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Framework for examining the spatial equity and sustainability of general practitioner services
Jesse Whitehead1, Amber L Pearson2, Ross Lawrenson1,3
1National Institute of Demographic and Economic Analysis, University of Waikato, Hamilton, New Zealand.
The Australian Journal of Rural Health
|October 11, 2018
Summary
This study proposes a new framework to assess the spatial equity and sustainability of general practitioner (GP) services. It helps ensure equitable access to primary health care now and in the future.
Area of Science:
- Health Services Research
- Spatial Analysis
- Public Health Policy
Background:
- Achieving health equity necessitates improving the spatial equity of health services.
- General Practitioner (GP) services are crucial for primary health care and promoting health equity.
- A framework for analyzing the spatial equity and sustainability of GP services is currently lacking.
Purpose of the Study:
- To propose a novel conceptual framework for evaluating the spatial equity and sustainability of GP services.
- To provide a method for assessing the ongoing equitable provision of primary health care.
Main Methods:
- A systematic literature review of spatial equity definitions and methods was conducted.
- The study presents a conceptual discussion and a three-step framework.
- Examples from the New Zealand healthcare context illustrate the framework's application.
Main Results:
- The proposed framework involves defining spatial equity and sustainability, estimating service and need distributions, and quantifying equity and sustainability.
- Needs-based distribution is identified as a common definition for spatial equity.
- Sustainability is defined as the capacity for ongoing equitable access, assessed using measures like the Gini coefficient.
Conclusions:
- A novel conceptual framework for examining the spatial equitability and sustainability of GP services has been outlined.
- This framework provides a structured approach to ensure equitable and sustainable primary health care delivery.
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