Investigation of Disparities in Geographic Accessibility to Emergency Stroke and Myocardial Infarction Care in East Tennessee Using Geographic Information Systems and Network Analysis

Pedigo, Ashley; Odoi, Agricola

doi:10.1016/j.annepidem.2010.06.013

Cited by 34 publications

(23 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the current study, the second factor which was effective in locating the road emergency bases was "region population" from the studied professionals and experts' perspectives, which is confirmed by the results of the Pedigo and Odoi (2010) [21] and Schuurman and colleagues' (2009) [22] studies. Therefore, based on the importance of identifying and determining the population living in a region to establish a road emergency base, the cooperation of different organizations such as the Statistical Center of Iran, etc.…”

Section: Discussionsupporting

confidence: 73%

Factors Affecting the Location of Road Emergency Bases in Iran Using Analytical Hierarchy Process (AHP)

Bahadori

Hajebrahimi

Alimohammadzadeh

et al. 2017

BEAT

View full text Add to dashboard Cite

Objective: To identify and prioritize factors affecting the location of road emergency bases in Iran using Analytical Hierarchy Process (AHP). Methods: This was a mixed method (quantitative-qualitative) study conducted in 2016. The participants in this study included the professionals and experts in the field of pre-hospital and road emergency services issues working in the Health Deputy of Iran Ministry of Health and Medical Education, which were selected using purposive sampling method. In this study at first, the factors affecting the location of road emergency bases in Iran were identified using literature review and conducting interviews with the experts. Then, the identified factors were scored and prioritized using the studied professionals and experts' viewpoints through using the analytic hierarchy process (AHP) technique and its related pair-wise questionnaire. The collected data were analyzed using MAXQDA 10.0 software to analyze the answers given to the open question and Expert Choice 10.0 software to determine the weights and priorities of the identified factors. Results:The results showed that eight factors were effective in locating the road emergency bases in Iran from the viewpoints of the studied professionals and experts in the field of pre-hospital and road emergency services issues, including respectively distance from the next base, region population, topography and geographical situation of the region, the volume of road traffic, the existence of amenities such as water, electricity, gas, etc. and proximity to the village, accident-prone sites, University ownership of the base site, and proximity to toll-house. Conclusion: Among the eight factors which were effective in locating the road emergency bases from the studied professionals and experts' perspectives, "distance from the next base" and "region population" were respectively the most important ones which had great differences with other factors.

show abstract

Section: Discussionsupporting

confidence: 73%

Factors Affecting the Location of Road Emergency Bases in Iran Using Analytical Hierarchy Process (AHP)

Bahadori

Hajebrahimi

Alimohammadzadeh

et al. 2017

BEAT

View full text Add to dashboard Cite

show abstract

“…This study also used a gridded travel-time surface that permitted travel off of the road network, in contrast to many accessibility studies done in developed countries that calculate travel over the road network. 41 This technique could be well suited to Uganda given our finding that half of patients traveled to clinic without using a mechanized form of transport, but would be improved with more precise detail about the patient locations. In our study, where the median distance from home parish to clinic was less than 4 km, our inability to locate patients more precisely than the parish center likely reduced our power to confirm or refute any association.…”

Section: Discussionmentioning

confidence: 99%

Investigating Barriers to Tuberculosis Evaluation in Uganda Using Geographic Information Systems

Ross¹,

Cattamanchi²,

Miller³

et al. 2015

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. Reducing geographic barriers to tuberculosis (TB) care is a priority in high-burden countries where patients frequently initiate, but do not complete, the multi-day TB evaluation process. Using routine cross-sectional study from six primary-health clinics in rural Uganda from 2009 to 2012, we explored whether geographic barriers affect completion of TB evaluation among adults with unexplained chronic cough. We measured distance from home parish to health center and calculated individual travel time using a geographic information systems technique incorporating roads, land cover, and slope, and measured its association with completion of TB evaluation. In 264,511 patient encounters, 4,640 adults (1.8%) had sputum smear microscopy ordered; 2,783 (60%) completed TB evaluation. Median travel time was 68 minutes for patients with TB examination ordered compared with 60 minutes without (P < 0.010). Travel time differed between those who did and did not complete TB evaluation at only one of six clinics, whereas distance to care did not differ at any of them. Neither distance nor travel time predicted completion of TB evaluation in rural Uganda, although limited detail in road and village maps restricted full implementation of these mapping techniques. Better data are needed on geographic barriers to access clinics offering TB services to improve TB diagnosis.

show abstract

“…Most studies focus on spatial access to primary healthcare facilities [4][5][6], hospitals and emergency care [7][8][9], and cancer care facilities [10][11]. To our knowledge, little work has been done to investigate spatial access to substance abuse service facilities with few exceptions such as [12].…”

Section: Introductionmentioning

confidence: 99%

Spatial access to substance abuse treatment for low-income and minority households

Clary

Huang

2014

Proceedings of the Third ACM SIGSPATIAL International Workshop on the Use of GIS in Public Health

View full text Add to dashboard Cite

Recent health care overhauls increase demand on services and give a whole new group of individuals the possibility of seeking out care and treatment. One area that often gets overlooked is the substance abuse treatment. Spatial access to healthcare facilities influences health services usage as distance to facilities was recognized as a significant barrier to health access. In this study using an enhanced two-step floating catchment method, we measured spatial access to substance abuse treatment facilities at the Census block group level in the Dallas-Fort Worth metroplex, Texas. The results show the access disparities vary spatially within block groups in this area. In addition, we identified hotspots for low-income and racial/ethnic minority households in the area and then compared them with the spatial accessibility environment to better understand the service coverage among low-income and minority communities. The results show that low income and minority have disadvantages to access to substance abuse treatment facilities in the Dallas-Fort Worth metroplex area.

show abstract

Investigation of Disparities in Geographic Accessibility to Emergency Stroke and Myocardial Infarction Care in East Tennessee Using Geographic Information Systems and Network Analysis

Cited by 34 publications

References 35 publications

Factors Affecting the Location of Road Emergency Bases in Iran Using Analytical Hierarchy Process (AHP)

Factors Affecting the Location of Road Emergency Bases in Iran Using Analytical Hierarchy Process (AHP)

Investigating Barriers to Tuberculosis Evaluation in Uganda Using Geographic Information Systems

Spatial access to substance abuse treatment for low-income and minority households

Contact Info

Product

Resources

About