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[How can accessibility measures be improved to better target underserved areas?]

V Lucas-Gabrielli1, C Mangeney2

  • 1Institut de recherche et documentation en économie de la santé, 117, bis rue Manin, 75019 Paris, France.

Revue D'Epidemiologie Et De Sante Publique
|January 15, 2019
PubMed
Summary

France faces healthcare accessibility challenges due to uneven health professional distribution. A new infra-communal indicator improves measurement of underserved areas, aiding public policy for better healthcare access.

Keywords:
Healthcare servicesIndicateur d’accessibilité aux soinsIndicator of accessibility to careOffre de soinsUnderserved areasZones sous-denses

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Area of Science:

  • Public Health
  • Health Services Research
  • Geospatial Analysis

Background:

  • France has average Organization for Economic Cooperation and Development (OECD) medical staffing but faces significant healthcare accessibility issues.
  • Unequal distribution of health professionals across French territories necessitates targeted public policy interventions.
  • Identifying and addressing underserved areas is a key governmental priority to improve healthcare access.

Purpose of the Study:

  • To evaluate the existing municipal-level localized potential accessibility indicator for identifying underserved areas.
  • To propose an improved indicator for measuring healthcare accessibility and territorial disparities.
  • To address the limitations of current accessibility measures and suggest enhancements for public policy.

Main Methods:

  • Development of an infra-communal accessibility potential (APL) indicator for the Île-de-France region.
  • Calculation of the APL indicator at a finer geographical level than the municipal level.
  • Integration of mobility practices and social aspects of healthcare needs into the accessibility measurement.

Main Results:

  • The proposed infra-communal APL indicator offers a more refined measurement of healthcare accessibility.
  • This advanced indicator better reflects territorial disparities in access to care.
  • The study highlights the importance of operational indicators for effective public policy in delineating action areas.

Conclusions:

  • The developed infra-communal indicator represents a significant advancement in measuring healthcare accessibility.
  • Improved indicators are crucial for accurately identifying underserved areas and informing public policy.
  • Further refinement of accessibility measures is needed to effectively address healthcare access disparities.