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Health Services and Outcomes Research Methodology

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01.06.2009

The role of GIS for health utilization studies: literature review

verfasst von: Gary Higgs

Erschienen in: Health Services and Outcomes Research Methodology | Ausgabe 2/2009

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Abstract

There have been a plethora of studies investigating access issues in relation to health services but until recently a relative lack of research on geographical factors that may be influencing utilisation patterns. This paper includes a timely review on what is known from existing studies, a description of the main methodological concerns highlighted by such studies and draws on the review to present some ideas for more research in this area. The use of Geographical Information Systems (GIS) in investigating the relative importance of geographical factors on utilisation patterns is advocated through a review of published studies and a call made for more research to examine potential relationships with for example health outcomes. Recent advances with regard to the availability of detailed geographically disaggregate data and new location-based techniques such as developments in Global Positioning Systems (GPS) hold out great promise in such regards. Finally the policy relevance of such studies is re-iterated in terms of helping to tackle perceived inequities in the system, addressing health inequalities as well as gauging the effectiveness of current and planned service configurations.

Aday, L.A., Andersen, R.: A framework for the study of access to medical care. Health Serv. Res. 9, 208–220 (1974)PubMed

Almog, M., Curtis, S., Copeland, A., Congdon, P.: Geographical variation in acute psychiatric admissions within New York City 1990–2000: growing inequalities in service use? Soc. Sci. Med. 59, 361–376 (2004). doi:10.1016/j.socscimed.2003.10.019 PubMedCrossRef

Andersen, R.: Revisiting the behavioural model and access to medical care. J. Health Soc. Behav. 36(1), 1–10 (1995). doi:10.2307/2137284 PubMedCrossRef

Andersen, R., Newman, J.: Societal and individual determinants of medical care utilization in the United States. Milbank Mem. Fund Q. 81, 95–123 (1973)

Apparicio, P., Abdelmajid, M., Riva, M., Shearmur, R.: Comparing alternative approaches to measuring the geographical accessibility or urban health services: Distance types and aggregation-error issues. Int. J. Health Geogr. 7, 7–9 (2008). doi:10.1186/1476-072X-7-7 PubMedCrossRef

Asthana, S., Gibson, A., Moon, G., Dicker, J., Brigham, P.: The pursuit of equity in NHS resource allocation: should morbidity replace utilisation as the basis for setting health care capitations. Soc. Sci. Med. 58(3), 539–551 (2004). doi:10.1016/S0277-9536(03)00217-X PubMedCrossRef

Baker, J.B., Liu, L.: The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras. GeoJournal 66, 295–310 (2006). doi:10.1007/s10708-006-9001-8 CrossRef

Barcus, H.R., Hare, T.: Healthcare utilisation, deprivation and heart-related disease in Kentucky. Southeast. Geogr. 47(2), 202–221 (2007). doi:10.1353/sgo.2007.0019 CrossRef

Baumgardner, D.J., Halsmer, S.E., Steber, D.L., Shah, D.S., Mundt, M.P.: Does proximity to clinic affect immunization rates and blood pressure? Int. J. Psychiatry Med. 36(2), 199–209 (2006). doi:10.2190/9N36-W446-194L-9KHW PubMedCrossRef

Bentham, G., Hinton, J., Haynes, R., Lovett, A., Bestwick, C.: Factors affecting non-response to cervical cytology screening in Norfolk, England. Soc. Sci. Med. 40(1), 131–135 (1995). doi:10.1016/0277-9536(94)E0048-W PubMedCrossRef

Blais, S., Dejardin, O., Boutreux, S., Launoy, G.: Social determinants of access to reference centres for patients with colorectal cancer–A multi-level analysis. Eur. J. Cancer 42, 3041–3048 (2006). doi:10.1016/j.ejca.2006.06.032 PubMedCrossRef

Brameld, K.J., Holman, C.J.: The effect of locational disadvantage on hospital utilisation and outcomes in Western Australia. Health Place 12, 490–502 (2006). doi:10.1016/j.healthplace.2005.08.014 PubMedCrossRef

