.8
通讯作者：
Joseph, JG
中科院分区：
文献类型：
--
作者：
Guagliardo, MF;Ronzio, CR;Joseph, JG
城市地区医疗保健提供者空间分布的社会差异是一个公认的问题。然而，由于缺乏令人满意的测量和方法，对这一问题进行量化的努力受到阻碍。我们恢复并加强了近30年前提出的基于供应商密度的战略。该方法避免了与提供者-人口比率相关的跨界问题，但以直观的单位报告空间可达性，易于在不同人口和地理区域之间进行比较。我们发现在我们的案例中，华盛顿特区存在种族和社会经济差异，尽管全市范围内儿童初级保健提供者过多。(C) 2004 Elsevier Ltd.版权所有。
Social disparity in the spatial distribution of healthcare providers in urban areas is a recognized problem. However, efforts to quantify the problem have been hampered by a lack of satisfactory measurements and methods. We revive and enhance a strategy based on provider density, proposed nearly three decades ago. The method avoids the border-crossing problem associated with provider-population ratios, yet reports spatial accessibility in intuitive units that are easily compared across diverse populations and geographies. We find racial and socioeconomic disparities in our case city, Washington, DC, despite a citywide overabundance of primary care providers for children. (C) 2004 Elsevier Ltd. All rights reserved.