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Identifying areas of potential critical healthcare shortages: A case study of spatial accessibility to ICU beds during the COVID-19 pandemic in Florida

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  • Kim, Kyusik
  • Ghorbanzadeh, Mahyar
  • Horner, Mark W.
  • Ozguven, Eren Erman

Abstract

Healthcare resource availability is potentially associated with COVID-19 mortality, and the potentially uneven geographical distribution of resources is a looming concern in the global pandemic. Given that access to healthcare resources is important to overall population health, assessing COVID-19 patients' access to healthcare resources is needed. This paper aims to examine the temporal variations in the spatial accessibility of the U.S. COVID-19 patients to medical facilities, identify areas that are likely to be overwhelmed by the COVID-19 pandemic, and explore associations of low access areas with their socioeconomic and demographic characteristics. We use a three-step floating catchment area method, spatial statistics, and logistic regression to achieve the goals. Findings of this research in the State of Florida revealed that North Florida, rural areas, and zip codes with more Latino or Hispanic populations are more likely to have lower access than other regions during the COVID-19 pandemic. Our approach can help policymakers identify potentially possible low access areas and establish appropriate policy intervention paying attention to those areas during a pandemic.

Suggested Citation

  • Kim, Kyusik & Ghorbanzadeh, Mahyar & Horner, Mark W. & Ozguven, Eren Erman, 2021. "Identifying areas of potential critical healthcare shortages: A case study of spatial accessibility to ICU beds during the COVID-19 pandemic in Florida," Transport Policy, Elsevier, vol. 110(C), pages 478-486.
    • Handle: RePEc:eee:trapol:v:110:y:2021:i:c:p:478-486
    DOI: 10.1016/j.tranpol.2021.07.004
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    2. Gordon Cromley & Jie Lin, 2023. "Examining the interplay between racial segregation patterns and access to hospital care," Environment and Planning B, , vol. 50(1), pages 117-129, January.
    3. Jason Jabbari & Yung Chun & Pranav Nandan & Laura McDermott & Tyler Frank & Sarah Moreland-Russell & Dan Ferris & Stephen Roll, 2021. "How Did School Meal Access Change during the COVID-19 Pandemic? A Two-Step Floating Catchment Area Analysis of a Large Metropolitan Area," IJERPH, MDPI, vol. 18(21), pages 1-17, October.
    4. Chen, Yue & Jia, Shunping & Xu, Qi & Xiao, Zhongsheng & Zhang, Shujing, 2023. "Measuring the dynamic accessibility to COVID-19 testing sites in the 15-min city: A focus on service congestion and mobility difference," Journal of Transport Geography, Elsevier, vol. 111(C).
    5. Mansour, Shawky & Alahmadi, Mohammed & Abulibdeh, Ammar, 2022. "Spatial assessment of audience accessibility to historical monuments and museums in Qatar during the 2022 FIFA World Cup," Transport Policy, Elsevier, vol. 127(C), pages 116-129.
    6. Paulo Ricardo Ricco Uranga & Natássia Molina Bayer & Adelar Fochezatto, 2023. "Spatial inequality in accessibility to ICU beds in Brazilian municipalities in the Covid-19 pandemic," Economics Bulletin, AccessEcon, vol. 43(1), pages 537-549.
    7. Federico Benjamín Galacho-Jiménez & David Carruana-Herrera & Julián Molina & José Damián Ruiz-Sinoga, 2022. "Tempo-Spatial Modelling of the Spread of COVID-19 in Urban Spaces," IJERPH, MDPI, vol. 19(15), pages 1-17, August.
    8. Dan He & Zixuan Chen & Shaowei Ai & Jing Zhou & Linlin Lu & Ting Yang, 2021. "The Spatial Distribution and Influencing Factors of Urban Cultural and Entertainment Facilities in Beijing," Sustainability, MDPI, vol. 13(21), pages 1-21, November.
    9. Zhang, Junyi & Hayashi, Yoshitsugu, 2022. "Research frontier of COVID-19 and passenger transport: A focus on policymaking," Transport Policy, Elsevier, vol. 119(C), pages 78-88.
    10. Jumadi Jumadi & Vidya N. Fikriyah & Hamim Z. Hadibasyir & Muhammad I. T. Sunariya & Kuswaji D. Priyono & Noor A. Setiyadi & Steve J. Carver & Paul D. Norman & Nick S. Malleson & Arif Rohman & Aynaz Lo, 2022. "Spatiotemporal Accessibility of COVID-19 Healthcare Facilities in Jakarta, Indonesia," Sustainability, MDPI, vol. 14(21), pages 1-14, November.
    11. Heinzel, Christine & van der Heijden, Sophie & Mayer, Aljoscha & Sänger, Nathalie & Sandholz, Simone, 2024. "Need for intensive care? A socio-technical systems perspective on water supply failure preparedness in German health care facilities," International Journal of Critical Infrastructure Protection, Elsevier, vol. 44(C).
    12. Lin, Jie & Cromley, Gordon, 2023. "Using the transportation problem to build a congestion/threshold constrained spatial accessibility model," Journal of Transport Geography, Elsevier, vol. 112(C).

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