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Spatial Accessibility Of Health Care In Indiana

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  • Unal, Eda
  • Chen, Susan E.
  • Waldorf, Brigitte S.

Abstract

Healthy populations and access to health care services are significant factors influencing economic development and prosperity. Since geographic access is an essential feature of an overall health system, it is important for health service researchers to develop accurate measures of physical access to health. In this paper we develop a series of gravity-based health care accessibility measures for all the counties in Indiana. The measures go beyond local availability of health care services within a county and account for travel impedance via distance-discounted health care services accessible throughout the state. When applied to Indiana counties, the results show sharp disparities in health care accessibility with extensive pockets of poor accessibility in rural and peripheral areas. The research concludes with a demonstration of how spatial accessibility measures can be beneficially used to evaluate of policies indicative of changes in the provision of health services.

Suggested Citation

  • Unal, Eda & Chen, Susan E. & Waldorf, Brigitte S., 2007. "Spatial Accessibility Of Health Care In Indiana," Working papers 7329, Purdue University, Department of Agricultural Economics.
    • Handle: RePEc:ags:puaewp:7329
    DOI: 10.22004/ag.econ.7329
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    References listed on IDEAS

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    1. Shi, L. & Starfield, B., 2001. "The effect of primary care physician supply and income inequality on mortality among Blacks and Whites in US metropolitan areas," American Journal of Public Health, American Public Health Association, vol. 91(8), pages 1246-1250.
    2. Rosero-Bixby, Luis, 2004. "Spatial access to health care in Costa Rica and its equity: a GIS-based study," Social Science & Medicine, Elsevier, vol. 58(7), pages 1271-1284, April.
    3. Office of Health Economics, 2007. "The Economics of Health Care," For School 001490, Office of Health Economics.
    4. Perry, Baker & Gesler, Wil, 2000. "Physical access to primary health care in Andean Bolivia," Social Science & Medicine, Elsevier, vol. 50(9), pages 1177-1188, May.
    5. John Robst & Glenn G. Graham, 2004. "The Relationship between the Supply of Primary Care Physicians and Measures of Health," Eastern Economic Journal, Eastern Economic Association, vol. 30(3), pages 467-486, Summer.
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    Cited by:

    1. Felipa de Mello-Sampayo, 2020. "Spatial Interaction Model for Healthcare Accessibility: What Scale Has to Do with It," Sustainability, MDPI, vol. 12(10), pages 1-19, May.
    2. Breisinger, Clemens & Ecker, Olivier & Funes, Jose & Yu, Bingxin, 2010. "Food as the basis for development and security: A strategy for Yemen," IFPRI discussion papers 1036, International Food Policy Research Institute (IFPRI).
    3. Patricia Blatnik & Štefan Bojnec, 2023. "Optimal Network of General Hospitals in Slovenia," IJERPH, MDPI, vol. 20(5), pages 1-16, February.

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    Keywords

    Health Economics and Policy;

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