IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v92y2009i2-3p149-157.html
   My bibliography  Save this article

Planning the optimal level of local maternity service for small rural communities: A systems study in British Columbia

Author

Listed:
  • Grzybowski, Stefan
  • Kornelsen, Jude
  • Schuurman, Nadine

Abstract

Objectives To develop and apply a population isolation model to define the appropriate level of maternity service for rural communities in British Columbia, Canada.Methods Iterative, mathematical model development supported by extensive multi-methods research in 23 rural and isolated communities in British Columbia, Canada, which were selected for representative variance in population demographics and isolation. Main outcome measure was the Rural Birth Index (RBI) score for 42 communities in rural British Columbia.Results In rural communities with 1Â h catchment populations of under 25,000 the RBI score matched the existing level of service in 33 of 42 (79%) communities. Inappropriate service for the rural population was postulated and supported by qualitative data available on 6 of the remaining 9 communities.Conclusions The RBI is a potentially pragmatic tool in British Columbia to help policy makers define the appropriate level of maternity service for a given rural population. The conceptual structure of the model has broad applicability to health service planning problems in other jurisdictions.

Suggested Citation

  • Grzybowski, Stefan & Kornelsen, Jude & Schuurman, Nadine, 2009. "Planning the optimal level of local maternity service for small rural communities: A systems study in British Columbia," Health Policy, Elsevier, vol. 92(2-3), pages 149-157, October.
    • Handle: RePEc:eee:hepoli:v:92:y:2009:i:2-3:p:149-157
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(09)00076-1
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    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. Horev, Tuvia & Pesis-Katz, Irena & Mukamel, Dana B., 2004. "Trends in geographic disparities in allocation of health care resources in the US," Health Policy, Elsevier, vol. 68(2), pages 223-232, May.
    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. Longman, Jo & Kornelsen, Jude & Pilcher, Jen & Kildea, Sue & Kruske, Sue & Grzybowski, Stefan & Robin, Sarah & Rolfe, Margaret & Donoghue, Deborah & Morgan, Geoffrey G. & Barclay, Lesley, 2017. "Maternity services for rural and remote Australia: barriers to operationalising national policy," Health Policy, Elsevier, vol. 121(11), pages 1161-1168.

    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. Eric Delattre & Anne-Laure Samson, 2012. "Stratégies de localisation des médecins généralistes français : mécanismes économiques ou hédonistes ?," Économie et Statistique, Programme National Persée, vol. 455(1), pages 115-142.
    2. Toyokawa, Satoshi & Kobayashi, Yasuki, 2010. "Increasing supply of dentists induces their geographic diffusion in contrast with physicians in Japan," Social Science & Medicine, Elsevier, vol. 71(11), pages 2014-2019, December.
    3. Chen, Zhuo & Roy, Kakoli & Haddix, Anne C. & Thacker, Stephen B., 2010. "Factors associated with differences in mortality and self-reported health across states in the United States," Health Policy, Elsevier, vol. 94(3), pages 203-210, March.
    4. Fang Wu & Wei Chen & Lingling Lin & Xu Ren & Yingna Qu, 2022. "The Balanced Allocation of Medical and Health Resources in Urban Areas of China from the Perspective of Sustainable Development: A Case Study of Nanjing," Sustainability, MDPI, vol. 14(11), pages 1-28, May.
    5. Govind, Rahul & Chatterjee, Rabikar & Mittal, Vikas, 2008. "Timely access to health care: Customer-focused resource allocation in a hospital network," International Journal of Research in Marketing, Elsevier, vol. 25(4), pages 294-300.
    6. repec:dau:papers:123456789/11295 is not listed on IDEAS
    7. Liping Fu & Kaibo Xu & Feng Liu & Lu Liang & Zhengmin Wang, 2021. "Regional Disparity and Patients Mobility: Benefits and Spillover Effects of the Spatial Network Structure of the Health Services in China," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
    8. Isabel Correia & Paula Veiga, 2010. "Geographic distribution of physicians in Portugal," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 383-393, August.
    9. Jin Li & Jie Li & Jian Huang, 2022. "Research on the Equity and Optimal Allocation of Basic Medical Services in Guangzhou in the Context of COVID-19," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    10. Suraratdecha, Chutima & Okunade, Albert A., 2006. "Measuring operational efficiency in a health care system: A case study from Thailand," Health Policy, Elsevier, vol. 77(1), pages 2-23, June.
    11. Jiawei Zhang & Peien Han & Yan Sun & Jingyu Zhao & Li Yang, 2021. "Assessing Spatial Accessibility to Primary Health Care Services in Beijing, China," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    12. Xueling Wu & Ruiqi Mao & Xiaojia Guo, 2022. "Equilibrium of Tiered Healthcare Resources during the COVID-19 Pandemic in China: A Case Study of Taiyuan, Shanxi Province," IJERPH, MDPI, vol. 19(12), pages 1-17, June.
    13. Mu, Chunzhou, 2015. "The age profile of the location decision of Australian general practitioners," Social Science & Medicine, Elsevier, vol. 142(C), pages 183-193.
    14. Lei Zhu & Shuang Zhong & Wei Tu & Jing Zheng & Shenjing He & Junzhe Bao & Cunrui Huang, 2019. "Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China," IJERPH, MDPI, vol. 16(2), pages 1-15, January.
    15. Koichiro Yuji & Seiya Imoto & Rui Yamaguchi & Tomoko Matsumura & Naoko Murashige & Yuko Kodama & Satoru Minayo & Kohzoh Imai & Masahiro Kami, 2012. "Forecasting Japan's Physician Shortage in 2035 as the First Full-Fledged Aged Society," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-8, November.
    16. Yang, Tse-Chuan & South, Scott J., 2018. "Neighborhood effects on body mass: Temporal and spatial dimensions," Social Science & Medicine, Elsevier, vol. 217(C), pages 45-54.
    17. Mengge Du & Shichen Zhao, 2022. "An Equity Evaluation on Accessibility of Primary Healthcare Facilities by Using V2SFCA Method: Taking Fukuoka City, Japan, as a Case Study," Land, MDPI, vol. 11(5), pages 1-22, April.
    18. Dawei Zhu & Xuefeng Shi & Stephen Nicholas & Ping He, 2020. "Regional disparities in health care resources in traditional Chinese medicine county hospitals in China," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-13, January.

    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:hepoli:v:92:y:2009:i:2-3:p:149-157. 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 or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    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.