Is there an association between spatial accessibility of outpatient care and utilization? Analysis of gynecological and general care
| العنوان: | Is there an association between spatial accessibility of outpatient care and utilization? Analysis of gynecological and general care |
|---|---|
| المؤلفون: | Wolfgang Hoffmann, Daniel Fredrich, Ulrike Stentzel, Jens Piegsa, Neeltje van den Berg, Jeanette Bahr |
| المصدر: | BMC Health Services Research, Vol 18, Iss 1, Pp 1-11 (2018) BMC Health Services Research |
| بيانات النشر: | BMC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Health Personnel, General Practice, Rural Health, Logistic regression, Health informatics, Health Services Accessibility, Health administration, 03 medical and health sciences, 0302 clinical medicine, Ambulatory care, General Practitioners, Environmental health, Germany, Health care, Ambulatory Care, Medicine, Humans, 030212 general & internal medicine, Prospective Studies, Aged, Family Characteristics, Travel, business.industry, 030503 health policy & services, Health Policy, Nursing research, Public health, lcsh:Public aspects of medicine, lcsh:RA1-1270, Accessibility, GIS, Women's Health Services, Utilization, Public transport, Geographic Information Systems, GP, Female, Gynecologist, 0305 other medical science, business, Research Article |
| الوصف: | Background In rural regions with a low population density, distances to health care providers as well as insufficient public transport may be barriers for the accessibility of health care. In this analysis it was examined whether the accessibility of gynecologists and GPs, measured as travel time both by car and public transport has an influence on the utilization of health care in the rural region of Western Pomerania in Northern Germany. Methods Utilization data was obtained from the population based Study of Health in Pomerania (SHIP). Utilization was operationalized by the parameter “at least one physician visit during the last 12 months”. To determine travel times by car and by public transport, network analyses were conducted in a Geographic Information System (GIS). Multivariate logistic regression models were calculated to identify determinants for the utilization of gynecologists and GPs. Results There is no significant association between the accessibility by car or public transport and the utilization of gynecologists and GPs. Significant predictors for the utilization of gynecologists in the regression model including public transport are age (OR 0.960, 95% CI 0.950–0.971, p |
| اللغة: | English |
| تدمد: | 1472-6963 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c9c9f7c753fbfc2400f83804411c16ef http://link.springer.com/article/10.1186/s12913-018-3143-5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c9c9f7c753fbfc2400f83804411c16ef |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14726963 |
|---|