IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0171747.html
   My bibliography  Save this article

Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility

Author

Listed:
  • Jan Bauer
  • Peter Müller
  • Werner Maier
  • David A Groneberg

Abstract

In Germany, orthopedic workforce planning relies on population-to-provider-ratios represented by the ‘official degree of care provision’. However, with geographic information systems (GIS), more sophisticated measurements are available. By utilizing GIS-based technologies we analyzed the current state of demand and supply of the orthopedic workforce in Germany (orthopedic accessibility) with the integrated Floating Catchment Area method. The analysis of n = 153,352,220 distances revealed significant geographical variations on national scale: 5,617,595 people (6.9% of total population) lived in an area with significant low orthopedic accessibility (average z-score = -4.0), whereas 31,748,161 people (39.0% of total population) lived in an area with significant high orthopedic accessibility (average z-score = 8.0). Accessibility was positively correlated with the degree of urbanization (r = 0.49; p

Suggested Citation

  • Jan Bauer & Peter Müller & Werner Maier & David A Groneberg, 2017. "Orthopedic workforce planning in Germany – an analysis of orthopedic accessibility," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-15, February.
    • Handle: RePEc:plo:pone00:0171747
    DOI: 10.1371/journal.pone.0171747
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0171747
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171747&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0171747?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
    ---><---

    References listed on IDEAS

    as
    1. Joseph, Alun E. & Bantock, Peter R., 1982. "Measuring potential physical accessibility to general practitioners in rural areas: A method and case study," Social Science & Medicine, Elsevier, vol. 16(1), pages 85-90, January.
    2. Paul L Delamater & Joseph P Messina & Sue C Grady & Vince WinklerPrins & Ashton M Shortridge, 2013. "Do More Hospital Beds Lead to Higher Hospitalization Rates? A Spatial Examination of Roemer’s Law," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-16, February.
    3. Mennicken, Roman & Kolodziej, Ingo W.K. & Augurzky, Boris & Kreienberg, Rolf, 2014. "Concentration of gynaecology and obstetrics in Germany: Is comprehensive access at stake?," Health Policy, Elsevier, vol. 118(3), pages 396-406.
    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. Antonio Paez & Christopher D Higgins & Salvatore F Vivona, 2019. "Demand and level of service inflation in Floating Catchment Area (FCA) methods," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-38, June.
    2. Wende, Danny & Kopetsch, Thomas & Richter, Wolfram F., 2020. "Planning health care capacities with a gravity equation," Ruhr Economic Papers 888, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.

