纽约州紧急服务的地理空间结构隔离分析
1Department of Health Sciences, Respiratory Care, State University of New York Sullivan County, Loch Sheldrake, New York, USA.
概括
由于医院的结构隔离,纽约州的农村地区面临着严重的紧急医疗保健接入缺口. 地理空间分析揭示了持续存在的差异,特别是在边境地区,突出了改善区域合作的必要性.
科学领域:
- 公共卫生 公共卫生
- 地理空间分析的研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在纽约农村地区,获得紧急医疗保健至关重要,但分布不均.
- 纽约农村的350万居民面临着距离和有限的交通等障碍.
- 在纽约州的农村和边境地区存在持续的差异.
研究的目的:
- 评估纽约州提供紧急服务的医院的结构隔离.
- 量化紧急服务的设施间距离和旅行时间.
- 评估应急覆盖责任,并确定脆弱的边境环境.
主要方法:
- 利用地理空间分析来评估医院的结构隔离对于紧急服务.
- 整合了美国和加拿大的数据集,以分析设施间的连接和采集区.
- 应用了各种措施来确定医疗保健机构的隔离,并评估服务覆盖率.
主要成果:
- 确定了纽约农村和边境地区紧急通道的重大缺口.
- 孤立的设施显示直径大 (60-70英里) 和广泛的流域 (>3000平方英里).
- 即使在重新分配后,一些地区仍然无法及时获得地面访问,这表明脆弱性.
结论:
- 由于结构上的孤立,一些农村医院的服务负担集中在少数农村医院上.
- 综合跨境设施和驾驶时间分析的多面性方法提供了一个现实的覆盖图片.
- 纽约州可以通过区域合作和社区需求评估来加强紧急医疗保健的获取和公平.
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