scholarly journals Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements

2012 ◽  
Vol 11 (1) ◽  
pp. 50 ◽  
Author(s):  
Matthew R McGrail
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Catchment Area ◽  
Spatial Accessibility ◽  
Area Method ◽  
Primary Health

scholarly journals Patient-centred method to evaluate the spatial accessibility of primary health care in a case study in Shanghai

2020 ◽  
Vol 26 (4) ◽  
pp. 344
Author(s):  
Xuechen Xiong ◽  
Li Luo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Waiting Times ◽  
Care Facility ◽  
Wait Time ◽  
Spatial Accessibility ◽  
Quantitative Methodology ◽  
Time Cost ◽  
Primary Health

Quantitative methodology investigating medical resource accessibility does not incorporate patients’ feelings about the adequacy and fairness of primary health care (PHC). In this study we quantified the spatial accessibility of PHC from the patient perspective. The main obstacles regarding access to PHC services are: (1) distance from the medical facility; and (2) waiting times after reaching the facility. The total time cost to access PHC is calculated as the sum of the time cost to access the PHC facility and the time cost waiting to receive health care; the total time cost was used in this study to reflect the potential spatial accessibility (i.e. probable entry into the healthcare system) of PHC. In Shanghai, it took residents approximately 13min to reach the nearest primary care facility, with an approximate 23min wait time after arriving at the facility. Thus, the spatial accessibility of PHC in Shanghai is approximately 36min. The method of assessing the spatial accessibility of PHC from the perspective of patients is more explanatory and easier to interpret. In the case of Shanghai, the regional accessibility of PHC is much better than its regional availability. Relevant managers should focus on increasing the resource supply capacity of existing facilities providing primary care in the suburbs of Shanghai.

scholarly journals FACTORS AFFECTING DELIVERY CARE OF URBAN MOTHERS: A CROSS-SECTIONAL STUDY OF THE URBAN PRIMARY HEALTH CARE PROJECT IN BANGLADESH

2021 ◽  
Vol 16 (1) ◽  
pp. 1
Author(s):  
Md Mizanur Rahman ◽  
Sharmin Mizan ◽  
Razitasham Safii ◽  
Sk Akhtar Ahmad
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Catchment Area ◽  
Multinomial Logistic Regression ◽  
Delivery Care ◽  
Multinomial Logistic Regression Analysis ◽  
Factors Associated ◽  
Primary Health ◽  
Catchment Areas ◽  
Care Project

Maternal mortality and its associated complications can be avoided by ensuring safe and supervised delivery. In this paper, the authors examined the factors associated with the utilisation of institutional delivery care at the Urban Primary Health Care Project (UPHCP) clinic in Bangladesh. A two-stage cluster sampling was used in selecting the ever-married women aged 15-49 years in the catchment areas of the UPHCP in Bangladesh. A total of 3,949 women’s data were analysed. The authors collected data through face-to-face interviews using a structured questionnaire. A multinomial logistic regression analysis was done to determine the potential factors associated with the utilisation of delivery care, in which ‘place of delivery care’ was considered as a dependent variable. Data entry and analysis were done in Statistical Package for the Social Sciences version 22.0. This study found that 30% of the women delivered their most recent child at the UPHCP clinic, and 45.9% of the women delivered their most recent child at other institutions. However, one-fifth of the women delivered at home. Doctors attended two-thirds of the deliveries. A small proportion of women were tended to by nurses, paramedics, FWV, and FWA. Traditional birth attendants attended one-fifth (20%) of deliveries. The multinomial logistic regression analysis found that respondents from poor catchment areas were 33.677 times more likely to utilise delivery care at the UPHCP when compared to 12.052 times by the respondents who took previous antenatal care from the non-poor catchment area. This study also found that women who had entitlement cards were 6.840 times more likely to utilise delivery care at the UPHCP in the poor catchment area, which was almost twice the women from the non-poor catchment area. Although the maternal mortality rate in Bangladesh has notably reduced,Bangladesh still needs to address the issue of safe delivery for marginalised women in order to attain the Sustainable Development Goals (SDGs) by 2030. A red card approach might increase access to the UPHCP for marginalised women to have safe deliveries.Keywords: poor, urban, red card, delivery care, Urban Primary Health Care Project, Bangladesh

