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Distance as an influence on demand in general practice.

Epidemiology and Community Health

|March 1, 1979

Summary

Study shows patient home-to-facility distance negatively impacts medical service use for most groups, particularly women and the elderly. This accessibility barrier affects high-utilization demographics, except for men aged 15-64.

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Area of Science:

Public Health
Health Services Research
Geographic Epidemiology

Background:

Healthcare access is influenced by geographical factors.
Understanding patient-provider distance is crucial for equitable service delivery.
Previous studies suggest proximity impacts healthcare utilization.

Purpose of the Study:

To analyze the relationship between patient home-to-facility distance and healthcare utilization.
To identify specific demographic groups most affected by distance barriers.
To explore the economic factors influencing healthcare demand based on proximity.

Main Methods:

Survey data from general practices in Lambeth, London.
Analysis of healthcare utilization patterns across different patient demographics.
Examination of distance effects on specific diagnostic groups.

Main Results:

A negative correlation between distance and facility utilization was observed for most population segments.
Men aged 15 to 64 were an exception, showing no significant distance effect.
The impact of distance was most pronounced in women, the elderly, and lower socioeconomic classes (Social Classes III, IV, V).

Conclusions:

Geographical distance is a significant barrier to healthcare access for vulnerable populations.
Targeted interventions may be needed to mitigate distance-related underutilization.
Economic principles of demand can help explain distance-related healthcare-seeking behaviors.

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