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测量具有多种交通方式的人群获得医疗保健服务的空间可达性。

Measuring spatial accessibility to healthcare for populations with multiple transportation modes.

机构信息

Department of Geography, University of Florida, P.O. Box 117315, 3142 Turlington Hall, Gainesville, FL 32611, USA.

出版信息

Health Place. 2013 Nov;24:115-22. doi: 10.1016/j.healthplace.2013.08.008. Epub 2013 Sep 12.

DOI:10.1016/j.healthplace.2013.08.008
PMID:24077335
Abstract

Few measures of healthcare accessibility have considered multiple transportation modes when people seek healthcare. Based on the framework of the 2 Step Floating Catchment Area Method (2SFCAM), we proposed an innovative method to incorporate transportation modes into the accessibility estimation. Taking Florida, USA, as a study area, we illustrated the implementation of the multi-mode 2SFCAM, and compared the accessibility estimates with those from the traditional single-mode 2SFCAM. The results suggest that the multi-modal method, by accounting for heterogeneity in populations, provides more realistic accessibility estimations, and thus offers a better guidance for policy makers to mitigate health inequity issues.

摘要

当人们寻求医疗保健时,很少有医疗可及性的衡量标准考虑多种交通方式。基于两步浮动捕获区域方法(2SFCAM)的框架,我们提出了一种创新的方法,将交通方式纳入可达性估计中。以美国佛罗里达州为例,我们说明了多模式 2SFCAM 的实施,并将可达性估计与传统的单模式 2SFCAM 的估计进行了比较。结果表明,多模式方法通过考虑人群的异质性,提供了更现实的可达性估计,从而为政策制定者提供了更好的指导,以减轻健康不平等问题。

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