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Spatial patterns of attendance at general practitioner services.

S M Hays¹, R A Kearns, W Moran

¹Department of Geography, University of Auckland, New Zealand.

Social Science & Medicine (1982)

|January 1, 1990

Summary

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Consumers do not always attend the closest medical surgery. Practice location, prior service knowledge, and patient mobility significantly influence surgery attendance patterns in Gisborne, New Zealand.

Area of Science:

Health geography
Spatial analysis of healthcare access

Background:

Geographical theory posits consumers choose the nearest service center.
This model is a weak predictor of actual surgery attendance patterns.

Purpose of the Study:

To examine surgery attendance patterns in Gisborne, New Zealand.
To identify factors influencing patient choice beyond proximity.

Main Methods:

Analysis of surgery attendance data in Gisborne.
Examination of practice distribution and patient attributes.
Investigating the role of prior knowledge and personal mobility.

Main Results:

Patients attended nearby surgeries, not necessarily the closest.

Related Experiment Videos

Practice distribution significantly impacted attendance.

Prior knowledge of services was crucial for selection and retention.

Higher income and mobility allowed greater travel distances.

Lower mobility limited spatial choices.

Conclusions:

Surgery attendance is influenced by factors beyond simple proximity.
Understanding patient mobility and service awareness is key to healthcare access.
Geographical models need refinement to reflect real-world healthcare-seeking behaviors.