旅行时间和距离到澳大利亚的医疗服务
Michaela Filipcikova1, Louisa Jorm2, Sebastiano Barbieri2,3
1The Hopkins Centre, Griffith University, Brisbane, QLD, Australia. m.filipcikova@griffith.edu.au.
地区和偏远地区的42,000多名澳大利亚人面临着严重的旅行障碍,无法获得初级医疗保健. 这项研究量化了医疗保健的可访问性,揭示了服务不足的人群服务获取的关键差距.
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.
- 公共卫生 公共卫生
背景情况:
- 地理可访问性对于医疗保健公平性和患者结果至关重要.
- 在澳大利亚的区域和偏远地区,获得初级医疗保健服务的限制普遍存在.
- 在这些地区,超过42,000人在60分钟车程内缺乏初级保健,这会影响健康.
研究的目的:
- 分析澳大利亚各地医疗保健可访问性的国家模式.
- 估计到各种医疗保健服务的驾驶时间和距离.
- 创建一个数据集来比较跨地区和服务类型的医疗保健准入.
主要方法:
- 使用的地理区域 (网格区,SA2,邮政区,MoMM模型区域) 和澳大利亚州/地区.
- 使用开源路由机 (OSRM) 来计算行程时间和距离.
- 计算到公立/私立医院,急诊室,全科医生,批发发票的全科医生和药店的旅行.
主要成果:
- 量化全国基本医疗保健服务的平均驾驶时间和距离.
- 确定了澳大利亚地区和偏远地区的重大可访问性挑战.
- 开发了一个全面的数据集,用于医疗保健可访问性分析.
结论:
- 该研究提供了澳大利亚各地医疗保健可访问性的细粒度视图.
- 调查结果突出了获取机会的差异,特别是农村和偏远地区的人口.
- 该方法和数据可以为政策提供信息,并可在全球范围内进行调整.
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