ArticleArchives of public health = Archives belges de sante publique2021
Different configurations of the two-step floating catchment area method for measuring the spatial accessibility to hospitals for people living with disability: a cross-sectional study.
Article in Archives of public health = Archives belges de sante publique, 2021. 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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14 citing papers in PubMed.
- Article
- Geospatial patterns and multilevel determinants of cesarean section rates in Iran: a Bayesian spatial analysis using INLA.BMC pregnancy and childbirth · 2026Article
- Optimizing mobile mammography deployment in Oklahoma 2024: a two-step floating catchment area approach.Geospatial health · 2026Article
- Spatial accessibility and equity of traditional Chinese medicine hospitals in Eastern China: application of improved two-step floating catchment area method.Frontiers in public health · 2026Article
- 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
- Empowering access: unveiling an overall composite spatial accessibility index to healthcare services in Southeastern Iran.International journal for equity in health · 2025Article
- Dental Clinic Deserts in the US: Spatial Accessibility Analysis.JAMA network open · 2024Article
- Spatial accessibility and equity of community healthcare: unraveling the impact of varying time and transport mode.Frontiers in public health · 2024Article
- Transit and Fairness: Exploring Spatial Equity in Accra's Public Transport System.African transport studies · 2024Article
- A Spatial Variation Analysis of In-Hospital Stroke Mortality Based on Integrated Pre-Hospital and Hospital Data in Mashhad, Iran.Archives of Iranian medicine · 2023Article
- Measuring accessibility to public services and infrastructure criticality for disasters risk management.Scientific reports · 2023Article
- Beyond Proximity: Utility-Based Access from Location-Based Services Data.International journal of environmental research and public health · 2022Article
- Measuring COVID-19 vaccination coverage: an enhanced age-adjusted two-step floating catchment area model.Infectious diseases of poverty · 2021Article
- Religious Affiliation, Daily Spirituals, and Private Religious Factors Promote Marital Commitment Among Married Couples: Does Religiosity Help People Amid the COVID-19 Crisis?Frontiers in psychology · 2021Article
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4 authors.
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Abstract
backgroundPoor spatial accessibility to hospital services is associated with higher morbidity and mortality rates among people living with disability. Improved methods to evaluate spatial accessibility are needed. This study measured the potential spatial accessibility of people living with disability by applying four configurations of the two-step floating catchment area (2SFCA) method to recommend the best model for use in health services research.
methods2SFCA and an enhanced version (E2SFCA) were used to measure hospital accessibility for people living with disability. We also developed and embedded a non-spatial severity index into the two 2SFCA models. We used 16,186 records of people living with disability experience to evaluate the methodological performance across 68 neighbourhoods of the city of Ahvaz, located in south-western Iran. The models' performance were measured through correlation of the four accessibility scores with the distance to closest hospital for each neighbourhood centroid.
resultsAmong the four models used to measure spatial accessibility, the E2SFCA integrated with the severity index displayed the best performance. Most people with disabilities lived in neighbourhoods located in the South-western and central areas of the city. Interestingly, south-western neighbourhoods had poor hospital accessibility score and were identified as unmet need areas for access to health services.
conclusionsInclusion of the severity factor in the E2SFCA improved access measurements. Identifying areas with poor levels of hospital accessibility can help policymakers design tailored interventions and improve accessibility to hospital-based care in urban settings for people living with disability.
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