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Examining the interplay between racial segregation patterns and access to hospital care

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  • Gordon Cromley
  • Jie Lin

Abstract

Access to hospitals and especially intensive care units is an important issue given the current COVID-19 pandemic. This study examined the interplay between the pattern of spatial separation of racial groups and the access by those groups to hospital services as measured by the number of beds. Differences between racial groups in the Chicago Area were investigated using two models that calculated supply and cost accessibility to hospital care using Huff-style probabilities. An additional two models focused on minimizing the unevenness in congestion for ICU beds at hospitals. Results suggest that with respect to hospital beds, there was not much difference between racial groups in terms of supply accessibility, but there were greater differences in the travel cost for accessing those services. This is due to the association between the centrality dimension of residential segregation and the central location of hospitals in the Chicago Area. Results also suggest that the goal of even congestion levels results in higher travel costs with the region.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:envirb:v:50:y:2023:i:1:p:117-129
    DOI: 10.1177/23998083221108188
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    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. Sergio Rey & Richard Smith, 2013. "A spatial decomposition of the Gini coefficient," Letters in Spatial and Resource Sciences, Springer, vol. 6(2), pages 55-70, July.
    3. David L. Huff, 1963. "A Probabilistic Analysis of Shopping Center Trade Areas," Land Economics, University of Wisconsin Press, vol. 39(1), pages 81-90.
    4. Boeing, Geoff, 2017. "OSMnx: New Methods for Acquiring, Constructing, Analyzing, and Visualizing Complex Street Networks," SocArXiv q86sd, Center for Open Science.
    5. 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.
    6. James Saxon & Daniel Snow, 2020. "A Rational Agent Model for the Spatial Accessibility of Primary Health Care," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 110(1), pages 205-222, January.
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