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Revealing the role of subjective geographic proximity in the use of medical services: a quantitative case study in a French metropolitan suburb
[Révéler le rôle de la proximité géographique subjective dans l’utilisation des services médicaux : une étude de cas quantitative dans une banlieue métropolitaine française]

Author

Listed:
  • Alexis Pokrovsky

    (LIRSA - Laboratoire interdisciplinaire de recherche en sciences de l'action - CNAM - Conservatoire National des Arts et Métiers [CNAM])

  • Romain Aeberhardt

    (Centre de Recherche en Économie et STatistique (CREST))

  • Sandra Charreire Petit

    (RITM - Réseaux Innovation Territoires et Mondialisation - Université Paris-Saclay)

  • Damien Talbot

    (CleRMa - Clermont Recherche Management - ESC Clermont-Ferrand - École Supérieure de Commerce (ESC) - Clermont-Ferrand - UCA - Université Clermont Auvergne)

Abstract

Planning or organizing health services across territories relies mainly on density models and metric management which do not match the complexity of spatial behaviors of individuals. Thus, unexpected behaviors may be observed, leading to misalignment with the initial plan. Our paper addresses this issue by analyzing the influence of some socioeconomic factors on the venues of inhabitants to hospital facilities within a Groupement Hospitalier de Territoire, by essence an organisation of medical resources within a defined territory. By comparing the patterns in a situation of comparable choice between two hospital facilities located at a nearby distance within the same GHT, we measure some counter intuitive variances, revealing a perception of proximity that diverges from pure distance and is statistically correlated to two main variables: the level of deprivation and a perceived boundary that matches the frontier of the administrative department. We thus evidence some factors supporting cognitive dimension of proximity that ought to be integrated in the future programming of patient's parcourse.

Suggested Citation

  • Alexis Pokrovsky & Romain Aeberhardt & Sandra Charreire Petit & Damien Talbot, 2022. "Revealing the role of subjective geographic proximity in the use of medical services: a quantitative case study in a French metropolitan suburb [Révéler le rôle de la proximité géographique subject," Post-Print hal-04082257, HAL.
  • Handle: RePEc:hal:journl:hal-04082257
    Note: View the original document on HAL open archive server: https://cnam.hal.science/hal-04082257
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    References listed on IDEAS

    as
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    Keywords

    Context; Subjectivity; Space Health Proximity Context Subjectivity; Space; Health; Proximity;
    All these keywords.

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