Accessibility Assessment of Community Care Resources Using Maximum-Equity Optimization of Supply Capacity Allocation.
Int J Environ Res Public Health
; 18(3)2021 01 28.
Article
em En
| MEDLINE
| ID: mdl-33525529
ABSTRACT
Equity in accessible healthcare is crucial for measuring health equity in community care policy. The most important objective of such a policy in Taiwan is empowering people and communities by improving health literacy and increasing access to healthcare resources. Using the nearest-neighbor two-step floating catchment area method, this study performed an accessibility assessment for community care resources before and after supply capacity optimization. For the target of maximum equity when allocating community care resources, taking maximum values, mean values and minimum values of the distances into consideration, three analytical allocation solutions for supply capability optimization were derived to further compare disparities in geographical accessibility. Three indicators, namely, the Gini coefficient, median minus mean and mean-squared error, were employed to assess the degree of optimization of geographical accessibility scores at the locations of the demand population and to determine the degree of geographic inequities in the allocation of community care resources. Our study proposed a method in which the minimum value of the distance is adopted as the approximate representation of distances between the service point and the locations of demand to determine the minimum value for supply capacity optimization. The study found that the method can effectively assess inequities in care resource allocation among urban and rural communities.
Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Equidade_desigualdade
/
Estado_mercado_regulacao
/
Financiamentos_gastos
Bases de dados:
MEDLINE
Assunto principal:
Equidade em Saúde
/
Acessibilidade aos Serviços de Saúde
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Int J Environ Res Public Health
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Taiwan