IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v182y2017icp60-67.html
   My bibliography  Save this article

Accessibility of tertiary hospitals in Finland: A comparison of administrative and normative catchment areas

Author

Listed:
  • Huotari, Tiina
  • Antikainen, Harri
  • Keistinen, Timo
  • Rusanen, Jarmo

Abstract

The determination of an appropriate catchment area for a hospital providing highly specialized (i.e. tertiary) health care is typically a trade-off between ensuring adequate client volumes and maintaining reasonable accessibility for all potential clients. This may pose considerable challenges, especially in sparsely inhabited regions. In Finland, tertiary health care is concentrated in five university hospitals, which provide services in their dedicated catchment areas. This study utilizes Geographic Information Systems (GIS), together with grid-based population data and travel-time estimates, to assess the spatial accessibility of these hospitals. The current geographical configuration of the hospitals is compared to a normative assignment, with and without capacity constraints. The aim is to define optimal catchment areas for tertiary hospitals so that their spatial accessibility is as equal as possible. The results indicate that relatively modest improvements can be achieved in accessibility by using normative assignment to determine catchment areas.

Suggested Citation

  • Huotari, Tiina & Antikainen, Harri & Keistinen, Timo & Rusanen, Jarmo, 2017. "Accessibility of tertiary hospitals in Finland: A comparison of administrative and normative catchment areas," Social Science & Medicine, Elsevier, vol. 182(C), pages 60-67.
    • Handle: RePEc:eee:socmed:v:182:y:2017:i:c:p:60-67
    DOI: 10.1016/j.socscimed.2017.04.015
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953617302381
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2017.04.015?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Pan, Jay & Zhao, Hanqing & Wang, Xiuli & Shi, Xun, 2016. "Assessing spatial access to public and private hospitals in Sichuan, China: The influence of the private sector on the healthcare geography in China," Social Science & Medicine, Elsevier, vol. 170(C), pages 35-45.
    2. Hannu Tervo, 2005. "Regional Policy Lessons from Finland," Advances in Spatial Science, in: Daniel Felsenstein & Boris A. Portnov (ed.), Regional Disparities in Small Countries, chapter 15, pages 267-282, Springer.
    3. Jomon Aliyas Paul & Rajan Batta, 2008. "Models for hospital location and capacity allocation for an area prone to natural disasters," International Journal of Operational Research, Inderscience Enterprises Ltd, vol. 3(5), pages 473-496.
    4. Liu, Liyan & Hader, Joanne & Brossart, Bonnie & White, Robin & Lewis, Steven, 2001. "Impact of rural hospital closures in Saskatchewan, Canada," Social Science & Medicine, Elsevier, vol. 52(12), pages 1793-1804, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jingya Luan & Yuhong Tian & Chi Yung Jim & Xu Liu & Mengxuan Yan & Lizhu Wu, 2023. "Assessing Spatial Accessibility of Community Hospitals for the Elderly in Beijing, China," IJERPH, MDPI, vol. 20(1), pages 1-19, January.
    2. Gerardo Carpentieri & Carmen Guida & Houshmand E. Masoumi, 2020. "Multimodal Accessibility to Primary Health Services for the Elderly: A Case Study of Naples, Italy," Sustainability, MDPI, vol. 12(3), pages 1-15, January.
    3. Min Cheng & Li Tao & Yuejiao Lian & Weiwei Huang, 2021. "Measuring Spatial Accessibility of Urban Medical Facilities: A Case Study in Changning District of Shanghai in China," IJERPH, MDPI, vol. 18(18), pages 1-18, September.
    4. Min Weng & Tingting Liu & Mengjun Kang, 2017. "Liver cancer mapping based on actual medical treatment choices," Journal of Maps, Taylor & Francis Journals, vol. 13(1), pages 124-129, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kathleen Cleeren & Lien Lamey & Jan‐Hinrich Meyer & Ko De Ruyter, 2016. "How Business Cycles Affect the Healthcare Sector: A Cross‐country Investigation," Health Economics, John Wiley & Sons, Ltd., vol. 25(7), pages 787-800, July.
    2. Heather Conde & James Ted McDonald, 2007. "The Health Services Use Among Older Canadians in Rural and Urban Areas," Social and Economic Dimensions of an Aging Population Research Papers 178, McMaster University.
