A location-based comparison of health care services in four U.S. states with efficiency and equity
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.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- 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.
- 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.
- 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.
- Alan T. Murray & Rex Davis, 2001. "Equity in Regional Service Provision," Journal of Regional Science, Wiley Blackwell, vol. 41(4), pages 557-600.
- 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.
- 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.
- 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.
- Vladimir Marianov & Daniel Serra, 2009. "Median problems in networks," Economics Working Papers 1151, Department of Economics and Business, Universitat Pompeu Fabra.
- 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)
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.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.