IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v46y2012i2p157-163.html
   My bibliography  Save this article

A location-based comparison of health care services in four U.S. states with efficiency and equity

Author

Listed:
  • Burkey, M.L.
  • Bhadury, J.
  • Eiselt, H.A.

Abstract

This paper examines the efficiency and equality in geographic accessibility provided by hospitals. We use the criteria efficiency, availability of the service, and equality. Quantitative measures are defined for all criteria, and are measured using a geographical information system. We then compare existing locations with optimal locations satisfying two objectives, one that minimizes hospital–patient distance, and another that captures as many patients as possible within a pre-specified time or distance. The results of our study indicate that the existing locations provide near-optimal geographic access to health care. Some potential for improvement is indicated.

Suggested Citation

  • Burkey, M.L. & Bhadury, J. & Eiselt, H.A., 2012. "A location-based comparison of health care services in four U.S. states with efficiency and equity," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 157-163.
    • Handle: RePEc:eee:soceps:v:46:y:2012:i:2:p:157-163
    DOI: 10.1016/j.seps.2012.01.002
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0038012112000031
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.seps.2012.01.002?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Gordon F. Mulligan, 1991. "Equality Measures And Facility Location," Papers in Regional Science, Wiley Blackwell, vol. 70(4), pages 345-365, October.
    2. Constantine Toregas & Ralph Swain & Charles ReVelle & Lawrence Bergman, 1971. "The Location of Emergency Service Facilities," Operations Research, INFORMS, vol. 19(6), pages 1363-1373, October.
    3. Forrest, C.B. & Starfield, B., 1998. "Entry into primary care and continuity: The effects of access," American Journal of Public Health, American Public Health Association, vol. 88(9), pages 1330-1336.
    4. Joseph P. Newhouse & Albert P. Williams & Bruce W. Bennett & William B. Schwartz, 1982. "Does the Geographical Distribution of Physicians Reflect Market Failure?," Bell Journal of Economics, The RAND Corporation, vol. 13(2), pages 493-505, Autumn.
    5. Vladimir Marianov & Daniel Serra, 2011. "Median Problems in Networks," International Series in Operations Research & Management Science, in: H. A. Eiselt & Vladimir Marianov (ed.), Foundations of Location Analysis, chapter 0, pages 39-59, Springer.
    6. Eiselt, H.A. & Marianov, Vladimir, 2009. "Gradual location set covering with service quality," Socio-Economic Planning Sciences, Elsevier, vol. 43(2), pages 121-130, June.
    7. Marsh, Michael T. & Schilling, David A., 1994. "Equity measurement in facility location analysis: A review and framework," European Journal of Operational Research, Elsevier, vol. 74(1), pages 1-17, April.
    8. Richard L. Church & Kenneth L. Roberts, 1983. "Generalized Coverage Models And Public Facility Location," Papers in Regional Science, Wiley Blackwell, vol. 53(1), pages 117-135, January.
    9. Alan T. Murray & Rex Davis, 2001. "Equity in Regional Service Provision," Journal of Regional Science, Wiley Blackwell, vol. 41(4), pages 557-600, November.
    10. Goodman, D.C. & Fisher, E. & Slukel, T.A. & Chang, C.-H., 1997. "The distance to community medical care and the likelihood of hospitalization: Is closer always better?," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1144-1150.
    11. Buchmueller, Thomas C. & Jacobson, Mireille & Wold, Cheryl, 2006. "How far to the hospital?: The effect of hospital closures on access to care," Journal of Health Economics, Elsevier, vol. 25(4), pages 740-761, July.
    12. Janet Currie & Patricia B. Reagan, 2003. "Distance to Hospital and Children's Use of Preventive Care: Is Being Closer Better, and for Whom?," Economic Inquiry, Western Economic Association International, vol. 41(3), pages 378-391, July.
    13. Vladimir Marianov & Daniel Serra, 2009. "Median problems in networks," Economics Working Papers 1151, Department of Economics and Business, Universitat Pompeu Fabra.