Bryant, J., Browne, A.J., Barton, S., Zumbo, B.D.: Access to health care: social determinants of preventive cancer screening use in Northern British Columbia. Soc. Indic. Res. 60, 243–262 (2002). doi:10.1023/A:1021269216516 CrossRef

Buor, D.: Distance as a predominant factor in the utilisation of health services in the Kumasi metropolis, Ghana. GeoJournal 56, 145–157 (2002). doi:10.1023/A:1022452311911 CrossRef

Campbell, N.C., Elliott, A.M., Sharp, L., Ritchie, L.D., Cassidy, J., Little, J.: Rural factors and survival from cancer: analysis of Scottish cancer registrations. Br. J. Cancer 82, 1863–1866 (2000). doi:10.1054/bjoc.1999.1079 PubMedCrossRef

Campbell, N.C., Elliott, A.M., Sharp, L., Ritchie, L.D., Cassidy, J., Little, J.: Rural and urban differences in stage of diagnosis of colorectal and lung cancers. Br. J. Cancer 84, 910–914 (2001). doi:10.1054/bjoc.2000.1708 PubMedCrossRef

Chaix, B., Merlo, J., Chauvin, P.: Comparison of a spatial approach with the multi-level approach for investigating place effects on health: the example of healthcare utilisation in France. J. Epidemiol. Community Health 59, 517–526 (2005). doi:10.1136/jech.2004.025478

Christie, S., Fone, D.: Equity of access to tertiary hospitals in Wales: a travel time analysis. Journal of Public Health 25, 244–250 (2003). doi:10.1093/pubmed/fdg090 CrossRef

Congdon, P.: Modelling multiple hospital outcomes: the impact of small area and primary care practice variation. Int. J. Health Geogr. 5, 50 (2006). http://www.ij-healthgeographics.com/content/5/1/50 doi:10.1186/1476-072X-5-50

Dalton, S.O., Schuz, J., Engholm, G., Johansen, C., Kruger, S., Steding-Jessen, M., Storm, H.H., Olsen, J.H.: Social inequality in incidence and survival from cancer in a population-based study in Denmark, 1994–2003: Summary of findings. Eur. J. Cancer 44, 2074–2085 (2008). doi:10.1016/j.ejca.2008.06.018 PubMedCrossRef

Dejardin, O., Bouvier, A.M., Herbery, C., et al.: Social and geographic disparities in access to reference care site for patients with colorectal cancer. Br. J. Cancer 92, 1842–1845 (2005). doi:10.1038/sj.bjc.6602571 PubMedCrossRef

Dutton, D.: Financial, organizational and professional factors affecting health care utilization. Soc. Sci. Med. 23(7), 721–735 (1986). doi:10.1016/0277-9536(86)90121-8 PubMedCrossRef

Engelman, K.K., Hawley, D.B., Gazaway, R., Moiser, M.C., Ahluwalia, J.S., Ellerbeck, E.F.: Impact of geographic barriers on the utilisation of mammograms by older rural women. J. Am. Geriatr. Soc. 50, 62–68 (2002). doi:10.1046/j.1532-5415.2002.50009.x PubMedCrossRef

Field, K., Briggs, D.J.: Socio-economic and locational determinants of accessibility and utilisation of primary health care. Health Soc. Care Community 9(5), 294–308 (2001). doi:10.1046/j.0966-0410.2001.00303.x PubMedCrossRef

Fisher, L.S., Wennberg, J.E., Stukel, T.A., Skinner, J.S., Sharp, S.M., Freeman, J.L., Gittelsohn, A.M.: Associations among hospital capacity, utilization, and mortality of US medicare beneficiaries, controlling for socio-demographic factors. Health Serv. Res. 34(6), 1351–1362 (2000)PubMed

Fone, D.L., Christie, S.: Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs study. Int. J. Health Geogr. 5, 16 (2006). http://www.ij-healthgeographics.com/content/5/1/16 doi:10.1186/1476-072X-5-16

Fortney, J., Rost, K., Zhang, M., Warren, J.: The impact of geographic accessibility on the intensity and quality of depression treatment. Med. Care 37, 884–893 (1999). doi:10.1097/00005650-199909000-00005 PubMedCrossRef

