Evaluating potential spatial access to trauma center care by severely injured patients

被引：22

作者：

Lawson, Fiona L. ^{[1
]}

Schuurman, Nadine ^{[1
]}

Oliver, Lisa ^{[2
]}

Nathens, Avery B. ^{[3
]}

机构：

[1] Simon Fraser Univ, Dept Geog, Burnaby, BC V5A 1S6, Canada

[2] STAT Canada, Hlth Anal Div, Ottawa, ON K1A 0T6, Canada

[3] St Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, Toronto, ON M5B 1W8, Canada

来源：

HEALTH & PLACE | 2013年 / 19卷

关键词：

Spatial access; Geographic information system; Severe injury; Trauma systems; Rural; UNITED-STATES; NATIONAL EVALUATION; MAJOR INJURY; URBAN LEGEND; RURAL TRAUMA; GOLDEN HOUR; SYSTEMS; PREVENTION; MORTALITY; SEVERITY;

D O I：

10.1016/j.healthplace.2012.10.011

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Injuries are a major public health problem around the world. Previous research has suggested that providing prompt access to specialized trauma center care may greatly improve the health outcomes of trauma patients. In this paper, a geographic information system (GIS) method is used to examine potential spatial access to trauma centers by individuals who were either hospitalized or died as a result of a major trauma. Overall, it was determined that 68.5% of individuals who suffered from a major trauma lived within one hour travel time of a Level I or II trauma center. In addition, major traumas resulting in death were found to have poorer potential spatial access to trauma center care than those that were admitted to hospital. (C) 2012 Elsevier Ltd. All rights reserved.

引用

页码：131 / 137

页数：7

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