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The Intraurban Ecology of Primary Medical Care: Patterns of Accessibility and Their Policy Implications

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  • P L Knox

    (Department of Geography, University of Dundee, Dundee DD1 4HN, Scotland)

Abstract

Patterns of intraurban accessibility to primary medical care in four major Scottish cities are examined in the context of existing public policy and against the background of intraurban patterns of community well-being. Certain regularities are observed in the spatial ecology of family doctors' surgeries, and the notion of an ‘inverse care law’ is discussed. A modified interaction model is introduced and used to analyse local accessibility to primary care facilities. Results indicate that disparities in accessibility tend to compound many other patterns of socioeconomic disadvantage. The formulation of public policies concerned with medical deprivation and area deprivation is discussed in the light of these results.

Suggested Citation

  • P L Knox, 1978. "The Intraurban Ecology of Primary Medical Care: Patterns of Accessibility and Their Policy Implications," Environment and Planning A, , vol. 10(4), pages 415-435, April.
    • Handle: RePEc:sae:envira:v:10:y:1978:i:4:p:415-435
    DOI: 10.1068/a100415
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    Cited by:

    1. Tóth, Géza & Kincses, Áron, 2015. "Accessibility Models Based On the Gravity Analogy: In Theory and Practice," MPRA Paper 73952, University Library of Munich, Germany.
    2. Vandenbulcke, Grégory & Steenberghen, Thérèse & Thomas, Isabelle, 2009. "Mapping accessibility in Belgium: a tool for land-use and transport planning?," Journal of Transport Geography, Elsevier, vol. 17(1), pages 39-53.
    3. Kiril Stanilov, 2003. "Accessibility and Land Use: The Case of Suburban Seattle, 1960-1990," Regional Studies, Taylor & Francis Journals, vol. 37(8), pages 783-794.
    4. Cascetta, Ennio & Cartenì, Armando & Montanino, Marcello, 2016. "A behavioral model of accessibility based on the number of available opportunities," Journal of Transport Geography, Elsevier, vol. 51(C), pages 45-58.
    5. repec:asg:wpaper:1031 is not listed on IDEAS
    6. Bocarejo S., Juan Pablo & Oviedo H., Daniel Ricardo, 2012. "Transport accessibility and social inequities: a tool for identification of mobility needs and evaluation of transport investments," Journal of Transport Geography, Elsevier, vol. 24(C), pages 142-154.

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