Department of Geography, Laurentian University, Ramsey Lake Road, Sudbury, ON,
Health Place. 2012 Mar;18(2):305-14. doi: 10.1016/j.healthplace.2011.10.005. Epub 2011 Nov 7.
Health care investigations rarely consider conventional medicine (CM) and complementary and alternative medicine (CAM) simultaneously and spatial accessibility empirical research that incorporates both CM and CAM locations is novel. In this study, residents within municipalities of the Ontario province of Canada are compared in terms of spatial accessibility to a range of health care supplier 'destinations'. While areas with larger urban agglomerations generally exhibit superior levels of spatial accessibility to health care and diversity in medical service choice in comparison to more peripheral areas, considerable heterogeneity in accessibility occurs in both urban and rural settings. This study's identification of subtle spatial imbalances appends the literature by more precisely qualifying the typically reported 'urban-rich, rural-poor' assessment of health care service condition and also reinforces the need for policy-makers to appraise health care spatial accessibility differentials as a function of both CM and CAM endowment.
医疗保健调查很少同时考虑传统医学（CM）和补充替代医学（CAM），同时将 CM 和 CAM 地点纳入其中的空间可达性实证研究是新颖的。在这项研究中，加拿大安大略省的直辖市内的居民在获得一系列医疗保健供应商“目的地”的空间可达性方面进行了比较。虽然较大的城市群通常比偏远地区具有更好的医疗保健可达性水平和医疗服务选择多样性，但在城市和农村地区都存在相当大的可达性差异。本研究确定的微妙空间不平衡通过更准确地限定通常报告的“城市富裕、农村贫困”医疗保健服务状况评估，补充了文献，并且还强调决策者需要根据 CM 和 CAM 禀赋评估医疗保健空间可达性差异。
