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佐治亚州萨凡纳市就医行为中的地理位置和人口因素。

Locational and population factors in health care-seeking behavior in Savannah, Georgia.

作者信息

Gesler W M, Meade M S

机构信息

Department of Geography, University of North Carolina, Chapel Hill 27599.

出版信息

Health Serv Res. 1988 Aug;23(3):443-62.

Abstract

The use of regular sources of health care by a sample of residents of Chatham County, Georgia was examined through an analysis of the interactions among distance, sociodemographic, locational, and activity-space factors. Health care facilities were concentrated near downtown Savannah. Distance from home to regular source of care was a relatively more important factor for inner-city residents than for suburban or urban fringe residents. There were no clear differences by race, sex, age, occupation, or length of stay at present residence in the relative importance of distance. Strong associations were found between distance-to-care measures and measures of daily-activity spaces. Urban ecological structure appeared to play a more important role in health care-seeking behavior than did the personal characteristics of individuals in this small metropolitan area.

摘要

通过对距离、社会人口统计学、地理位置和活动空间因素之间相互作用的分析,研究了佐治亚州查塔姆县居民样本对常规医疗保健资源的利用情况。医疗保健设施集中在萨凡纳市中心附近。对于市中心居民而言,从家到常规医疗保健资源的距离是一个相对更重要的因素,这一点比郊区或城市边缘居民更为明显。在距离的相对重要性方面,种族、性别、年龄、职业或在当前住所的居住时长并无明显差异。就医距离指标与日常活动空间指标之间存在紧密关联。在这个小都市地区,城市生态结构在寻求医疗保健行为中似乎比个人的个人特征发挥着更重要的作用。

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