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Measuring potential spatial accessibility of home healthcare services


  • Kilinc, Mehmet Serdar
  • Milburn, Ashlea Bennett
  • Heier Stamm, Jessica L.


Home healthcare encompasses a range of services that are provided in the home setting, including skilled nursing, physical therapy, and occupational therapy. In this paper, we study potential spatial accessibility of home healthcare services. Accessibility is a measure of the supply of and demand for home healthcare resources and the interaction between supply and demand within and between geographic regions. Home healthcare is unique in that the spatial interactions result from service regions selected by agencies, rather than from the distances between supply and demand locations. A new measure that simultaneously considers both staffing levels and eligible populations is developed and demonstrated via a case study using the state of Arkansas. To the best of our knowledge, no previous measure has been proposed to quantify potential spatial accessibility of home healthcare services within a geographic region. The results of the case study reveal disparities across the study area for each home healthcare service type.

Suggested Citation

  • Kilinc, Mehmet Serdar & Milburn, Ashlea Bennett & Heier Stamm, Jessica L., 2017. "Measuring potential spatial accessibility of home healthcare services," Socio-Economic Planning Sciences, Elsevier, vol. 59(C), pages 13-25.
  • Handle: RePEc:eee:soceps:v:59:y:2017:i:c:p:13-25
    DOI: 10.1016/j.seps.2016.09.007

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    References listed on IDEAS

    1. repec:mpr:mprres:7671 is not listed on IDEAS
    2. Joseph, Alun E. & Bantock, Peter R., 1982. "Measuring potential physical accessibility to general practitioners in rural areas: A method and case study," Social Science & Medicine, Elsevier, vol. 16(1), pages 85-90, January.
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    4. Valerie Cheh & John Schurrer & Morris Hamilton, "undated". "Home Health Independence Patients: High Use, but Not Financial Outliers," Mathematica Policy Research Reports 889a65d010734a5e88432a8e3, Mathematica Policy Research.
    5. A G Wilson, 1971. "A Family of Spatial Interaction Models, and Associated Developments," Environment and Planning A, , vol. 3(1), pages 1-32, March.
    6. Dajun Dai & Fahui Wang, 2011. "Geographic disparities in accessibility to food stores in southwest Mississippi," Environment and Planning B: Planning and Design, Pion Ltd, London, vol. 38(4), pages 659-677, July.
    7. Dajun Dai & Fahui Wang, 2011. "Geographic Disparities in Accessibility to Food Stores in Southwest Mississippi," Environment and Planning B, , vol. 38(4), pages 659-677, August.
    8. Wei Luo & Fahui Wang, 2003. "Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region," Environment and Planning B: Planning and Design, Pion Ltd, London, vol. 30(6), pages 865-884, November.
    9. repec:aph:ajpbhl:1993:83:3:412-414_7 is not listed on IDEAS
    10. Khan, Abdullah A., 1992. "An integrated approach to measuring potential spatial access to health care services," Socio-Economic Planning Sciences, Elsevier, vol. 26(4), pages 275-287, October.
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