    3. Kurikka, Heli & Grillitsch, Markus, 2020. "Resilience in the periphery: What an agency perspective can bring to the table," Papers in Innovation Studies 2020/7, Lund University, CIRCLE - Centre for Innovation Research.
    4. Mahmoud Golabi & Seyed Mahdi Shavarani & Gokhan Izbirak, 2017. "An edge-based stochastic facility location problem in UAV-supported humanitarian relief logistics: a case study of Tehran earthquake," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 87(3), pages 1545-1565, July.
    5. José J. Escarce & Kanika Kapur, 2009. "Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California," Working Papers 200902, School of Economics, University College Dublin.
    6. Kılcı, Fırat & Kara, Bahar Yetiş & Bozkaya, Burçin, 2015. "Locating temporary shelter areas after an earthquake: A case for Turkey," European Journal of Operational Research, Elsevier, vol. 243(1), pages 323-332.
    7. Böckerman, Petri & Haapanen, Mika, 2010. "The effect of education on migration: Evidence from school reform," MPRA Paper 27629, University Library of Munich, Germany.
    8. Petri Böckerman & Mika Haapanen, 2013. "The effect of polytechnic reform on migration," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(2), pages 593-617, April.
    9. Tao, Zhuolin & Cheng, Yang & Du, Shishuai & Feng, Ling & Wang, Shaoshuai, 2020. "Accessibility to delivery care in Hubei Province, China," Social Science & Medicine, Elsevier, vol. 260(C).
    10. Panelli, Ruth & Gallagher, Lou & Kearns, Robin, 2006. "Access to rural health services: Research as community action and policy critique," Social Science & Medicine, Elsevier, vol. 62(5), pages 1103-1114, March.
    11. Liyong Lu & Jay Pan, 2021. "Does hospital competition lead to medical equipment expansion? Evidence on the medical arms race," Health Care Management Science, Springer, vol. 24(3), pages 582-596, September.
    12. Lehtonen Olli & Tykkyläinen Markku, 2014. "Potential Job Creation and Resource Dependance in Rural Finland," European Countryside, Sciendo, vol. 6(3), pages 202-224, September.
    13. Teemu Makkonen, 2012. "The competitive advantage of a peripheral university town: Human and social capital perspectives from Joensuu, Finland," ERSA conference papers ersa12p621, European Regional Science Association.
    14. Acar, Müge & Kaya, Onur, 2019. "A healthcare network design model with mobile hospitals for disaster preparedness: A case study for Istanbul earthquake," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 130(C), pages 273-292.
    15. Xiuli Wang & Barnabas C. Seyler & Ting Chen & Weiyan Jian & Hongqiao Fu & Baofeng Di & Winnie Yip & Jay Pan, 2024. "Disparity in healthcare seeking behaviors between impoverished and non-impoverished populations with implications for healthcare resource optimization," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-12, December.
    16. Lu, Liyong & Pan, Jay, 2019. "The association of hospital competition with inpatient costs of stroke: Evidence from China," Social Science & Medicine, Elsevier, vol. 230(C), pages 234-245.
    17. Hui-Ching Wu & Ming-Hseng Tseng & Chuan-Chao Lin, 2020. "Assessment on Distributional Fairness of Physical Rehabilitation Resource Allocation: Geographic Accessibility Analysis Integrating Google Rating Mechanism," IJERPH, MDPI, vol. 17(20), pages 1-21, October.
    18. Kan Wang & Jianjun Bai & Xing Dang, 2020. "Spatial Difference and Equity Analysis for Accessibility to Three-Level Medical Services Based on Actual Medical Behavior in Shaanxi, China," IJERPH, MDPI, vol. 18(1), pages 1-20, December.
    19. Paul, Jomon A. & Zhang, Minjiao, 2019. "Supply location and transportation planning for hurricanes: A two-stage stochastic programming framework," European Journal of Operational Research, Elsevier, vol. 274(1), pages 108-125.
    20. Jomon Paul & Govind Hariharan, 2012. "Location-allocation planning of stockpiles for effective disaster mitigation," Annals of Operations Research, Springer, vol. 196(1), pages 469-490, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:182:y:2017:i:c:p:60-67. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.