[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i1pe536-e556.html
   My bibliography  Save this article

Temporal availability of public health care in developing countries of the Caribbean: An improved two‐step floating catchment area method for estimating spatial accessibility to health care

Author

Listed:
  • Juel Paul
  • Earl Edwards
Abstract
Due to restrictions on personnel availability, the service capacity at a health facility may vary day to day based on an established schedule. This temporal variability influences a user's choice set, modifying their possible choices. As a result, the spatial accessibility of public health care may be constantly reshaped rather than being a relatively static experience as commonly represented in place‐based spatial accessibility literature. Building on the latest advances in the two‐step floating catchment method, this study presents further advancements through the inclusion of health facility schedules to better represent health care availability in the assessment of accessibility. The results show that the proposed method reveals communities with relatively poor accessibility that are hidden with many existing methods. By exposing the available care within time windows, a more accurate picture of the services available to be accessed is revealed. The findings suggest that improvement in the number of doctor hours at health facilities may reduce the disparities found in accessibility scores for communities. Further, in public health care systems similarly structured, the spatial configuration of facilities with doctors can be considered at the administrative level to ensure adequate levels of access across the jurisdiction.

Suggested Citation

  • Juel Paul & Earl Edwards, 2019. "Temporal availability of public health care in developing countries of the Caribbean: An improved two‐step floating catchment area method for estimating spatial accessibility to health care," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 536-556, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e536-e556
    DOI: 10.1002/hpm.2667
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2667
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2667?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    2. David L. Huff, 1963. "A Probabilistic Analysis of Shopping Center Trade Areas," Land Economics, University of Wisconsin Press, vol. 39(1), pages 81-90.
    3. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jabrullah Ab Hamid & Muhamad Hanafiah Juni & Rosliza Abdul Manaf & Sharifah Norkhadijah Syed Ismail & Poh Ying Lim, 2023. "Spatial Accessibility of Primary Care in the Dual Public–Private Health System in Rural Areas, Malaysia," IJERPH, MDPI, vol. 20(4), pages 1-21, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tao, Zhuolin & Cheng, Yang & Du, Shishuai & Feng, Ling & Wang, Shaoshuai, 2020. "Accessibility to delivery care in Hubei Province, China," Social Science & Medicine, Elsevier, vol. 260(C).
    2. Jiahui Qin & Shijia Luo & Disheng Yi & Heping Jiang & Jing Zhang, 2022. "Measuring Cluster-Based Spatial Access to Shopping Stores under Real-Time Travel Time," Sustainability, MDPI, vol. 14(4), pages 1-21, February.
    3. Lan Ma & Nianxue Luo & Taili Wan & Chunchun Hu & Mingjun Peng, 2018. "An Improved Healthcare Accessibility Measure Considering the Temporal Dimension and Population Demand of Different Ages," IJERPH, MDPI, vol. 15(11), pages 1-19, October.
    4. Chen, Bi Yu & Cheng, Xue-Ping & Kwan, Mei-Po & Schwanen, Tim, 2020. "Evaluating spatial accessibility to healthcare services under travel time uncertainty: A reliability-based floating catchment area approach," Journal of Transport Geography, Elsevier, vol. 87(C).
    5. Paul Cheshire & Christian Hilber & Piero Montebruno & Rosa Sanchis-Guarner, 2018. "Take Me to the Centre of Your Town! Using Micro-geographical Data to Identify Town Centres," CESifo Economic Studies, CESifo Group, vol. 64(2), pages 255-291.
    6. Sohyun Park & Keumsook Lee, 2021. "Examining the Impact of E-Commerce Growth on the Spatial Distribution of Fashion and Beauty Stores in Seoul," Sustainability, MDPI, vol. 13(9), pages 1-20, May.
    7. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Michela Collaro, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-Oriented Decomposition," CSEF Working Papers 666, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    8. Eszter Baranyai, 2023. "The Socio-Economic Status of Neighbourhoods and Access to Early Childhood Education," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(3), pages 1019-1048, June.
    9. Hone-Jay Chu & Bo-Cheng Lin & Ming-Run Yu & Ta-Chien Chan, 2016. "Minimizing Spatial Variability of Healthcare Spatial Accessibility—The Case of a Dengue Fever Outbreak," IJERPH, MDPI, vol. 13(12), pages 1-11, December.
    10. Dong, Xiaojing & Ben-Akiva, Moshe E. & Bowman, John L. & Walker, Joan L., 2006. "Moving from trip-based to activity-based measures of accessibility," Transportation Research Part A: Policy and Practice, Elsevier, vol. 40(2), pages 163-180, February.
    11. Wieland, Thomas, 2015. "Nahversorgung im Kontext raumökonomischer Entwicklungen im Lebensmitteleinzelhandel: Konzeption und Durchführung einer GIS-gestützten Analyse der Strukturen des Lebensmitteleinzelhandels und der Nahve," MPRA Paper 77145, University Library of Munich, Germany.
    12. James Kaufman & Justin Lessler & April Harry & Stefan Edlund & Kun Hu & Judith Douglas & Christian Thoens & Bernd Appel & Annemarie Käsbohrer & Matthias Filter, 2014. "A Likelihood-Based Approach to Identifying Contaminated Food Products Using Sales Data: Performance and Challenges," PLOS Computational Biology, Public Library of Science, vol. 10(7), pages 1-10, July.
    13. Rickard Enström & Olof Netzell, 2008. "Can Space Syntax Help Us in Understanding the Intraurban Office Rent Pattern? Accessibility and Rents in Downtown Stockholm," The Journal of Real Estate Finance and Economics, Springer, vol. 36(3), pages 289-305, April.
    14. Chen, Wendong & Cheng, Long & Chen, Xuewu & Chen, Jingxu & Cao, Mengqiu, 2021. "Measuring accessibility to health care services for older bus passengers: A finer spatial resolution," Journal of Transport Geography, Elsevier, vol. 93(C).
    15. Busu Mihail & Vargas Madalina Vanesa & Gherasim Ioan Alexandru, 2020. "An analysis of the economic performances of the retail companies in Romania," Management & Marketing, Sciendo, vol. 15(1), pages 125-133, March.
    16. Jing Luo & Guangping Chen & Chang Li & Bingyan Xia & Xuan Sun & Siyun Chen, 2018. "Use of an E2SFCA Method to Measure and Analyse Spatial Accessibility to Medical Services for Elderly People in Wuhan, China," IJERPH, MDPI, vol. 15(7), pages 1-17, July.
    17. Fahui Wang & Quan Tang, 2013. "Planning toward Equal Accessibility to Services: A Quadratic Programming Approach," Environment and Planning B, , vol. 40(2), pages 195-212, April.
    18. Yang, Xiping & Fang, Zhixiang & Xu, Yang & Yin, Ling & Li, Junyi & Lu, Shiwei, 2019. "Spatial heterogeneity in spatial interaction of human movements—Insights from large-scale mobile positioning data," Journal of Transport Geography, Elsevier, vol. 78(C), pages 29-40.
    19. Eric W. Schultheis, 2014. "The Social, Geographic, and Organizational Determinants of Access to Civil Legal Aid Services: An Argument for an Integrated Access to Justice Model," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 11(3), pages 541-577, September.
    20. Lei Mu & Lijun Xing & Ying Jing & Qinjiang Hu, 2023. "Spatial Optimization of Park Green Spaces by an Improved Two-Step Optimization Model from the Perspective of Maximizing Accessibility Equity," Land, MDPI, vol. 12(5), pages 1-20, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e536-e556. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.