Fortney, J., Rost, K., Warren, J.: Comparing alternative methods of measuring geographic access to health services. Health Serv. Outcomes Res. Methodol. 1(2), 173–184 (2000). doi:10.1023/A:1012545106828 CrossRef

Fotheringham, A.S., Wong, D.W.S.: The modifiable areal unit problem in multivariate statistical analysis. Environ. Plan. A 23, 1025–1044 (1991). doi:10.1068/a231025 CrossRef

French, J., McGahan, C., Duncan, G., Lengoc, S., Soo, J., Cannon, J.: How gender, age and geography influence the utilization of radiation therapy in the management of malignant melanoma. Int. J. Radiat. Oncol. Biol. Phys. 66(4), 1056–1063 (2006). doi:10.1016/j.ijrobp.2006.06.051 PubMed

French, J., McGahan, C., Duncan, G., Chu, C., Soo, J., Lengoc, S.: Inequities in access: How utilisation of palliative radiation therapy in British Columbia varies with geography. J. Med. Imaging Radiat. Sci. 39, 75–80 (2008). doi:10.1016/j.jmir.2008.04.011 CrossRef

Gatrell, A.C., Garnett, S., Rigby, J., et al.: Uptake of screening for breast cancer in South Lancashire. Public Health 112(5), 297–301 (1998). doi:10.1016/S0033-3506(98)00258-3 PubMedCrossRef

Gatrell, A.C., Lancaster, G., Chapple, A., Horsley, S., Smith, M.: Variations in use of tertiary cardiac services in part of North-West England. Health Place 8, 147–153 (2002). doi:10.1016/S1353-8292(01)00044-2 PubMedCrossRef

Gesler, W.M., Meade, M.S.: Locational and population factors in health care-seeking behaviour in Savannah, Georgia. Health Serv. Res. 23, 443–462 (1988)PubMed

Gill, A.J., Martin, I.G.: Survival from upper gastrointestinal cancer in New Zealand: the effect of distance from a major hospital, socio-economic status, ethnicity, age and gender. Aust. N. Z. J. Surg. 72, 643–646 (2002). doi:10.1046/j.1445-2197.2002.02506.x CrossRef

Gilthorpe, M.S., Wilson, R.C.: Rural/urban differences in the association between deprivation and healthcare utilisation. Soc. Sci. Med. 57, 2055–2063 (2003). doi:10.1016/S0277-9536(03)00071-6 PubMedCrossRef

Goodman, D.C., Fisher, E., Stukel, T.A., Chang, C.: The distance to community medical care and the likelihood of hospitalisation: Is closer always better? Am. J. Public Health 87(7), 1144–1150 (1997). doi:10.2105/AJPH.87.7.1144 PubMedCrossRef

Gulliford, M., Morgan, M.: Access to Health Care. Routledge, London (2003)

Hall, S.E., Holma, C.D.J., Hednrie, D.V., Spilsbury, K.: Unequal access to breast conserving surgery in Western Australia, 1982–2000. Aust. N. Z. J. Surg. 74, 612–617 (2004)

Hare, T.S., Barcus, H.R.: Geographical accessibility and Kentucky’s heart-related hospital services. Appl. Geogr. 27(3–4), 181–205 (2007). doi:10.1016/j.apgeog.2007.07.004 CrossRef

Haynes, R.M., Bentham, C.G.: The effects of accessibility on general practitioner consultations, out-patients attendances and in-patient admissions in Norfolk, England. Soc. Sci. Med. 16, 561–569 (1982). doi:10.1016/0277-9536(82)90309-4 PubMedCrossRef

Haynes, R.M., Bentham, G., Lovett, A., Gale, S.: Effects of distances to hospital and GP surgery on hospital inpatient episodes, controlling for needs and provision. Soc. Sci. Med. 49(3), 425–433 (1999). doi:10.1016/S0277-9536(99)00149-5 PubMedCrossRef

Haynes, R., Jones, A.P., Sauerzapf, V., Zhao, H.: Validation of travel times to hospital estimated by GIS. Int. J. Health Geogr. 5, 40 (2006). http://www.ij-healthgeographics.com/content/5/1/40 doi:10.1186/1476-072X-5-40

