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

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Author Info

  • 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.

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Bibliographic Info

Article provided by Elsevier in its journal Socio-Economic Planning Sciences.

Volume (Year): 46 (2012)
Issue (Month): 2 ()
Pages: 157-163

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Handle: RePEc:eee:soceps:v:46:y:2012:i:2:p:157-163

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Web page: http://www.elsevier.com/locate/seps

Related research

Keywords: Hospital location; Efficiency; Accessibility; Equity; Coverage;

References

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  1. Thomas C. Buchmueller & Mireille Jacobson & Cheryl Wold, 2004. "How Far to the Hospital? The Effect of Hospital Closures on Access to Care," NBER Working Papers 10700, National Bureau of Economic Research, Inc.
  2. 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.
  3. 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.
  4. Alan T. Murray & Rex Davis, 2001. "Equity in Regional Service Provision," Journal of Regional Science, Wiley Blackwell, vol. 41(4), pages 557-600.
  5. 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.
  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.
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Cited by:
  1. 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.

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