The Changing Urban-Suburban Distribution of Medical Practice in Large American Metropolitan Areas

Miller, Ann L.; Miller, Maria; Adelman, Jonatham

doi:10.1097/00005650-197810000-00001

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…Healthrelated research on bay areas has consistently developed with time, from early studies focusing on the accessibility of preliminary and physical healthcare services to the latest research focusing on specific population groups and psychological issues. Early studies on NYBA highlighted the trends in suburbanization of medical services and advocated a centralized data system to improve the accessibility of patient information to all emergency community-care centers, for the rapid identification of refractory patients and improve acute episode treatment (Karetzky, 1977;Miller et al, 1978). Following the pandemic in 2020, healthcare-based studies on bay areas transitioned from the medical profession with a specific group orientation to engaging technology with family as a research unit (Mendez et al, 2021;Lott et al, 2022).…”

Section: Healthcarementioning

confidence: 99%

Sustainable future: A systematic review of city-region development in bay areas

Zhang¹,

Zhou²

2023

Front. Sustain. Cities

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IntroductionBay Areas are viewed as a complex region with integrated objectives and numerous functions. Despite the increasing interaction between bay area development and urban landscape transformation, the fragmented literature did not address the question: how to achieve sustainable development in the bay area? The objective of this study was to review the literature on four representative bay areas from both the West and the East, including the San Francisco Bay Area, New York Bay Area, Tokyo Bay Area, and Guangdong-Hong Kong-Macao Greater Bay Area. This study aimed to address the following two questions: What are the ongoing research trends in the field of bay areas? What are the most critical urban issues for future bay area development?MethodsThis study used a systematic review to examine publications from the Scopus database. Both descriptive and evaluative approaches were employed to analyze the publications on the four representative bay areas. The bibliometric analysis was performed using the VOS viewer to visualize research results and outcomes.ResultsThe results revealed that the majority of the bay area related studies emphasized environmental issues, focused on decentralization and policy interactions, and the field of education received limited attention.DiscussionThis study contributes to the comprehensive understanding of the city-region development and provides policy suggestions for future sustainable bay area development. The findings of the keyword-based bibliometric analysis can be applied to other realms of city studies.

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Section: Healthcarementioning

confidence: 99%

Sustainable future: A systematic review of city-region development in bay areas

Zhang¹,

Zhou²

2023

Front. Sustain. Cities

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“…Public facilities in cities are almost exclusively located in lower-income areas and, given the value lower-income patients place on proximity, should be used more intensively if they are more geographically accessible than private physicians. Given the well-documented tendency for physicians to locate in upper-income neighborhoods (Kletke and Marder 1987;Kindig et al 1987;Miller et al 1978;Guzick and Jahiel 1976), Medicaid patients who reside in cities that are racially or economically segregated are more likely than residents of less segregated areas, other things being equal, to find public facilities systematically more accessible than private physicians and make greater use of these facilities. The negative relationship between utilization and distance and travel time to care noted in earlier studies suggests that, other things being equal, Medicaid patients in such areas where public care is available may seek care that would have been foregone in the absence of these facilities because of the high opportunity cost of obtaining care from private physicians.…”

Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

Public Sector Primary Care and Medicaid: Trading Accessibility for Mainstreaming

Fossett

Peterson²,

Ring³

1989

Journal of Health Politics, Policy and Law

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Facilities operated by public and nonprofit agencies have become increasingly important sources of primary care for Medicaid patients. These facilities are particularly important sources of care in segregated, competitive urban areas, where they are more geographically accessible than many private physicians and expand the availability of care to Medicaid patients rather than substituting for care provided by private physicians. In rural areas, in contrast, the availability of care from public facilities appears to reduce the level of care Medicaid patients receive from private physicians in the counties where these facilities are located. These findings suggest that policymakers can expand urban Medicaid patients' access to care by spending on public care, but at the cost of increasing the segregation of Medicaid patients into a two-tier system of care.

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Factors Influencing the Location and Distribution of Physicians in the Northeastern U.S.

Cordes

Blair

1981

J. Northeast. Agric. Econ. Counc.

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Regression analysis was used to analyze the geographic distribution of physicians in the Northeastern U.S. The ratio of general practitioners (GP's) to population, and specialists to population was calculated for each of the 299 counties in the region. The independent variables were categorized into three types of factors: economic, professional, and quality-of-life.Results indicated that both types of physicians responded similarly to economic and quality-of-life variables, but responded differently to professional considerations. This suggests that the urban concentration of specialists vis-a-vis GP's is due primarily to the relative importance of professional considerations to specialists. Policy implications and directions for further research are presented.

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The Changing Urban-Suburban Distribution of Medical Practice in Large American Metropolitan Areas

Cited by 5 publications

References 23 publications

Sustainable future: A systematic review of city-region development in bay areas

Sustainable future: A systematic review of city-region development in bay areas

Public Sector Primary Care and Medicaid: Trading Accessibility for Mainstreaming

Factors Influencing the Location and Distribution of Physicians in the Northeastern U.S.

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