Haynes, R., Pearce, J., Barnett, R.: Cancer survival in New Zealand: Ethnic, social and geographical inequalities. Soc. Sci. Med. 67(6), 928–937 (2008). doi:10.1016/j.socscimed.2008.05.005

Higgs, G.: A literature review of the use of GIS-based measures of Access to Health Care Services. Health Serv. Outcomes Res. Methodol. 5(2), 119–139 (2004). doi:10.1007/s10742-005-4304-7 CrossRef

Hull, S.A., Rees-Jones, I., Moser, K.: Factors influencing the attendance rate at accident and emergency departments in East London: the contributions of practice organization, population characteristics and distance. J. Health Serv. Res. Policy 2(1), 6–13 (1997)PubMed

Hyndman, J.C.G., Holman, C.D.J., Dawes, V.P.: Effect of distance and social disadvantage on the response to invitations to attend mammography screening. J. Med. Screen. 7, 141–145 (2000). doi:10.1136/jms.7.3.141 PubMedCrossRef

Hyndman, J.C.G., Holma, C.D.J., Pritchard, D.A.: The influence of attractiveness factors and distance to general practice surgeries by level of social disadvantage and global access in Perth, Western Australia. Soc. Sci. Med. 56, 387–403 (2003). doi:10.1016/S0277-9536(02)00044-8 PubMedCrossRef

Jack, R.H., Gulliford, M.C., Ferguson, J., Moller, H.: Geographical inequalities in lung cancer management and survival in South East England: evidence of variation in access to oncology services? Br. J. Cancer 88(7), 1025–1031 (2003). doi:10.1038/sj.bjc.6600831 PubMedCrossRef

Jones, A.P., Bentham, G., Harrison, B.D.W., Jarvis, D., Badminton, R.M., Wareham, N.J.: Accessibility and health service utilization for asthma in Norfolk, England. J. Public Health Med. 20(3), 312–317 (1998)PubMed

Jones, A.P., Haynes, R., Sauerzapf, V.A., Crawford, S.M., Zhao, H., Forman, D.: Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostrate cancer. Eur. J. Cancer 44, 992–999 (2008a). doi:10.1016/j.ejca.2008.02.001 PubMedCrossRef

Jones, A.P., Haynes, R., Sauerzapf, V.A., Crawford, S.M., Zhao, H., Forman, D.: Travel times to health care and survival from cancers in Northern England. Eur. J. Cancer 44, 269–274 (2008b). doi:10.1016/j.ejca.2007.07.028 PubMedCrossRef

Joseph, A.E., Phillips, D.R.: Accessibility and utilization: geographical perspectives on health care delivery. Harper & Row, London, UK (1984)

Kim, Y.-E., Gatrell, A.C., Francis, B.J.: The geography of survival after surgery for colo-rectal cancer in Southern England. Soc. Sci. Med. 50, 1099–1107 (2000). doi:10.1016/S0277-9536(99)00358-5 PubMedCrossRef

Langford, M., Higgs, G.: Measuring potential access to primary healthcare services: the influence of alternative spatial representations of population. Prof. Geogr. 58, 294–306 (2006). doi:10.1111/j.1467-9272.2006.00569.x CrossRef

LaVela, S.L., Smith, B., Weaver, F.M., Miskevics, S.A.: Geographical proximity and health care utilisation in veterans with SCI&D in the USA. Soc. Sci. Med. 11, 2387–2399 (2004). doi:10.1016/j.socscimed.2004.06.033 CrossRef

Lovett, A., Haynes, R., Sunnenberg, G., Gale, S.: Car travel time and accessibility by bus to general practitioner services: a study using patient registers and GIS. Soc. Sci. Med. 55, 97–111 (2002). doi:10.1016/S0277-9536(01)00212-X PubMedCrossRef

Maheswaran, R., Payne, N., Meechan, D., Burden, R.P., Fryers, P.R., Wight, J., Hutchinson, A.: Socio-economic deprivation, travel distance and renal replacement therapy in the Trent Region, United Kingdom 2000: an ecological study. J. Epidemiol. Community Health 57(7), 523–524 (2003). doi:10.1136/jech.57.7.523 PubMedCrossRef

