https://scholars.lib.ntu.edu.tw/handle/123456789/449049
標題: | A flow-based statistical model integrating spatial and nonspatial dimensions to measure healthcare access | 作者: | Tang J.-H. Chiu Y.-H. Chiang P.-H. Su M.-D. Chan T.-C. MING-DAW SU |
關鍵字: | Accessibility; F2SFCA; GIS; Potential access; Spatial interaction model | 公開日期: | 2017 | 卷: | 47 | 起(迄)頁: | 126-138 | 來源出版物: | Health and Place | 摘要: | Assessing access to healthcare for an entire healthcare system involves accounting for demand, supply, and geographic variation. In order to capture the interaction between healthcare services and populations, various measures of healthcare access have been utilized, including the popular two-step floating catchment area (2SFCA) method. However, despite the many advantages of 2SFCA, the problems, such as inappropriate assumption of healthcare demand and failure to capture cascading effects across the system have not been satisfactorily addressed. In this paper, a statistical model for evaluating flows of individuals was added to the 2SFCA method (hereafter we refer to it as F2SFCA) in order to overcome limitations associated with its current restriction. The proposed F2SFCA model can incorporate both spatial and nonspatial dimensions and thus synthesizes them into one framework. Moreover, the proposed F2SFCA model can be easily adapted to measure access for different types of individuals, over different service provider types, or with capacity constraints in a healthcare system. We implemented the proposed model in a case study assessing access to healthcare for the elderly in Taipei City, Taiwan, and compared the weaknesses and strengths to the 2SFCA method and its variations. ? 2017 The Authors |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/449049 | ISSN: | 1353-8292 | DOI: | 10.1016/j.healthplace.2017.08.006 | SDG/關鍵字: | accessibility; demand analysis; elderly care; GIS; health care; integrated approach; service provision; spatial analysis; aging; Article; chronic disease; decision making; entropy; health care access; health care disparity; health care quality; health care system; health care utilization; health service; human; priority journal; probability; statistical analysis; statistical model; Taiwan; two step floating catchment area; aged; geographic information system; health care delivery; primary health care; residential care; statistics and numerical data; Taipei; Taiwan; Aged; Catchment Area (Health); Geographic Information Systems; Health Services Accessibility; Humans; Models, Statistical; Primary Health Care |
顯示於: | 生物環境系統工程學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。