在地理上获得医疗保健,超越近距离
Songyuan Deng1, Kevin Bennett2
1South Carolina Center for Rural and Primary Healthcare, University of South Carolina, Columbia, South Carolina. songyuan.deng@gmail.com.
Geospatial health
|September 28, 2023
概括
孕妇往往需要远程前往他们选择的医疗保健提供者,而不是前往最近的医疗机构. 仅靠靠近并不决定医疗保健的获取,特别是对于农村人口来说.
科学领域:
- 孕产妇健康 孕产妇健康
- 医疗保健获取研究 医疗保健获取研究
- 地理流行病学地理流行病学
背景情况:
- 了解影响孕妇选择医疗服务提供者的因素对于改善医疗服务的准入至关重要.
- 医疗机构的地理距离对患者的选择和健康结果产生重大影响.
- 之前的研究经常假设邻近是供应商选择的主要驱动因素.
研究的目的:
- 检查到最近的医疗保健提供者和孕妇所选择的提供者之间的差异.
- 为了比较南卡罗来纳州最近和主要医疗保健提供者的旅行距离和时间.
- 调查农村和城市孕妇在获得医疗保健方面的差异.
主要方法:
- 南卡罗来纳州索赔数据的分析显示,从2014年至2018年,有27,290名活产儿的索赔数据.
- 比较到达最近的设施的平均行程距离和时间,与选择的主要设施相比.
- 按农村和城市居住区分层分析以确定访问差异.
主要成果:
- 只有21.6%的孕妇在最近的选项中选择了一个设施.
- 到最近的提供商的平均行程距离为3.2英里,而到主要提供商的平均行程距离为23.0英里.
- 与城市妇女相比,农村妇女面临的距离与最近的供应商相比是两倍多的距离,但主要供应商的差异较小.
结论:
- 孕妇的医疗保健提供者选择受到超越仅仅地理邻近性的因素的影响.
- 在合理的旅行距离内可用的提供商的数量是近距离访问的更准确的衡量标准,而不是仅仅是距离.
- 需要有针对性的干预措施来解决农村孕妇人口获得医疗保健的障碍.
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