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在获得NHS牙科的空间差异:在英格兰的邻里级分析
1School of Geography and Consumer Data Research Centre, University of Leeds, Leeds, United Kingdom.
European journal of public health
|June 22, 2024
概括
在英格兰,获得国家卫生服务 (NHS) 牙科服务是一个重大问题,可用性和可访问性因社区特征而异. 本研究使用先进的空间分析方法量化了这些差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 空间分析 空间分析
背景情况:
- 英国国家卫生服务 (NHS) 的牙科服务多年来一直存在问题.
- 媒体报道显示,患者很难找到当地NHS的牙科治疗.
- 牙科护理接入问题的程度在地理位置和社区特点上有所不同.
研究的目的:
- 量化英格兰全国NHS牙科服务和可访问性的空间变化.
- 分析社区贫困和城市/农村地位如何影响牙科护理的获取.
- 开发和应用医疗保健服务的先进空间可访问性方法.
主要方法:
- 使用了NHS牙科服务和人口统计数据的官方数据.
- 使用汽车行程时间和先进的浮动采集区 (FCA) 方法测量旅行的可访问性.
- 计算空间可用性和可访问性指数,考虑供应竞争和距离衰减.
主要成果:
- 牙科服务的可用性和可访问性都因邻里贫困程度和城市/农村分类而有很大差异.
- 在所有被研究的社区中,NHS的牙科服务通常不足以满足基本的牙科护理需求.
- 一个案例研究表明,牙科诊所关闭的当地影响.
结论:
- 空间分析揭示了英格兰NHS牙科护理获得的重大不平等.
- 社区特点,特别是贫困和城市化,是进入的关键决定因素.
- 先进的FCA方法为评估医疗保健可访问性和告知政策提供了一个强大的工具.
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