Effects of distances to hospital and GP surgery on hospital inpatient episodes, controlling for needs and provision

Haynes, Robin; Bentham, Graham; Lovett, Andrew A.; Gale, Susan

doi:10.1016/s0277-9536(99)00149-5

Cited by 89 publications

(61 citation statements)

References 4 publications

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“…GIS research emphasizes the geographical dimensions of access. Health care decisions are strongly influenced by the type and quality of services available in the local area and the distance, time, cost, and ease of traveling to reach those services (20,26,31). For medical conditions that require regular contact with service providers, travel time and distance can create barriers to effective service use (16,27).…”

Section: Analyzing Access To Health Carementioning

confidence: 99%

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GIS and Health Care

McLafferty

2003

Annu. Rev. Public Health

404

278

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GIS and related spatial analysis methods provide a set of tools for describing and understanding the changing spatial organization of health care, for examining its relationship to health outcomes and access, and for exploring how the delivery of health care can be improved. This review discusses recent literature on GIS and health care. It considers the use of GIS in analyzing health care need, access, and utilization; in planning and evaluating service locations; and in spatial decision support for health care delivery. The adoption of GIS by health care researchers and policymakers will depend on access to integrated spatial data on health services utilization and outcomes and data that cut across human service systems. We also need to understand better the spatial behaviors of health care providers and consumers in the rapidly changing health care landscape and how geographic information affects these dynamic relationships.

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Section: Analyzing Access To Health Carementioning

confidence: 99%

“…A study of access to primary health care in Bolivia incorporated topography to capture the difficulties of travel in a mountainous region (50). To assess travel along transportation networks, many studies have used GIS to calculate network distances (2,16,66) and travel times based on road type and quality (26,55).…”

Section: Measuring Accessmentioning

confidence: 99%

GIS and Health Care

McLafferty

2003

Annu. Rev. Public Health

404

278

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“…They concluded that variations in health service utilization could be explained by whether or not a provider was within the activity zone of an elderly patient. Haynes et al (1999) found that, at the village level, the distance to the nearest hospital available for a census area accounted for the use of psychiatric care, geriatric care and acute care, independent of the demand and supply of medical services.…”

Section: Introductionmentioning

confidence: 99%

Travel Distance and the Use of Inpatient Care among Patients with Schizophrenia

Tseng

Hemenway

Kawachi

et al. 2008

Adm Policy Ment Health

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This study examines the variations in the use of inpatient care that can be explained by travel distance among patients with schizophrenia living in Taiwan. Data were drawn from the Psychiatric Inpatient Medical Claims Database. We used mediation analysis and multilevel analysis to identify associations. Travel distance did not significantly account for lower readmission rates after an index admission, but significantly explained the longer length of stay of an index admission by 9.3 days (P < 0.001, 85% of variation) between remote and non-remote regions. Policies are discussed aimed at reducing the impact of travel distance on rural mental health care through inter-disciplinary collaboration and telepsychiatry.

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“…Other studies have demonstrated that patients who live further away have lower rates of use of daytime general practice, [11][12][13] emergency department, [14][15][16] and emergency hospital admissions. 17 Lower rates of daytime GP consultation are reported for patients in 'rural' areas, 18 although not universally. 19 Few studies have examined geographical variation in out-of-hours service use.…”

Section: Introductionmentioning

confidence: 99%

Does distance matter? Geographical variation in GP out-of-hours service use: an observational study

Turnbull¹,

Martin²,

Lattimer³

et al. 2008

Br J Gen Pract

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BackgroundGP cooperatives are typically based in emergency primary care centres, and patients are frequently required to travel to be seen. Geography is a key determinant of access, but little is known about the extent of geographical variation in the use of out-ofhours services. AimTo examine the effects of distance and rurality on rates of out-of-hours service use. Design of studyGeographical analysis based on routinely collected data on telephone calls in June (n = 14 482) and December (n = 19 747), and area-level data. SettingOut-of-hours provider in Devon, England serving nearly 1 million patients. MethodStraight-line distance measured patients' proximity to the primary care centre. At area level, rurality was measured by Office for National Statistics Rural and Urban Classification (2004) ResultsCall rates decreased with increasing distance: 172 (95% confidence interval [CI] = 170 to 175) for the first (nearest) distance quintile, 162 (95% CI = 159 to 165) for the second, and 159 (95% CI = 156 to 162) per thousand patients/year for the third quintile. Distance and deprivation predicted call rate. Rates were highest for urban areas and lowest for sparse villages and hamlets. The greatest urban/rural variation was in patients aged 0-4 years. Rates were higher in deprived areas, but the effect of deprivation was more evident in urban than rural areas. ConclusionThere is geographical variation in out-of-hours service use. Patients from rural areas have lower call rates, but deprivation appears to be a greater determinant in urban areas. Geographical barriers must be taken into account when planning and delivering services.

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Effects of distances to hospital and GP surgery on hospital inpatient episodes, controlling for needs and provision

Cited by 89 publications

References 4 publications

GIS and Health Care

GIS and Health Care

Travel Distance and the Use of Inpatient Care among Patients with Schizophrenia

Does distance matter? Geographical variation in GP out-of-hours service use: an observational study

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