ArticleInternational journal of health geographics2012
Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements.
Article in International journal of health geographics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
132 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Gravity models for potential spatial healthcare access measurement: a systematic methodological review.International journal of health geographics · 2023Pooled it
- The application of spatial measures to analyse health service accessibility in Australia: a systematic review and recommendations for future practice.BMC health services research · 2023Pooled it
- Geographic Access to Mammography and Its Relationship to Breast Cancer Screening and Stage at Diagnosis: A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- The KPROCS Study: A Real-World and Research Resource to Investigate Multilevel Determinants of Ovarian Cancer Treatment and Survival.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Quantifying spatial accessibility to inpatient hospices in Germany.BMC health services research · 2026Article
- [Spatial accessibility and optimization of pediatric healthcare resources in Beijing].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Spatial and telehealth accessibility to eating disorder treatment in the United States: evidence from registry and LLM-augmented data.International journal of health geographics · 2026Article
- Community health volunteers improve access to malaria case management in Siaya County, Kenya.Malaria journal · 2026Article
- Multi-constraint calibrated GP2SFCA identifies dual vulnerability in private-vehicle access to Tertiary Grade‑A emergency care of Chengdu.Scientific reports · 2026Article
- An analysis and optimization model for healthcare equity of medical resources allocation in an aging community.BMC health services research · 2026Article
- Optimizing mobile mammography deployment in Oklahoma 2024: a two-step floating catchment area approach.Geospatial health · 2026Article
- Bridging theory and behavior for healthcare accessibility modeling: A mobility-driven revision of the E2SFCA.PloS one · 2026Article
- Reducing rural health inequity through drone-based delivery: a spatial multi-criteria decision framework prioritizing epidemiological vulnerability in hub location.Frontiers in public health · 2026Article
- Spatial and temporal disparities in general practitioner provision: a 21-year longitudinal analysis from Lower Saxony, Germany.International journal of health geographics · 2025Article
- Spatial accessibility for deploying mobile lung cancer screenings in a rural state using two-step floating catchment spatial analysis in Oklahoma, United States 2025.Preventive medicine reports · 2025Article
- Multi factor assessment of spatial accessibility for rural health equity in Diqing China.Scientific reports · 2025Article
- Urban-rural disparities in spatiotemporal accessibility of pharmacy care: a case study of Vermont, USA.BMC health services research · 2025Article
- Accessibility of Ontario pharmacies offering COVID-19 vaccination by rurality, community material deprivation, and ethnic concentration: a repeated cross-sectional geospatial analysis.BMC public health · 2025Article
- Geospatial Insights into Healthcare Accessibility in Europe: A Scoping Review of GIS Applications.Healthcare (Basel, Switzerland) · 2025Review
- Traveling Towards Timeliness: The Association Between Travel Time and Wait Time for Rheumatoid Arthritis Care.Healthcare (Basel, Switzerland) · 2025Article
72 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe two step floating catchment area (2SFCA) method has emerged in the last decade as a key measure of spatial accessibility, particularly in its application to primary health care access. Many recent 'improvements' to the original 2SFCA method have been developed, which generally either account for distance-decay within a catchment or enable the usage of variable catchment sizes. This paper evaluates the effectiveness of various proposed methods within these two improvement groups. Moreover, its assessment focuses on how well these improvements operate within and between rural and metropolitan populations over large geographical regions.
resultsDemonstrating these improvements to the whole state of Victoria, Australia, this paper presents the first comparison between continuous and zonal (step) decay functions and specifically their effect within both rural and metropolitan populations. Especially in metropolitan populations, the application of either type of distance-decay function is shown to be problematic by itself. Its inclusion necessitates the addition of a variable catchment size function which can enable the 2SFCA method to dynamically define more appropriate catchments which align with actual health service supply and utilisation.
conclusionThis study assesses recent 'improvements' to the 2SFCA when applied over large geographic regions of both large and small populations. Its findings demonstrate the necessary combination of both a distance-decay function and variable catchment size function in order for the 2SFCA to appropriately measure healthcare access across all geographical regions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.