    14. Hurley, R.E. & Freund, D.A. & Taylor, D.E., 1989. "Emergency room use and primary care case management: Evidence from four medicaid demonstration programs," American Journal of Public Health, American Public Health Association, vol. 79(7), pages 843-846.
    15. Drezner, Zvi & Drezner, Tammy & Wesolowsky, George O., 2009. "Location with acceleration-deceleration distance," European Journal of Operational Research, Elsevier, vol. 198(1), pages 157-164, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dell’Ovo, Marta & Capolongo, Stefano & Oppio, Alessandra, 2018. "Combining spatial analysis with MCDA for the siting of healthcare facilities," Land Use Policy, Elsevier, vol. 76(C), pages 634-644.
    2. Donghai Wang & Menghao Xi & Yingzhen Chen, 2020. "A Dynamic Shelter Location and Victim Resettlement Model Considering Equitable Waiting Costs," IJERPH, MDPI, vol. 17(2), pages 1-17, January.
    3. Tang, Xu & Tan, Ziyan & Hu, Shiyuan & Geng, Hong, 2019. "Evaluating spatial service and layout efficiency of municipal Wi-Fi facilities for SmartCity planning: A case study of Wuhan city, China," Socio-Economic Planning Sciences, Elsevier, vol. 65(C), pages 101-110.
    4. Amin Akbari & Ronald Pelot & H. A. Eiselt, 2018. "A modular capacitated multi-objective model for locating maritime search and rescue vessels," Annals of Operations Research, Springer, vol. 267(1), pages 3-28, August.
    5. Maria Barbati & Giuseppe Bruno & Alfredo Marín, 2016. "Balancing the arrival times of users in a two-stage location problem," Annals of Operations Research, Springer, vol. 246(1), pages 273-288, November.
    6. Fredriksson, Anders, 2017. "Location-allocation of public services – Citizen access, transparency and measurement. A method and evidence from Brazil and Sweden," Socio-Economic Planning Sciences, Elsevier, vol. 59(C), pages 1-12.
    7. Zarrinpoor, Naeme & Fallahnezhad, Mohammad Saber & Pishvaee, Mir Saman, 2018. "The design of a reliable and robust hierarchical health service network using an accelerated Benders decomposition algorithm," European Journal of Operational Research, Elsevier, vol. 265(3), pages 1013-1032.
    8. Akoluk, Damla & Karsu, Özlem, 2022. "Ensuring multidimensional equality in public service," Socio-Economic Planning Sciences, Elsevier, vol. 80(C).
    9. De Matteis, Domenico & Ishizaka, Alessio & Resce, Giuliano, 2019. "The ‘postcode lottery’ of the Italian public health bill analysed with the hierarchy Stochastic Multiobjective Acceptability Analysis," Socio-Economic Planning Sciences, Elsevier, vol. 68(C).
    10. Vladimir Marianov & H. A. Eiselt, 2016. "On agglomeration in competitive location models," Annals of Operations Research, Springer, vol. 246(1), pages 31-55, November.
    11. Bruno, Giuseppe & Cavola, Manuel & Diglio, Antonio & Piccolo, Carmela, 2020. "Improving spatial accessibility to regional health systems through facility capacity management," Socio-Economic Planning Sciences, Elsevier, vol. 71(C).
    12. Batta, Rajan & Lejeune, Miguel & Prasad, Srinivas, 2014. "Public facility location using dispersion, population, and equity criteria," European Journal of Operational Research, Elsevier, vol. 234(3), pages 819-829.
    13. Yasna Cortés, 2021. "Spatial Accessibility to Local Public Services in an Unequal Place: An Analysis from Patterns of Residential Segregation in the Metropolitan Area of Santiago, Chile," Sustainability, MDPI, vol. 13(2), pages 1-20, January.
    14. Zhengna Song & Tinggan Yan & Yunjian Ge, 2018. "Spatial Equilibrium Allocation of Urban Large Public General Hospitals Based on the Welfare Maximization Principle: A Case Study of Nanjing, China," Sustainability, MDPI, vol. 10(9), pages 1-23, August.
    15. Luo, Weicong & Yao, Jing & Mitchell, Richard & Zhang, Xiaoxiang & Li, Wenqiang, 2022. "Locating emergency medical services to reduce urban-rural inequalities," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mark Burkey, 2012. "Decomposing geographic accessibility into component parts: methods and an application to hospitals," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 48(3), pages 783-800, June.
    2. Buchmueller, Thomas C. & Jacobson, Mireille & Wold, Cheryl, 2006. "How far to the hospital?: The effect of hospital closures on access to care," Journal of Health Economics, Elsevier, vol. 25(4), pages 740-761, July.
