IDEAS home Printed from https://ideas.repec.org/a/sae/envirb/v30y2003i6p865-884.html
   My bibliography  Save this article

Measures of Spatial Accessibility to Health Care in a GIS Environment: Synthesis and a Case Study in the Chicago Region

Author

Listed:
  • Wei Luo
  • Fahui Wang

Abstract

This article synthesizes two GIS-based accessibility measures into one framework, and applies the methods to examining spatial accessibility to primary health care in the Chicago ten-county region. The floating catchment area (FCA) method defines the service area of physicians by a threshold travel time while accounting for the availability of physicians by their surrounded demands. The gravity-based method considers a nearby physician more accessible than a remote one and discounts a physician's availability by a gravity-based potential. The former is a special case of the latter. Based on the 2000 Census and primary care physician data, this research assesses the variation of spatial accessibility to primary care in the Chicago region, and analyzes the sensitivity of results by experimenting with ranges of threshold travel times in the FCA method and travel friction coefficients in the gravity model. The methods may be used to help the US Department of Health and Human Services and state health departments improve designation of Health Professional Shortage Areas.

Suggested Citation

  • Wei Luo & Fahui Wang, 2003. "Measures of Spatial Accessibility to Health Care in a GIS Environment: Synthesis and a Case Study in the Chicago Region," Environment and Planning B, , vol. 30(6), pages 865-884, December.
  • Handle: RePEc:sae:envirb:v:30:y:2003:i:6:p:865-884
    DOI: 10.1068/b29120
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1068/b29120
    Download Restriction: no

    File URL: https://libkey.io/10.1068/b29120?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. Lovett, Andrew & Haynes, Robin & Sünnenberg, Gisela & Gale, Susan, 2002. "Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS," Social Science & Medicine, Elsevier, vol. 55(1), pages 97-111, July.
    3. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
    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. Ortega, Emilio & López, Elena & Monzón, Andrés, 2012. "Territorial cohesion impacts of high-speed rail at different planning levels," Journal of Transport Geography, Elsevier, vol. 24(C), pages 130-141.
    2. Ada Wolny & Marek Ogryzek & Ryszard Źróbek, 2019. "Towards Sustainable Development and Preventing Exclusions—Determining Road Accessibility at the Sub-Regional and Local Level in Rural Areas of Poland," Sustainability, MDPI, vol. 11(18), pages 1-21, September.
    3. Liyun Lin & Haoying Han & Wanglin Yan & Shun Nakayama & Xianfan Shu, 2019. "Measuring Spatial Accessibility to Pick-Up Service Considering Differentiated Supply and Demand: A Case in Hangzhou, China," Sustainability, MDPI, vol. 11(12), pages 1-22, June.
    4. Subramanian, Divya & Jana, Arnab, 2019. "Evaluating the cultural ecosystem services of India: Comparison of budget allocations to improve the use value of recreational open spaces," Ecosystem Services, Elsevier, vol. 38(C), pages 1-1.
    5. Stępniak, Marcin & Pritchard, John P. & Geurs, Karst T. & Goliszek, Sławomir, 2019. "The impact of temporal resolution on public transport accessibility measurement: Review and case study in Poland," Journal of Transport Geography, Elsevier, vol. 75(C), pages 8-24.
    6. Jingyuan Chen & Yuqi Bai & Pei Zhang & Jingyuan Qiu & Yichun Hu & Tianhao Wang & Chengzhong Xu & Peng Gong, 2019. "A Spatial Distribution Equilibrium Evaluation of Health Service Resources at Community Grid Scale in Yichang, China," Sustainability, MDPI, vol. 12(1), pages 1-28, December.
    7. Wantong Xu & Fuguang Zhang & Biao Zeng & Taibao Yang & Hui Wang, 2019. "Spatial Access to Medical Services in the Underdeveloped Region of Northwestern China: A Case Study in Lanzhou City," Sustainability, MDPI, vol. 11(23), pages 1-14, November.
    8. 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.
    9. Yu, Dongwei & Tan, Hongwei & Ruan, Yingjun, 2012. "An improved two-step floating catchment area method for supporting district building energy planning: A case study of Yongding County city, China," Applied Energy, Elsevier, vol. 95(C), pages 156-163.
    10. Wang, Jianying & Dong, Lei & Cheng, Ximeng & Yang, Weijun & Liu, Yu, 2019. "An extended exploration and preferential return model for human mobility simulation at individual and collective levels," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 534(C).
    11. Hyunjoong Kim & Fahui Wang, 2019. "Disparity in Spatial Access to Public Daycare and Kindergarten across GIS-Constructed Regions in Seoul, South Korea," Sustainability, MDPI, vol. 11(19), pages 1-14, October.
    12. Jinguang Zhang & Yingyi Cheng & Wei Wei & Bing Zhao, 2019. "Evaluating Spatial Disparity of Access to Public Parks in Gated and Open Communities with an Improved G2SFCA Model," Sustainability, MDPI, vol. 11(21), pages 1-19, October.

