Download Accessibility and Utilization: Geographical Perspectives on by Alun E Joseph, David Phillips PDF

By Alun E Joseph, David Phillips

This publication combines a wide-ranging theoretical view of accessibility and usage with empirical adventure from a number of related health-care supply structures - these of the uk, the USA, Canada, Australia and New Zealand. The authors concentrate on fundamental health-care provision, but additionally examine secondary and tertiary amenities. the place past scientific geography texts have handled illness ecology, this e-book offers a entire evaluate of contemporary geographical study into the overall healthiness provider procedure and its usage. The e-book is obviously based and good written, allowing scholars to know the necessities of the topic. The skilful use of references will allow extra complex scholars to persist with up the themes in higher element.

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We shall consider the organizational and locational dynamics of health care supply later in this chapter and in more detail in Chapter 4 but, for the moment, 53 we shall concentrate on the consequences, or more correctly, the modified consequences, of decisions affecting the supply of health care. Donabedian (1973), among others, has recognized two main groups of factors affecting access to available stocks of health care - socio-organizational and geographic, as noted in Chapter 1. The former can be taken to embrace all attributes of the service such as cost, intake policy, specialization of the provider, and so on, that could give rise to differential access to helllth care on the part of individuals or groups.

He and his family were soon awakened by a loud banging on the door. A patient had spotted his car in the garage and wanted him to see a sick child. Thus Bernstein et al. (1979, p. 5) describe the predicament of the single-handed rural practitioner. It is not difftcult to appreciate the attractiveness of practising in situations where the delivery of health care can be organized to meet the needs of the health care provider as well as the patient! Only in larger centres, for eXll;mple, will commercial out-of-hours 'deputizing' medical firms work, or only in such centres will there be sufftcient numbers of doctors to be able to share out-of-hours work.

97*** 1,000,000 + ............................... 500,000-999,999 ... 250,000-499,999 ....................... 100,000-249,999 ........ .. 50,000- 99,999 .......... ... Under 50,000 .... ........... ..... 001 level Source: after Marden (1966) , Acknowledging that population size is by far the most important ecological correlate of physician supply, it remains to assess the importance of other variables, related perhaps to the demographic and socio-economic composition of popUlations. Analytically, this can be achieved in one of three ways.

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