描述药房沙漠,并设计一个模型,以尽量减少弗吉尼亚州药房分销中的不平等
Journal of the American Pharmacists Association : JAPhA
|February 13, 2025
概括
药房沙漠不成比例地影响了弗吉尼亚州的黑人和低收入社区. 地理空间模拟确定了关键位置,以改善药房准入和减少健康不平等.
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
- 地理空间分析的研究.
背景情况:
- 药房关闭在全国范围内不断增加,加剧了现有的差距.
- 之前的研究表明,药房沙漠分布中的社会经济和种族不平等.
研究的目的:
- 为了识别和描述弗吉尼亚州内的药房沙漠.
- 模拟新药店的最佳位置,以减轻获取不平等.
主要方法:
- 一项横截面研究利用药房许可证数据,根据低收入和低访问标准来定义药房沙漠.
- 地理信息系统 (GIS) 和统计方法比较了沙漠和非沙漠地区之间的人口和社会经济因素.
- 运行了10,000个地理空间模拟,以确定潜在的新药房网站.
主要成果:
- 弗吉尼亚州的51个人口普查区被确定为药房沙漠,主要在城市地区.
- 药房沙漠与更高比例的黑人居民,没有保险的个人和贫困人口有显著的联系.
- 地理空间模拟确定了44个地点,新药店可以大幅改善10,000多名居民的入口.
结论:
- 弗吉尼亚州有大量的药房沙漠,主要在城市环境中,具有显著的种族和社会经济差异.
- 药房沙漠地位与人口因素相关,这表明人们无法平等地获得基本服务.
- 战略性地将新药店放置在模拟地点,可以有效地解决药店接入差距,并减少健康不平等.
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