Physician accessibility: an urban case study of pediatric providers

被引:124
作者
Guagliardo, MF [1 ]
Ronzio, CR
Cheung, I
Chacko, E
Joseph, JG
机构
[1] Childrens Natl Med Ctr, Ctr Hlth Serv & Community Res, Washington, DC USA
[2] George Washington Univ, Sch Med & Hlth Sci, Dept Pediat, Washington, DC 20052 USA
[3] George Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Prevent & Community Hlth, Washington, DC 20052 USA
[4] George Washington Univ, Dept Geog, Washington, DC USA
[5] George Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Epidemiol & Biostat, Washington, DC USA
基金
美国国家卫生研究院;
关键词
primary care; children; urban; spatial accessibility; social disparity;
D O I
10.1016/j.healthplace.2003.01.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Social disparity in the spatial distribution of healthcare providers in urban areas is a recognized problem. However, efforts to quantify the problem have been hampered by a lack of satisfactory measurements and methods. We revive and enhance a strategy based on provider density, proposed nearly three decades ago. The method avoids the border-crossing problem associated with provider-population ratios, yet reports spatial accessibility in intuitive units that are easily compared across diverse populations and geographies. We find racial and socioeconomic disparities in our case city, Washington, DC, despite a citywide overabundance of primary care providers for children. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:273 / 283
页数:11
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