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Centre for Policy on Ageing | |
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Equity of access to tertiary hospitals in Wales
— a travel time analysis | | Author(s) | Stephen Christie, David Fone |
| Journal title | Journal of Public Health Medicine, vol 25, no 4, December 2003 |
| Pages | pp 344-350 |
| Source | www.pubmed.oupjournals.org |
| Keywords | Hospital services ; Accessibility ; Road transport ; Geographical distance ; Time duration ; Wales. |
| Annotation | Tertiary hospital services in Wales are provided in Swansea and Cardiff. The authors compared three scenarios - the status quo, and centralisation of services to one of two locations - using geographical information software to calculate the proportion of the population living within 30, 60, 90 and 120 minutes travel of each hospital site. Data was analysed for the total resident population of Wales, for residents aged 75+, for residents of the most deprived 10% of enumeration districts, and for residents of rural areas. Centralisation of services reduces geographical access for all population subgroups. Access varies between population subgroups, both between and within different scenarios or service configuration. A change of service configuration may improve access for one subgroup but reduce access for another. The interpretation may also vary according to whether the defined cut point for comparing access is based on short or long travel times. Measurements of absolute and relative access are sensitive to the assumed travel speeds. This method can provide explicit information to health service planners on the effects on equity of access from a change in service configuration. (RH). |
| Accession Number | CPA-040311503 A |
| Classmark | LD: 5CA: O2: RJ: 4N: 9 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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