根据底特律地区的药房类型的空间可访问性和药房旅行
Journal of the American Pharmacists Association : JAPhA
|February 24, 2024
概括
底特律的城市居民面临着更大的旅行负担来到达药房,尽管看似良好的访问. 区分药房类型对于了解和解决医疗保健准入方面的差异至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 城市规划 城市规划
- 药品制造 药品制造 药品制造
背景情况:
- 社区药房是重要的医疗保健提供者.
- 了解药房的空间可访问性和旅行模式是有限的.
- 基于邻里特点,在访问方面可能存在差异.
研究的目的:
- 为了比较不同类型的药房的空间可达性和实际旅行距离.
- 检查底特律地区城市和郊区社区之间的差异.
- 研究空间访问和旅行行为之间的关系.
主要方法:
- 对三个社区类型 (低收入城市,高密度郊区,低密度郊区) 的比较分析.
- 使用ANOVA计算按药房类型的空间可访问性.
- 旅行调查数据的地理编码和回归分析,以链接可访问性和旅行距离.
主要成果:
- 城市居民更容易进入当地药房,但更容易进入国家连锁店.
- 与郊区居民 (1.1-1.5英里) 相比,城市居民旅行的距离更远 (2.1英里).
- 城市居民绕过当地药房前往遥远的国家连锁店.
结论:
- 综合空间准入措施可以掩盖城市低收入少数群体的重大负担.
- 在识别药房沙漠时,区分药房类型至关重要.
- 政策和规划应考虑药房类型,以确保公平获得服务.
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