    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. Paul L. Delamater, 2018. "Comment on “A Conceptual Framework for Quality Healthcare Accessibility: a Scalable Approach for Big Data Technologies”," Information Systems Frontiers, Springer, vol. 20(2), pages 303-309, April.
    2. Jan Bauer & David A Groneberg, 2016. "Measuring Spatial Accessibility of Health Care Providers – Introduction of a Variable Distance Decay Function within the Floating Catchment Area (FCA) Method," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-17, July.
    3. Jin, Tanhua & Cheng, Long & Wang, Kailai & Cao, Jun & Huang, Haosheng & Witlox, Frank, 2022. "Examining equity in accessibility to multi-tier healthcare services across different income households using estimated travel time," Transport Policy, Elsevier, vol. 121(C), pages 1-13.
    4. Pan, Jay & Qin, Xuezheng & Li, Qian & Messina, Joseph P. & Delamater, Paul L., 2015. "Does hospital competition improve health care delivery in China?," China Economic Review, Elsevier, vol. 33(C), pages 179-199.
    5. Pei, Shunshun & Zhai, Changhai & Hu, Jie, 2024. "Surrogate model-assisted seismic resilience assessment of the interdependent transportation and healthcare system considering a two-stage recovery strategy," Reliability Engineering and System Safety, Elsevier, vol. 244(C).
    6. Mohíno, Inmaculada & Ureña, José M. & Solís, Eloy, 2016. "Transport infrastructure and territorial cohesion in rural metro-adjacent regions: A multimodal accessibility approach. The case of Castilla-La Mancha in the context of Madrid (Spain)," Journal of Transport Geography, Elsevier, vol. 57(C), pages 115-133.
    7. Olof Åslund & John Östh & Yves Zenou, 2010. "How important is access to jobs? Old question--improved answer," Journal of Economic Geography, Oxford University Press, vol. 10(3), pages 389-422, May.
    8. Daniel Avdic & Tugba Bueyuekdurmus & Giuseppe Moscelli & Adam Pilny & Ieva Sriubaite, 2018. "Subjective and objective quality reporting and choice of hospital: Evidence from maternal care services in Germany," CINCH Working Paper Series 1803, Universitaet Duisburg-Essen, Competent in Competition and Health.
    9. repec:zbw:rwirep:0527 is not listed on IDEAS
    10. Kanuganti, Shalini & Sarkar, Ashoke Kumar & Singh, Ajit Pratap, 2016. "Evaluation of access to health care in rural areas using enhanced two-step floating catchment area (E2SFCA) method," Journal of Transport Geography, Elsevier, vol. 56(C), pages 45-52.
    11. Hamidreza Rabiei‐Dastjerdi & Stephen A. Matthews, 2021. "Who gets what, where, and how much? Composite index of spatial inequality for small areas in Tehran," Regional Science Policy & Practice, Wiley Blackwell, vol. 13(1), pages 191-205, February.
    12. Zhicheng Zheng & Haoming Xia & Shrinidhi Ambinakudige & Yaochen Qin & Yang Li & Zhixiang Xie & Lijun Zhang & Haibin Gu, 2019. "Spatial Accessibility to Hospitals Based on Web Mapping API: An Empirical Study in Kaifeng, China," Sustainability, MDPI, vol. 11(4), pages 1-14, February.
    13. Tianlu Qian & Zheng Fu & Jie Chen & Shujie Qin & Changbai Xi & Jiechen Wang, 2023. "Evaluating multiscale and multimodal transport inequalities in Chinese cities with massive open-source path data," Journal of Geographical Systems, Springer, vol. 25(2), pages 237-264, April.
    14. Yang, Nan & Shen, Liyin & Shu, Tianheng & Liao, Shiju & Peng, Yi & Wang, Jinhuan, 2021. "An integrative method for analyzing spatial accessibility in the hierarchical diagnosis and treatment system in China," Social Science & Medicine, Elsevier, vol. 270(C).
    15. Antonín Vaishar & Milada Šťastná, 2021. "Accessibility of Services in Rural Areas: Southern Moravia Case Study," Sustainability, MDPI, vol. 13(16), pages 1-19, August.
    16. Yang Yu & Yijin Wu & Xin Xu & Yun Chen & Xiaobo Tian & Li Wang & Siyun Chen, 2021. "Spatial Disparities and Correlated Variables of Community Care Facility Accessibility in Rural Areas of China," Sustainability, MDPI, vol. 13(23), pages 1-14, December.
    17. Wulczyn, Fred, 2020. "Race/ethnicity and running away from foster care," Children and Youth Services Review, Elsevier, vol. 119(C).
    18. Redeker, Steef & Massey, Emma K. & van Merweland, Ruben G. & Weimar, Willem & Ismail, Sohal Y. & Busschbach, Jan J.V., 2022. "Induced demand in kidney replacement therapy," Health Policy, Elsevier, vol. 126(10), pages 1062-1068.
    19. Mensen, Anne, 2022. "Concentration of hospital capacities and patients' access to care," Ruhr Economic Papers 952, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    20. Zhou, Ke & Vidyarthi, Arpana & Matchar, David & Cheung, Yin Bun & Lam, Shao Wei & Ong, Marcus, 2018. "The relationship between workload and length of stay in Singapore," Health Policy, Elsevier, vol. 122(7), pages 769-774.
    21. Lin, Ting (Grace) & Xia, Jianhong (Cecilia) & Robinson, Todd P. & Goulias, Konstadinos G. & Church, Richard L. & Olaru, Doina & Tapin, John & Han, Renlong, 2014. "Spatial analysis of access to and accessibility surrounding train stations: a case study of accessibility for the elderly in Perth, Western Australia," Journal of Transport Geography, Elsevier, vol. 39(C), pages 111-120.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0171747. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.