Accessibility to medical care among urban American Indians in a large metropolitan area

Abstract

Federal health and medical care programs recently mandated for American Indians living in cities are predicated upon information pertaining to their unmet health needs and assessments of their accessibility to medical care. Based upon a household survey conducted among a representative Indian population living in a large metropolitan area, an evaluation is made of the accessibility experience of this population as it pertains to primary medical care. Using measures of accessibility including travel time, appointment delay time, and waiting room time, the experiences of Indian residents of major residential sections of the area are illustrated. Comparative assessments are made on the basis of the individual convenience factors as well as on the basis of an aggregate index of accessibility that has been proposed for health planning and evaluation. Significant differences in accessibility to primary care between residents in certain residential areas are demonstrated and suggestions for revision of the accessibility standards are offered.

Determining Accessibility to Dermatologists and Teledermatology Locations in Kentucky: Demonstration of an Innovative Geographic Information Systems Approach

“…Although travel time, appointment delay time, and office waiting time were incorporated into a single index of accessibility to medical care, to date, despite advances in spatial accessibility measures, data limitations have precluded evaluating travel-time access of populations to existing specialist provider practice locations and accurately identifying and assessing potential patient populations' within a given travel-time access to remote telemedicine sites. 42,43…”

Determining Accessibility to Dermatologists and Teledermatology Locations in Kentucky: Demonstration of an Innovative Geographic Information Systems Approach

“…Although travel time, appointment delay time, and office waiting time were incorporated into a single index of accessibility to medical care, to date, despite advances in spatial accessibility measures, data limitations have precluded evaluating travel-time access of populations to existing specialist provider practice locations and accurately identifying and assessing potential patient populations' within a given travel-time access to remote telemedicine sites. 42,43…”

Analyzing spatial disparities in access to health care: A methodology with application in Bangladesh

“…Related to availability and utilization of health care services, measures of patient satisfaction, and quality of service, have also been proposed (Brooks 1973;Chen 1973Chen , 1978 and there have been attempts to combine various disparate indicators of access to health care, into composite indices (Aday and Anderson 1975, Chen 1978, Shannon 1981.…”

Determining Accessibility to Dermatologists and Teledermatology Locations in Kentucky: Demonstration of an Innovative Geographic Information Systems Approach

“…Although travel time, appointment delay time, and office waiting time were incorporated into a single index of accessibility to medical care, to date, despite advances in spatial accessibility measures, data limitations have precluded evaluating travel-time access of populations to existing specialist provider practice locations and accurately identifying and assessing potential patient populations' within a given travel-time access to remote telemedicine sites. 42,43…”

Analyzing spatial disparities in access to health care: A methodology with application in Bangladesh

“…Related to availability and utilization of health care services, measures of patient satisfaction, and quality of service, have also been proposed (Brooks 1973;Chen 1973Chen , 1978 and there have been attempts to combine various disparate indicators of access to health care, into composite indices (Aday and Anderson 1975, Chen 1978, Shannon 1981.…”

Determining Accessibility to Dermatologists and Teledermatology Locations in Kentucky: Demonstration of an Innovative Geographic Information Systems Approach

“…Although travel time, appointment delay time, and office waiting time were incorporated into a single index of accessibility to medical care, to date, despite advances in spatial accessibility measures, data limitations have precluded evaluating travel-time access of populations to existing specialist provider practice locations and accurately identifying and assessing potential patient populations' within a given travel-time access to remote telemedicine sites. 42,43…”

Analyzing spatial disparities in access to health care: A methodology with application in Bangladesh

“…Related to availability and utilization of health care services, measures of patient satisfaction, and quality of service, have also been proposed (Brooks 1973;Chen 1973Chen , 1978 and there have been attempts to combine various disparate indicators of access to health care, into composite indices (Aday and Anderson 1975, Chen 1978, Shannon 1981.…”