    3. Sorensen, Paul & Church, Richard, 2010. "Integrating expected coverage and local reliability for emergency medical services location problems," Socio-Economic Planning Sciences, Elsevier, vol. 44(1), pages 8-18, March.
    4. Xu, Jing & Murray, Alan T. & Church, Richard L. & Wei, Ran, 2023. "Service allocation equity in location coverage analytics," European Journal of Operational Research, Elsevier, vol. 305(1), pages 21-37.
    5. Luo, Weicong & Yao, Jing & Mitchell, Richard & Zhang, Xiaoxiang & Li, Wenqiang, 2022. "Locating emergency medical services to reduce urban-rural inequalities," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    6. Karsu, Özlem & Morton, Alec, 2015. "Inequity averse optimization in operational research," European Journal of Operational Research, Elsevier, vol. 245(2), pages 343-359.
    7. Fredriksson, Anders, 2017. "Location-allocation of public services – Citizen access, transparency and measurement. A method and evidence from Brazil and Sweden," Socio-Economic Planning Sciences, Elsevier, vol. 59(C), pages 1-12.
    8. Erhan Erkut & Armann Ingolfsson & Güneş Erdoğan, 2008. "Ambulance location for maximum survival," Naval Research Logistics (NRL), John Wiley & Sons, vol. 55(1), pages 42-58, February.
    9. Paola Bertoli & Veronica Grembi, 2017. "The life‐saving effect of hospital proximity," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 78-91, September.
    10. Kelly, Andrea & Lindo, Jason M. & Packham, Analisa, 2020. "The power of the IUD: Effects of expanding access to contraception through Title X clinics," Journal of Public Economics, Elsevier, vol. 192(C).
    11. Pinchbeck, Edward W., 2019. "Convenient primary care and emergency hospital utilisation," Journal of Health Economics, Elsevier, vol. 68(C).
    12. Murray, Alan T., 2001. "Strategic analysis of public transport coverage," Socio-Economic Planning Sciences, Elsevier, vol. 35(3), pages 175-188, September.
    13. Theophilus Dhyankumar Chellappa & Ramasubramaniam Muthurathinasapathy & V. G. Venkatesh & Yangyan Shi & Samsul Islam, 2023. "Location of organ procurement and distribution organisation decisions and their impact on kidney allocations: a developing country perspective," Annals of Operations Research, Springer, vol. 321(1), pages 755-781, February.
    14. Chong Hyun Park & Gemma Berenguer, 2020. "Supply Constrained Location‐Distribution in Not‐for‐Profit Settings," Production and Operations Management, Production and Operations Management Society, vol. 29(11), pages 2461-2483, November.
    15. Karatas, Mumtaz, 2017. "A multi-objective facility location problem in the presence of variable gradual coverage performance and cooperative cover," European Journal of Operational Research, Elsevier, vol. 262(3), pages 1040-1051.
    16. Fredrick Manang & Chikako Yamauchi, 2015. "The impact of access to health facilities on maternal care use and health status: Evidence from longitudinal data from rural Uganda," GRIPS Discussion Papers 15-19, National Graduate Institute for Policy Studies.
    17. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, MIT Press, vol. 5(3), pages 334-359, Summer.
    18. Zvi Drezner & Vladimir Marianov & George O. Wesolowsky, 2016. "Maximizing the minimum cover probability by emergency facilities," Annals of Operations Research, Springer, vol. 246(1), pages 349-362, November.
    19. Marissa B Kosnik & David M Reif & Danelle T Lobdell & Thomas Astell-Burt & Xiaoqi Feng & John D Hader & Jane A Hoppin, 2019. "Associations between access to healthcare, environmental quality, and end-stage renal disease survival time: Proportional-hazards models of over 1,000,000 people over 14 years," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-17, March.
    20. Cruz Lopez-de-los-Mozos, M. & Mesa, Juan A., 2001. "The maximum absolute deviation measure in location problems on networks," European Journal of Operational Research, Elsevier, vol. 135(1), pages 184-194, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:soceps:v:46:y:2012:i:2:p:157-163. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/seps .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.