Access to Primary Health Care: Does Neighborhood of Residence Matter?

Bell, Scott; Wilson, Kathi; Bissonnette, Laura; Shah, Tayyab

doi:10.1080/00045608.2012.685050

Cited by 103 publications

(86 citation statements)

References 89 publications

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“…3 Potential access is sometimes referred to in terms of the spatial distribution of health services in a given area, and realized access as actual use of services. 4 Factors affecting geographical accessibility include location of services and the means by which services will be reached. 3 In an equitable situation, people with the greatest need for services would be able to reach them more easily than people with lesser need.…”

Section: Introductionmentioning

confidence: 99%

Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

et al. 2016

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“…Examining finer geographic variations in provider supply, characteristics, and preferential localization (e.g., concentration around tertiary care centers) can thus be very informative. Recent advances in floating catchment area (FCA) methods [79][80][81] (e.g., using a three-step FCA [82][83][84] or utilizing a dynamic catchment size 85 ) to characterize spatial access to care in neighborhoods' local areas appear to be particularly promising.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Socioeconomic Status and Primary Health Care: Usual Points of Access and Temporal Trends in a Major US Urban Area

2016

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Neighborhood socioeconomic status (SES), an overall marker of neighborhood conditions, may determine residents' access to health care, independently of their own individual characteristics. It remains unclear, however, how the distinct settings where individuals seek care vary by neighborhood SES, particularly in US urban areas. With existing literature being relatively old, revealing how these associations might have changed in recent years is also timely in this US health care reform era. Using data on the Philadelphia region from 2002 to 2012, we performed multilevel analysis to examine the associations of neighborhood SES (measured as census tract median household income) with access to usual sources of primary care (physician offices, community health centers, and hospital outpatient clinics). We found no evidence that residence in a low-income (versus high-income) neighborhood was associated with poorer overall access. However, low-income neighborhood residence was associated with less reliance on physician offices [−4.40 percentage points; 95 % confidence intervals (CI) −5.80, −3.00] and greater reliance on the safety net provided by health centers [2.08; 95 % CI 1.42, 2.75] and outpatient clinics [1.61; 95 % CI 0.97, 2.26]. These patterns largely persisted over the 10 years investigated. These findings suggest that safety-net providers have continued to play an important role in ensuring access to primary care in urban, low-income communities, further underscoring the importance of supporting a strong safety net to ensure equitable access to care regardless of place of residence.

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“…The optimization method of Ngui and Apparicio (2011), for example, accounted for differentiation in supply and demand by applying weights based on the number of physicians working in each healthcare facility (supply) and the age of potential healthcare users (demand). Bell et al (2013) for their part, introduced different spatial and aspatial characteristics of demand and supply into the model. Results indicated that potential access to healthcare significantly differs between neighborhoods for all spatial and aspatial dimensions of access.…”

Section: From Population-to-provider Ratios Toward Floating Catchmentmentioning

confidence: 99%

“…The approach is also interesting from a practical point of view as it is easily interpretable and communicable, and is relatively easy to implement with conventional offthe-shelf Geographic Information Systems (GIS). In recent years, several modifications and extensions have been suggested to the original approach (Bell et al, 2013;Mao and Nekorchuk, 2013;Ngui and Apparicio, 2011), and the method has been applied in a wide range of domains, including accessibility to primary health care services (Dewulf et al, 2013), public transport stops (Langford et al, 2012) and food outlets (Dai and Wang, 2011).…”

Section: Introductionmentioning

confidence: 99%

A commuter-based two-step floating catchment area method for measuring spatial accessibility of daycare centers

et al. 2015

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Access to Primary Health Care: Does Neighborhood of Residence Matter?

Cited by 103 publications

References 89 publications

Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

Is geographical distance a barrier in the use of public primary health services among rural and urban young adults? Experience from Northern Finland

Neighborhood Socioeconomic Status and Primary Health Care: Usual Points of Access and Temporal Trends in a Major US Urban Area

A commuter-based two-step floating catchment area method for measuring spatial accessibility of daycare centers

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