Investigating Health Context Using a Spatial Data Analytical Tool: Development of a Geospatial Big Data Ecosystem.

BACKGROUND: Enabling the use of spatial context is vital to understanding today's digital health problems. Any given location is associated with many different contexts. The strategic transformation of population health, epidemiology, and eHealth studies requires vast amounts of integrated digital data. Needed is a novel analytical framework designed to leverage location to create new contextual knowledge. The Geospatial Analytical Research Knowledgebase (GeoARK), a web-based research resource has robust, locationally integrated, social, environmental, and infrastructural information to address today's complex questions, investigate context, and spatially enable health investigations. GeoARK is different from other Geographic Information System (GIS) resources in that it has taken the layered world of the GIS and flattened it into a big data table that ties all the data and information together using location and developing its context. OBJECTIVE: It is paramount to build a robust spatial data analytics framework that integrates social, environmental, and infrastructural knowledge to empower health researchers' use of geospatial context to timely answer population health issues. The goal is twofold in that it embodies an innovative technological approach and serves to ease the educational burden for health researchers to think spatially about their problems. METHODS: A unique analytical tool using location as the key was developed. It allows integration across source, geography, and time to create a geospatial big table with over 162 million individual locations (X-Y points that serve as rows) and 5549 attributes (represented as columns). The concept of context (adjacency, proximity, distance, etc) is quantified through geoanalytics and captured as new distance, density, or neighbor attributes within the system. Development of geospatial analytics permits contextual extraction and investigator-initiated eHealth and mobile health (mHealth) analysis across multiple attributes. RESULTS: We built a unique geospatial big data ecosystem called GeoARK. Analytics on this big table occur across resolution groups, sources, and geographies for extraction and analysis of information to gain new insights. Case studies, including telehealth assessment in North Carolina, national income inequality and health outcome disparity, and a Missouri COVID-19 risk assessment, demonstrate the capability to support robust and efficient geospatial understanding of a wide spectrum of population health questions. CONCLUSIONS: This research identified, compiled, transformed, standardized, and integrated multifaceted data required to better understand the context of health events within a large location-enabled database. The GeoARK system empowers health professionals to engage more complex research where the synergisms of health and geospatial information will be robustly studied beyond what could be accomplished today. No longer is the need to know how to perform geospatial processing an impediment to the health researcher, but rather the development of how to think spatially becomes the greater challenge.

Advancing health equity and access using telemedicine: a geospatial assessment.

INTRODUCTION: Health disparity affects both urban and rural residents, with evidence showing that rural residents have significantly lower health status than urban residents. Health equity is the commitment to reducing disparities in health and in its determinants, including social determinants. OBJECTIVE: This article evaluates the reach and context of a virtual urgent care (VUC) program on health equity and accessibility with a focus on the rural underserved population. MATERIALS AND METHODS: We studied a total of 5343 patient activation records and 2195 unique encounters collected from a VUC during the first 4 quarters of operation. Zip codes served as the analysis unit and geospatial analysis and informatics quantified the results. RESULTS: The reach and context were assessed using a mean accumulated score based on 11 health equity and accessibility determinants calculated for each zip code. Results were compared among VUC users, North Carolina (NC), rural NC, and urban NC averages. CONCLUSIONS: The study concluded that patients facing inequities from rural areas were enabled better healthcare access by utilizing the VUC. Through geospatial analysis, recommendations are outlined to help improve healthcare access to rural underserved populations.

Automated geospatial conflation of vector road maps to high resolution imagery.

As the availability of various geospatial data increases, there is an urgent need to integrate multiple datasets to improve spatial analysis. However, since these datasets often originate from different sources and vary in spatial accuracy, they often do not match well to each other. In addition, the spatial discrepancy is often nonsystematic such that a simple global transformation will not solve the problem. Manual correction is labor-intensive and time-consuming and often not practical. In this paper, we present an innovative solution for a vector-to-imagery conflation problem by integrating several vector-based and image-based algorithms. We only extract the different types of road intersections and terminations from imagery based on spatial contextual measures. We eliminate the process of line segment detection which is often troublesome. The vector road intersections are matched to these detected points by a relaxation labeling algorithm. The matched point pairs are then used as control points to perform a piecewise rubber-sheeting transformation. With the end points of each road segment in correct positions, a modified snake algorithm maneuvers intermediate vector road vertices toward a candidate road image. Finally a refinement algorithm moves the points to center each road and obtain better cartographic quality. To test the efficacy of the automated conflation algorithm, we used U.S. Census Bureau's TIGER vector road data and U.S. Department of Agriculture's 1-m multi-spectral near infrared aerial photography in our study. Experiments were conducted over a variety of rural, suburban, and urban environments. The results demonstrated excellent performance. The average correctness measure increased from 20.6% to 95.5% and the average root-mean-square error decreased from 51.2 to 3.4 m.