    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. Neutens, Tijs, 2015. "Accessibility, equity and health care: review and research directions for transport geographers," Journal of Transport Geography, Elsevier, vol. 43(C), pages 14-27.
    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. Kilinc, Mehmet Serdar & Milburn, Ashlea Bennett & Heier Stamm, Jessica L., 2017. "Measuring potential spatial accessibility of home healthcare services," Socio-Economic Planning Sciences, Elsevier, vol. 59(C), pages 13-25.
    4. Contreras, Diana & Bhamidipati, Srirama & Wilkinson, Sean, 2023. "Social vulnerability and spatial inequality in access to healthcare facilities: The case of the Santiago Metropolitan Region (RMS), Chile," Socio-Economic Planning Sciences, Elsevier, vol. 90(C).
    5. Sharma, Gajanand & Patil, Gopal R., 2021. "Public transit accessibility approach to understand the equity for public healthcare services: A case study of Greater Mumbai," Journal of Transport Geography, Elsevier, vol. 94(C).
    6. Yao, Jing & Murray, Alan T. & Agadjanian, Victor, 2013. "A geographical perspective on access to sexual and reproductive health care for women in rural Africa," Social Science & Medicine, Elsevier, vol. 96(C), pages 60-68.
    7. 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.
    8. 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.
    9. 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).
    10. 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.
    11. 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.
    12. Lee, Hasik & Park, Ho-Chul & Kho, Seung-Young & Kim, Dong-Kyu, 2019. "Assessing transit competitiveness in Seoul considering actual transit travel times based on smart card data," Journal of Transport Geography, Elsevier, vol. 80(C).
    13. 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.
    14. Chen, Wendong & Cheng, Long & Chen, Xuewu & Chen, Jingxu & Cao, Mengqiu, 2021. "Measuring accessibility to health care services for older bus passengers: A finer spatial resolution," Journal of Transport Geography, Elsevier, vol. 93(C).
    15. Fahui Wang & Quan Tang, 2013. "Planning toward Equal Accessibility to Services: A Quadratic Programming Approach," Environment and Planning B, , vol. 40(2), pages 195-212, April.
    16. 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.
    17. Lei Mu & Lijun Xing & Ying Jing & Qinjiang Hu, 2023. "Spatial Optimization of Park Green Spaces by an Improved Two-Step Optimization Model from the Perspective of Maximizing Accessibility Equity," Land, MDPI, vol. 12(5), pages 1-20, April.
    18. 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).
    19. Giannotti, Mariana & Tomasiello, Diego B. & Bittencourt, Taina A., 2022. "The bias in estimating accessibility inequalities using gravity-based metrics," Journal of Transport Geography, Elsevier, vol. 101(C).
    20. Jiahui Qin & Shijia Luo & Disheng Yi & Heping Jiang & Jing Zhang, 2022. "Measuring Cluster-Based Spatial Access to Shopping Stores under Real-Time Travel Time," Sustainability, MDPI, vol. 14(4), pages 1-21, February.

    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:sae:envirb:v:30:y:2003:i:6:p:865-884. 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: SAGE Publications (email available below). General contact details of provider: .

    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.