Morbidity related spatial accessibility of hospital-based internal medicine and surgery services in Germany.

德国医院内科和外科服务的发病率相关空间可达性。

• 批准号: 414968451
• 负责人: Dr. Jan Bauer
• 金额: --
• 依托单位: Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2019
• 资助国家: 德国
• 起止时间: 2018-12-31 至 2020-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/414968451?language=en
• 关键词: Morbidity; related; spatial; accessibility; hospital

Worldwide, but also in Germany, there are considerable differences in terms of access to medical care. At the same time, needs-based and equal provision of care must be guaranteed for patients in Germany. Regarding equal access to health care, spatial accessibility plays a significant role as a spatial dimension of access. However, the current measurement of spatial accessibility in the hospital sector in Germany relies on simplifed methods with known limitations. This calls the validity of the current hospital planning in Germany into question.Therefore, this national cross-sectional epidemiological study will investigate the morbidity-related spatial accessibility of hospital based services in Germany using a sophisticated method to analyse spatial accessibility (“ integrated catchment area method”). Furthermore, the relationship of regional accessibility variations and the degree of urbanization as well as the degree of regional deprivation will be examined. In addition, the modelled demand of hospital based services within the analysis will be compared with the actual use of these services.The results can be used to reveal allocation problems with high precision and accuracy, and identify ways to improve the allocation process. Thus, the present study can be used as a scientific basis for hospital planning in Germany and help to ensure an equal and needs-based access to hospital services in Germany.

在世界范围内，但也在德国，在获得医疗保健方面存在相当大的差异。与此同时，必须保证在德国为患者提供基于需求的平等护理。关于平等获得保健服务，空间无障碍作为获得服务的一个空间层面发挥着重要作用。然而，目前在德国医院部门的空间可达性的测量依赖于已知的局限性的简化方法。因此，这项全国性的横断面流行病学研究将使用一种复杂的方法来分析德国医院服务的空间可达性（“综合集水区法”），调查与疾病相关的空间可达性。此外，区域可达性差异和城市化程度以及区域剥夺程度的关系将被检查。此外，我们会将分析所得的医院为本服务的需求模型，与实际使用情况作比较，结果可以准确无误地揭示分配问题，并找出改善分配程序的方法。因此，本研究可作为德国医院规划的科学依据，并有助于确保德国平等和基于需求的医院服务。