Manson-Siddle, C.J., Robinson, M.B.: Super Profile analysis of socio-economic variations in coronary investigation and revascularisation rates. J. Epidemiol. Community Health 52, 507–512 (1998). doi:10.1136/jech.52.8.507 PubMedCrossRef

Martin, D., Roderick, P., Diamond, I., Clements, S., Stone, N.: Geographical aspects of the uptake of renal replacement therapy in England. Int. J. Popul. Geogr. 4, 227–242 (1998). doi:10.1002/(SICI)1099-1220(199809)4:3<227::AID-IJPG85>3.0.CO;2-#CrossRef

Martin, D., Wrigley, H., Barnett, S., Roderick, P.: Increasing the sophistication of access measurement in a rural healthcare study. Health Place 8, 3–13 (2002). doi:10.1016/S1353-8292(01)00031-4 PubMedCrossRef

Mayer, J.D.: The distance behaviour of hospital patients: A disaggregated analysis. Soc. Sci. Med. 17(12), 819–827 (1983). doi:10.1016/0277-9536(83)90032-1 PubMedCrossRef

McLafferty, S.L.: GIS and Health Care. Annu. Rev. Public Health 24, 25–42 (2003). doi:10.1146/annurev.publhealth.24.012902.141012 PubMedCrossRef

Monnet, E., Ramee, C., Minello, A., Jooste, V., Carel, D.: Di Martino, V.: Socio-economic context, distance to primary care and detection of hepatitis C: A French population-based study. Soc. Sci. Med. 66, 1046–1056 (2008). doi:10.1016/j.socscimed.2007.11.044 PubMedCrossRef

Muller, I., Smith, T., Mellor, S., Rare, L., Genton, B.: The effect of distance from home on attendance at a small rural health centre in Papua New Guinea. Int. J. Epidemiol. 27, 878–884 (1998). doi:10.1093/ije/27.5.878 PubMedCrossRef

Nemet, G.F., Bailey, A.J.: Distance and health care utilization among the rural elderly. Soc. Sci. Med. 50, 1197–1208 (2000). doi:10.1016/S0277-9536(99)00365-2 PubMedCrossRef

Onega, T., Duell, E.J., Shi, X., Wang, D., Demidenko, E., Goodman, D.: Geographic access to cancer care in the US. Cancer 112(4), 909–918 (2008). doi:10.1002/cncr.23229 PubMedCrossRef

Pagano, E., DiCuonzo, D., Bona, C., Baldi, I., Gabriele, P., Ricardi, U., Rotta, P., Bertetto, O., Appiano, S., Merletti, F., Segnan, N., Ciccone, G.: Accessibility as a major determinant of radiotherapy underutilization: A population based study. Health Policy 80, 483–491 (2007). doi:10.1016/j.healthpol.2006.05.006 PubMedCrossRef

Phibbs, C., Luft, H.: Correlation of travel time on roads versus straight line distance. Med. Care Res. Rev. 52, 532–542 (1995). doi:10.1177/107755879505200406 PubMedCrossRef

Pilkington, H., Blondel, B., Carayol, M., Breart, G., Zeitlin, J.: Impact of maternity unit closures on access to obstetrical care: The French experience between 1998 and 2003. Soc. Sci. Med. 67(10), 1521–1529 (2008). doi:10.1016/j.socscimed.2008.07.021 PubMedCrossRef

Polsky, D., Armstrong, K.A., Randall, T.C., Ross, R.N., Even-Shoshan, O., Rosenbaum, P.R., Silber, J.H.: Variation in chemotherapy utilization in ovarian cancer: The relative contribution of geography. Health Serv. Res. 41(6), 2201–2218 (2006). doi:10.1111/j.1475-6773.2006.00596.x PubMedCrossRef

Pooley, C.G., Briggs, J., Gatrell, T., Mansfield, T., Cummings, D., Deft, J.: Contacting your GP when the surgery is closed: issues of location and access. Health Place 9, 23–32 (2003). doi:10.1016/S1353-8292(02)00027-8 PubMedCrossRef

