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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
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:1997:87:7:1144-1150_9 is not listed on IDEAS
    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.
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    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. 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. Vladimir Marianov & Daniel Serra, 2009. "Median problems in networks," Economics Working Papers 1151, Department of Economics and Business, Universitat Pompeu Fabra.
    8. repec:aph:ajpbhl:1989:79:7:843-846_8 is not listed on IDEAS
    9. 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.
    10. 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.
    11. Alan T. Murray & Rex Davis, 2001. "Equity in Regional Service Provision," Journal of Regional Science, Wiley Blackwell, vol. 41(4), pages 557-600.
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    Cited by:

    1. repec:spr:annopr:v:246:y:2016:i:1:d:10.1007_s10479-015-1886-5 is not listed on IDEAS
    2. repec:eee:soceps:v:59:y:2017:i:c:p:1-12 is not listed on IDEAS
    3. repec:spr:annopr:v:246:y:2016:i:1:d:10.1007_s10479-014-1704-5 is not listed on IDEAS
    4. 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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