艾滋病毒/艾滋病服务提供者的空间差异：以迈阿密-戴德县为例。
Spatial Disparity of HIV/AIDS Service Providers: The Case of Miami-Dade County.
作者信息
Ganapati Sukumar, Ganapati N Emel, De La Rosa Mario, Rojas Patria
机构信息
Department of Public Administration, Florida International University, Miami, Florida, USA.
School of Social Work, Florida International University, Miami, Florida, USA.
出版信息
J HIV AIDS Soc Serv. 2010;9(2):169-189. doi: 10.1080/15381501003795543. Epub 2010 May 21.
This paper examines the spatial disparity between the HIV/AIDS service providers and the HIV/AIDS patients. The empirical focus is on Miami-Dade, a large metropolitan county in the United States with a Latino population majority and a high AIDS incidence rate. This exploratory study contributes to the existing literature on geographical access to health providers. Geographic Information System (GIS) is used to examine the spatial disparity between the service providers and the patients. The study reveals that aggregate-level analysis masks the reality of the spatial disparity. Miami Dade County's Health Department focuses on aggregate zones for prioritizing its resources. At this level, there is little spatial disparity. However, evidence of spatial disparity emerges at the ZIP-code-level analysis. The major lesson from the study is that health policies need to be based on a finer-grained analysis to address spatial disparity.
本文研究了艾滋病毒/艾滋病服务提供者与艾滋病毒/艾滋病患者之间的空间差异。实证研究聚焦于迈阿密-戴德县，这是美国一个大都市县，拉丁裔人口占多数且艾滋病发病率很高。这项探索性研究对现有关于获得医疗服务提供者的地理可达性的文献做出了贡献。地理信息系统（GIS）被用于研究服务提供者与患者之间的空间差异。研究表明，总体层面的分析掩盖了空间差异的现实。迈阿密-戴德县卫生部门专注于总体区域以确定资源优先次序。在此层面，几乎没有空间差异。然而，在邮政编码层面的分析中出现了空间差异的证据。该研究的主要教训是，卫生政策需要基于更精细的分析来解决空间差异问题。
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