Rosenberg, M.W., Hanlon, N.T.: Access and utilization: a continuum of health service environments. Soc. Sci. Med. 43(6), 975–983 (1996). doi:10.1016/0277-9536(96)00007-X PubMedCrossRef

Sauerzapf, V.A., Jones, A.P., Haynes, R., Crawford, S.M., Forman, D.: Travel time to radiotherapy and uptake of breast-conserving surgery for early stage cancer in Northern England. Health Place 14, 424–433 (2008). doi:10.1016/j.healthplace.2007.09.002 PubMedCrossRef

Schroen, A.T., Brenin, D.R., Kelly, M.D., Knaus, W.A., Slingluff, C.L.: Impact of patient distance to radiation therapy on mastectomy use in early stage breast cancer patients. J. Clin. Oncol. 23, 7074–7080 (2005). doi:10.1200/JCO.2005.06.032 PubMedCrossRef

Sheehan, T.J., Gerschman, S.T., MacDougall, L.A., Danley, R.A., Mroszczyk, M., Sorenson, A.M., Kulldorff, M.: Geographic assessment of breast cancer screening by towns, zip codes, and census tracts. J. Public Health Manag. Pract. 6(6), 48–57 (2000)PubMed

Sherman, J.E., Spencer, J., Preisser, J.S., Gesler, W.M., Arcury, T.A.: A suite of methods for representing activity space in a healthcare accessibility study. Int. J. Health Geogr. 4, 24 (2005). doi:10.1186/1476-072X-4-24 PubMedCrossRef

Slack, R., Ferguson, B., Ryder, S.: Analysis of hospitalisation rates by electoral ward: relationship to accessibility and deprivation data. Health Serv. Manage. Res. 10, 24–31 (1997)PubMed

Spencer, B.A., Miller, D.C., Litwin, M.S., Ritchey, J.D., Stewart, A.K., Dunn, R.L., Gay, E.G., Sandler, H.M., Wei, J.T.: Variations in quality of care for men with early-stage prostrate cancer. J. Clin. Oncol. 26(22), 3735–3742 (2008). doi:10.1200/JCO.2007.13.2555 PubMedCrossRef

Turrell, G., Oldenburg, B.F., Harris, E., Jolley, D.: Utilisation of general practitioner services by socio-economic disadvantage and geographic remoteness. Aust. N. Z. J. Public Health 28(2), 152–158 (2004). doi:10.1111/j.1467-842X.2004.tb00929.x PubMedCrossRef

Wang, F., McLafferty, S.L., Escamilla, V., Luo, L.: Late-stage breast cancer diagnosis and health care access in Illinois. Prof. Geogr. 60(1), 54–69 (2008). doi:10.1080/00330120701724087 PubMedCrossRef

Weber, J., Kwan, M.P.: Bringing time back in: a study on the influence of travel time variations and facility opening hours on individual accessibility. Prof. Geogr. 54, 226–240 (2002). doi:10.1111/0033-0124.00328 CrossRef

Wiehe, S.E., Carroll, A.E., Liu, G.C., Haberkorn, K.L., Hoch, S.C., Wilson, J.S., Fortenberry, J.D.: Using GPS-enabled cell phones to track the travel patterns of adolescents. Int. J. Health Geogr. 7, 22 (2008). doi:10.1186/1476-072X-7-22 PubMedCrossRef

Yip, A.M., Kephart, G., Veugelers, P.J.: Individual and neighbourhood determinants of health care utilization: Implications for health policy and resource allocation. Can. J. Public Health 93(4), 303–307 (2002)PubMed

Zenk, S., Tarlov, E., Sun, J.: Spatial equity in facilities providing low- or no-fee screening mammography in Chicago neighbourhoods. J. Urban Health 83, 195–210 (2006). doi:10.1007/s11524-005-9023-4 PubMedCrossRef

Titel: The role of GIS for health utilization studies: literature review
verfasst von: Gary Higgs
Publikationsdatum: 01.06.2009
Verlag: Springer US
Erschienen in: Health Services and Outcomes Research Methodology / Ausgabe 2/2009
Print ISSN: 1387-3741
Elektronische ISSN: 1572-9400
DOI: https://doi.org/10.1007/s10742-009-0046-2

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