ArticleBMC health services research2018
Is there an association between spatial accessibility of outpatient care and utilization? Analysis of gynecological and general care.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Long-term exposures to PMBMC cancer · 2025Article
- Outpatient geriatric health care in the German federal state of Mecklenburg-Western Pomerania: a population-based spatial analysis of claims data.BMC health services research · 2024Article
- Healthcare service use in paediatric inflammatory bowel disease: a questionnaire on patient and parent care experiences in Germany.BMC gastroenterology · 2023Article
- [Tandem Practices: Pediatric Consultation Hours in General Practitioners' Practices in Rural Areas in Germany - a Collaborative Project].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Impacts of seasonal flooding on geographical access to maternal healthcare in the Barotse Floodplain, Zambia.International journal of health geographics · 2023Article
- Population-Based, Spatial Analysis of Specialised Ambulatory Palliative Care in Mecklenburg-Western Pomerania, Germany, on the Basis of Reimbursement Data.International journal of environmental research and public health · 2023Article
- Spatial Accessibility Analysis of Medical Facilities Based on Public Transportation Networks.International journal of environmental research and public health · 2022Article
- A multicriteria decision analysis framework to measure equitable healthcare access during COVID-19.Journal of transport & health · 2022Article
- Measuring hospital spatial accessibility using the enhanced two-step floating catchment area method to assess the impact of spatial accessibility to hospital and non-hospital care on the length of hospital stay.BMC health services research · 2021Article
- Does the Direct Settlement Policy of Trans-Provincial Outpatient Expenses Aggravate the Siphoning Effect? An Empirical Study on Yangtze River Delta, China.International journal of environmental research and public health · 2021Article
- Massive uterine fibroid: a diagnostic dilemma: a case report and review of the literature.Journal of medical case reports · 2021Review
- Efficiency of fine scale and spatial regression in modelling associations between healthcare service spatial accessibility and their utilization.International journal of health geographics · 2021Article
- Gynaecology and general practitioner services utilisation by women in the age group 50 years and older.Journal of health monitoring · 2020Article
- Economic efficiency versus accessibility: Planning of the hospital landscape in rural regions using a linear model on the example of paediatric and obstetric wards in the northeast of Germany.BMC health services research · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn rural regions with a low population density, distances to health care providers as well as insufficient public transport may be barriers for the accessibility of health care. In this analysis it was examined whether the accessibility of gynecologists and GPs, measured as travel time both by car and public transport has an influence on the utilization of health care in the rural region of Western Pomerania in Northern Germany.
methodsUtilization data was obtained from the population based Study of Health in Pomerania (SHIP). Utilization was operationalized by the parameter "at least one physician visit during the last 12 months". To determine travel times by car and by public transport, network analyses were conducted in a Geographic Information System (GIS). Multivariate logistic regression models were calculated to identify determinants for the utilization of gynecologists and GPs.
resultsThere is no significant association between the accessibility by car or public transport and the utilization of gynecologists and GPs. Significant predictors for the utilization of gynecologists in the regression model including public transport are age (OR 0.960, 95% CI 0.950-0.971, p < 0.0001), social class (OR 1.137, 95% CI 1.084-1.193, p < 0.0001) and having persons ≥18 years in the household (OR 2.315, 95% CI 1.116-4.800, p = 0.0241).
conclusionsIn the examined region less utilization of gynecologists is not explainable with long travel times by car or public transport.
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