评估英格兰和威尔士的社区药房的空间可访问性,使用浮动流域技术
Stephen D Clark1, Andy Newing2
1School of Geography and Consumer Data Research Centre, University of Leeds, Leeds, UK.
Journal of pharmaceutical policy and practice
|February 27, 2025
概括
由于关闭,英格兰和威尔士的社区药房面临着减少的可访问性,特别是在农村地区. 本研究量化了对获得基本药房服务的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 地理信息系统 (GIS) 是一个地理信息系统.
- 药房实践 在药房实践.
背景情况:
- 英格兰和威尔士的社区药房正在扩大初级保健角色,以减轻对其他卫生服务的压力.
- "药房第一"倡议 (2024) 允许患者在药房直接获得常见疾病治疗,而不是绕过全科医生咨询.
- 最近由于资金和劳动力挑战而导致的药房关闭,引发了对服务可访问性的担忧.
研究的目的:
- 评估英格兰和威尔士社区药房的地理可达性.
- 量化最近药房关闭对可访问性的影响.
- 确定可能成为"药房沙漠"的地区.
主要方法:
- 利用药房位置和营业时间的开放数据.
- 在2022年和2024年为基于汽车的访问计算了空间可访问性指数 (SPAI).
- 采用了修改后的哈夫变量三步浮动采集区 (MHV3SFCA) 方法.
主要成果:
- 与更贫困的社区相比,郊区和农村地区的社区药房访问能力较差.
- 确定了"药房沙漠",主要在农村地区.
- 在所有社区类型中,在2022年至2024年期间,总体SPAI下降了10%.
结论:
- MHV3SFCA是一个新且有效的工具,用于评估英国社区药房的可访问性和网络变化的影响.
- 证据支持"积极药房护理法"的存在,并确定了"药房沙漠".
- 在所有社区类型中,可访问性都下降了,这凸显了维持药房网络覆盖面的挑战.
相关概念视频
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