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Estimating health service utilization potential using the supply-concentric demand-accumulation spatial availability index: a pulmonary rehabilitation case study.
Matthews, Kevin A; Gaglioti, Anne H; Holt, James B; Wheaton, Anne G; Croft, Janet B.
Afiliación
  • Matthews KA; Centers for Disease Control and Prevention, Atlanta, GA, USA. yrp4@cdc.gov.
  • Gaglioti AH; National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA, USA.
  • Holt JB; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Wheaton AG; Centers for Disease Control and Prevention, Atlanta, GA, USA.
  • Croft JB; Centers for Disease Control and Prevention, Atlanta, GA, USA.
Int J Health Geogr ; 19(1): 30, 2020 08 03.
Article en En | MEDLINE | ID: mdl-32746848
The potential for a population at a given location to utilize a health service can be estimated using a newly developed measure called the supply-concentric demand accumulation (SCDA) spatial availability index. Spatial availability is the amount of demand at the given location that can be satisfied by the supply of services at a facility, after discounting the intervening demand among other populations that are located nearer to a facility location than the given population location. This differs from spatial accessibility measures which treat absolute distance or travel time as the factor that impedes utilization. The SCDA is illustrated using pulmonary rehabilitation (PR), which is a treatment for people with chronic obstructive pulmonary disease (COPD). The spatial availability of PR was estimated for each Census block group in Georgia using the 1105 residents who utilized one of 45 PR facilities located in or around Georgia. Data was provided by the Centers for Medicare & Medicaid Services. The geographic patterns of the SCDA spatial availability index and the two-step floating catchment area (2SFCA) spatial accessibility index were compared with the observed PR utilization rate using bivariate local indicators of spatial association. The SCDA index was more associated with PR utilization (Morans I = 0.607, P < 0.001) than was the 2SFCA (Morans I = 0.321, P < 0.001). These results suggest that the measures of spatial availability may be a better way to estimate the health care utilization potential than measures of spatial accessibility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicare / Accesibilidad a los Servicios de Salud Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Int J Health Geogr Asunto de la revista: EPIDEMIOLOGIA / SAUDE PUBLICA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Medicare / Accesibilidad a los Servicios de Salud Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: Int J Health Geogr Asunto de la revista: EPIDEMIOLOGIA / SAUDE PUBLICA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido