Measuring spatial accessibility to primary care in rural areas: Improving the effectiveness of the two-step floating catchment area method

被引：302

作者：

McGrail, Matthew R. ^{[1
,2
]}

Humphreys, John S. ^{[3
]}

机构：

[1] Monash Univ, Gippsland Med Sch, Churchill, Vic 3842, Australia

[2] Monash Univ, Dept Rural & Indigenous Hlth, Moe, Vic 3825, Australia

[3] Monash Univ, Sch Rural Hlth, Bendigo Cent, Vic 3552, Australia

来源：

APPLIED GEOGRAPHY | 2009年 / 29卷 / 04期

关键词：

Spatial accessibility; Rural health; Primary care; Service catchment; Medical geography; HEALTH-CARE; ACCESS; SHORTAGE; EQUITY;

D O I：

10.1016/j.apgeog.2008.12.003

中图分类号：

P9 [自然地理学]; K9 [地理];

学科分类号：

0705 ; 070501 ;

摘要：

Quantifying spatial accessibility in relation to the provision of rural health services has proven difficult. This article critically appraises the two-step floating catchment area (2SFCA) method, a recent solution for measuring primary care set-vice accessibility across rural areas of Victoria, Australia. The 2SFCA method is demonstrated to have two fundamental shortcomings - specifically the use of only one catchment size for all populations, and secondly the assumption that proximity is undifferentiated within a catchment (especially problematic when the catchment is large). Despite its advantages over simple population-to-provider ratios. the 2SFCA method needs to be used with caution. (c) 2009 Elsevier Ltd. All rights reserved.

引用

页码：533 / 541

页数：9

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