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Defining localities for health planning: A GIS approach

Author

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  • Bullen, Nina
  • Moon, Graham
  • Jones, Kelvyn

Abstract

The National Health Service in Britain is undergoing far-reaching changes. While District and Regional Health Authorities are currently merging, professionals agree that primary health care is most efficiently managed at the local level. This paper uses geographical information systems (GIS) capabilities to identify a nested hierarchy of localities for the management of primary health care in West Sussex, England. GIS coverages were developed which contained key criteria for defining local areas, including nodes or focal points of service provision, edges which act as physical or psychological barriers to movement, districts such as official administrative areas and interaction criteria such as journey to work, school and family doctor (GP) surgeries. Central to the derivation of the localities was a large matrix of patient to GP flows based on postcoded data. Once managed, these data revealed clear geographical patterns of patient to GP allegiance. A large-scale field survey obtained supporting information on the perception of areas from local residents.

Suggested Citation

  • Bullen, Nina & Moon, Graham & Jones, Kelvyn, 1996. "Defining localities for health planning: A GIS approach," Social Science & Medicine, Elsevier, vol. 42(6), pages 801-816, March.
    • Handle: RePEc:eee:socmed:v:42:y:1996:i:6:p:801-816
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    Citations

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    Cited by:

    1. Karen Witten & Daniel Exeter & Adrian Field, 2003. "The Quality of Urban Environments: Mapping Variation in Access to Community Resources," Urban Studies, Urban Studies Journal Limited, vol. 40(1), pages 161-177, January.
    2. Robin Haynes & Andrew Lovett & Gisela Sünnenberg, 2003. "Potential Accessibility, Travel Time, and Consumer Choice: Geographical Variations in General Medical Practice Registrations in Eastern England," Environment and Planning A, , vol. 35(10), pages 1733-1750, October.
    3. Gary Higgs & Myles Gould, 2000. "Health-Care Commissioning, the Modern NHS, and Geographical Information Systems," Environment and Planning A, , vol. 32(11), pages 1905-1908, November.
    4. Foley, Ronan & Platzer, Hazel, 2007. "Place and provision: Mapping mental health advocacy services in London," Social Science & Medicine, Elsevier, vol. 64(3), pages 617-632, February.
    5. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.

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