Advertisement

Spatial Access to Health Services

  • Karyn Morrissey
  • Dimitris Ballas
  • Graham Clarke
  • Stephen Hynes
  • Cathal O’Donoghue
Chapter
Part of the Advances in Spatial Science book series (ADVSPATIAL)

Abstract

Recent years have seen a renewed interest in a more integrated planning approach for service provision. Previously, government investment to improve access to public services has been prioritised either on the basis of the spatial distribution of services or on the availability of transport services. However, ease of access to a variety of services, such as retail, health and recreational services is increasingly recognised as an integral part of daily life and that by increasing individual level access to services other issues such as social exclusion, physical isolation and deprivation can be ameliorated. Thus, a more systematic approach to measuring accessibility would allow scarce public funding to be targeted more effectively at tackling those problems. As a result, the debate on accessibility now centres on a range of issues including:

Keywords

Gravity Model Acute Hospital Demand Point Food Desert Long Term Illness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Alvanides S, Gilmore W (2007) Location-allocation for predicting patient flows from the closure of the obstetrics and neonatal services. Applied GIS 3(1):1–42Google Scholar
  2. Baekgaard H (2002) Micro–macro linkages & the alignment of transition processes. Technical paper no. 25, National Centre for Social and Economic Modelling, University of CanberraGoogle Scholar
  3. Bertuglia CS, Clarke GP, Wilson AG (1994) Modelling the city: performance, policy and planning. Routledge, LondonCrossRefGoogle Scholar
  4. Birkin M, Clarke G, Douglas L (2002) Optimising retail mergers and acquisitions geographically. Progr Plann 58(4):229–318CrossRefGoogle Scholar
  5. Birkin M, Clarke G (1991) Spatial interaction in geography. Geography Review 4:16–24Google Scholar
  6. Caldwell S, Keister L (1996) Wealth in America: family stock ownership and accumulation, 1960–1995. In: Clarke GP (ed) Microsimulation for urban and regional policy analysis. Pion, LondonGoogle Scholar
  7. Clarke GP, Wilson AG (1994) A new geography of performance indicators for urban planning. In: Bertuglia CS (ed) Modelling the city: performance, policy and planning. Routledge, LondonGoogle Scholar
  8. Clarke GP, Eyre H, Guy C (2002) Deriving indicators of access to food retail provision in British cities: studies of Cardiff, Leeds and Bradford. Urban Stud 39(11):2041–2060CrossRefGoogle Scholar
  9. Congdon P (2001) The development of gravity models for hospital patient flows under system change: a Bayesian modelling approach. Health Care Manag Sci 4:289–304CrossRefGoogle Scholar
  10. Fotheringham AS, O’Kelly ME (1989) Spatial interaction models: formulations and applications. Kluwer Academic, Boston/LondonGoogle Scholar
  11. Hansen WG (1959) How accessibility shapes land use. J Am Inst Planners 25:73–76CrossRefGoogle Scholar
  12. Hart JT (1971) The inverse care law. Lancet 27(1):405–412CrossRefGoogle Scholar
  13. Kalogirou S, Foley R (2006) Health, place and Hanly: modelling accessibility to hospitals in Ireland. Ir Geogr 39(1):52–68CrossRefGoogle Scholar
  14. Knox P (1978) The interurban ecology of primary medical care: patterns of accessibility and their policy implications. Environ Plann A 10(4):415–435CrossRefGoogle Scholar
  15. Liu S, Zhu X (2004) An integrated GIS approach to accessibility analysis. Trans GIS 8(1):45–62CrossRefGoogle Scholar
  16. Luo W (2004) Using a GIS-based floating catchment method to assess areas with shortage of physicians. Health Place 10:1–11CrossRefGoogle Scholar
  17. Luo W, Wang F (2003) Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region. Environ Plann A 30:865–884CrossRefGoogle Scholar
  18. Martin D, Wrigley H, Barnett S, Roderick P (2002) Increasing the sophistication of access measurement in a rural healthcare study. Health Place 8:3–13CrossRefGoogle Scholar
  19. McLafferty SL (2003) GIS and health care. Ann Review Public Health 24:25–42CrossRefGoogle Scholar
  20. McLafferty S, Grady S (2004) Immigration and geographical access to prenatal clinics: A GIS analysis. Am J Public Health 95(4):638–640CrossRefGoogle Scholar
  21. Mitchell R, Dorling D, Shaw M (2002) Population production and modelling mortality – an application of geographic information systems in health inequalities research. Health Place 8(1):15–24CrossRefGoogle Scholar
  22. Morrison R (2006) Make it so: event alignment in dynamic microsimulation. DYNACAN Team, OttawaGoogle Scholar
  23. Morrissey K, Hynes S, Clarke GP, O’Donoghue C, Ballas D (2008) Examining access to GP services in rural Ireland using microsimulation analysis. Area 40(3):354–464CrossRefGoogle Scholar
  24. Morrissey K, Clarke G, O’Donoghue C (2009) The spatial pattern of health service utilisation in Ireland, 09WPRE03Google Scholar
  25. Schneider JB, Symons JG (1971) Regional health facility systems planning: an access opportunity approach, DP-48. Regional Science Research Institute, PhiladelphiaGoogle Scholar
  26. Stuggard N (1996) Reconciliation of UK household income statistics with the national accounts. Paper presented at the expert group on household income statistics, CanberraGoogle Scholar
  27. Talon E (2003) Neighborhoods as service providers: a methodology for evaluating pedestrian access. Environ Plann B Plann Design 2003 30:181–200CrossRefGoogle Scholar
  28. Wiley M (1998) Health expenditure trends in Ireland: past, present and future. In: Leahy A, Wiley M (eds) The Irish health system in the 21st century. Oak Tree, IrelandGoogle Scholar
  29. Wilson AG (1974) Urban and regional models in geography and planning. Wiley, SussexGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Karyn Morrissey
    • 1
  • Dimitris Ballas
    • 2
  • Graham Clarke
    • 3
  • Stephen Hynes
    • 4
  • Cathal O’Donoghue
    • 5
  1. 1.School of Environmental SciencesUniversity of LiverpoolLiverpoolUK
  2. 2.Department of GeographyUniversity of Sheffield, Western BankSheffieldUK
  3. 3.School of GeographyUniversity of LeedsLeedsUK
  4. 4.Socio-Economic Marine Research UnitNational University of IrelandGalway Co. GalwayIreland
  5. 5.Rural Economy and Development ProgrammeTeagascAthenryIreland

Personalised recommendations