scholarly journals Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China

2021 ◽  
Vol 18 (24) ◽  
pp. 13182
Author(s):  
Jiawei Zhang ◽  
Peien Han ◽  
Yan Sun ◽  
Jingyu Zhao ◽  
Li Yang
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Health Professionals ◽  
Health Care Services ◽  
Spatial Accessibility ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Ecological Conservation

Primary health care has been emphasized as a pillar of China’s current round of health reforms throughout the previous decade. The purpose of this study is to analyze the accessibility of primary health care services in Beijing and to identify locations with a relative scarcity of health personnel. Seven ecological conservation districts, which are relatively underdeveloped, were selected in the study. The Gini coefficient and Lorenz curve, as well as the shortest trip time and modified two-step floating catchment area (M2SFCA) approach, are used to quantify inequalities in primary health care resources and spatial accessibility. The Gini coefficient of primary medical services was calculated as high as 0.705, showing a significant disparity in primary care services. A total of 81.22% of communities reached the nearest primary care institution within 15 min. The average accessibility of primary healthcare services, as measured by the number of health professionals per 1000 population, was 2.34 in the 1715 communities of seven ecological conservation districts. Three hundred and ninety-one communities (22.80%) were identified with relatively low accessibility. More primary health professionals should be allocated to Miyun, Mentougou, and Changping Districts. Overall, the primary healthcare resources were distributed unevenly in most districts. According to our study, expanding primary healthcare institutions, increasing the number of competent health professionals, and enhancing road networks will all be effective ways to increase spatial access and reduce primary healthcare service disparity in Beijing.

Regional Health Care Profiles – An Improved Method For Generating Case Studies On The Catchment Areas of Envisaged Primary Health Care Units In Austria: A Report To The Infact Joint Action

2021 ◽  
Author(s):  
Stefan Mathis-Edenhofer ◽  
Florian Röthlin ◽  
David Wachabauer ◽  
Romana Haneef ◽  
Ilana Ventura ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Organizational Development ◽  
Case Studies ◽  
Catchment Area ◽  
Care Providers ◽  
Regional Health ◽  
Primary Health ◽  
Regional Health Care ◽  
Catchment Areas

Abstract Background: The recent Austrian Primary Care Act established new primary health care units (PHCUs) and obliged them to draw up a “care strategy” specifying their focal care tasks and objectives and emphasizing the health care needs of the population in their catchment area with its specific local health and epidemiological profile. The main purpose of these care strategies is thus to ensure that care-providers meet the local needs, but they also provide a rationale for evaluation and organizational development. To assist new PHCUs in establishing care strategies it was necessary to develop a method for automatically generating comprehensive local case studies for any freely definable location in Austria. Results: We designed an interactive report generator capable of producing location-specific regional health care profiles for a PHCU located in any of Austria’s 2,122 municipalities and of calculating the radius of its catchment area (defined by different levels of maximum car-travelling times). The reports so generated, called “regional health care profiles for primary health care” (RHCPs/PHC), are in comprehensive PDF report format. The core of each report is a set of 35 indicators, classified under five health and health service domains. The reports include an introductory text, definitions, a map, a graphic and tabular presentation of all indicator values, including information on local, supra-regional and national value distribution, a ranking, and numbers of service providers (e.g. pharmacies, surgeries, nursing homes) located within the catchment area.Conclusions: The RHCPs/PHC support primary health care planning, efforts to improve care-effectiveness, and strategic organizational development by providing comprehensive information on the health of the population, the utilization of health services and the health structures within the catchment area. In addition to revealing the scope and nature of the health care needed, they also provide information on what public health approaches are necessary. RHCPs/PHC for different locations have already been distributed to numerous stakeholders and primary health care providers in Austria.

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