An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians

This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to...

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Published in	Health & place Vol. 15; no. 4; pp. 1100 - 1107
Main Authors	Luo, Wei, Qi, Yi
Format	Journal Article
Language	English
Published	England Elsevier Ltd 01.12.2009
Subjects	Access to health care Accessibility Catchment Area (Health) Catchment areas Doctors Geographical information systems GIS Gravity Gravity model Health Services Accessibility Humans Illinois Measurement Physicians, Family - supply & distribution Primary care physician shortage Primary Health Care Shortages Social Class Spatial accessibility Spatial analysis Two-step floating catchment area U.S.A GIS Gravity model Primary care physician shortage Two-step floating catchment area Spatial accessibility
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Abstract	This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret.
AbstractList	This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret.This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret. This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret. All rights reserved, Elsevier This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret. This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of uniform access within the catchment by applying weights to different travel time zones to account for distance decay. The enhancement is proved to be another special case of the gravity model. When applying this enhanced 2SFCA (E2SFCA) to measure the spatial access to primary care physicians in a study area in northern Illinois, we find that it reveals spatial accessibility pattern that is more consistent with intuition and delineates more spatially explicit health professional shortage areas. It is easy to implement in GIS and straightforward to interpret. [Copyright Elsevier Ltd.]
Author	Qi, Yi Luo, Wei
Author_xml	– sequence: 1 givenname: Wei surname: Luo fullname: Luo, Wei email: wluo@niu.edu – sequence: 2 givenname: Yi surname: Qi fullname: Qi, Yi
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/19576837$$D View this record in MEDLINE/PubMed
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Keywords	GIS Gravity model Primary care physician shortage Two-step floating catchment area Spatial accessibility
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Snippet	This paper presents an enhancement of the two-step floating catchment area (2SFCA) method for measuring spatial accessibility, addressing the problem of...
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SubjectTerms	Access to health care Accessibility Catchment Area (Health) Catchment areas Doctors Geographical information systems GIS Gravity Gravity model Health Services Accessibility Humans Illinois Measurement Physicians, Family - supply & distribution Primary care physician shortage Primary Health Care Shortages Social Class Spatial accessibility Spatial analysis Two-step floating catchment area U.S.A
Title	An enhanced two-step floating catchment area (E2SFCA) method for measuring spatial accessibility to primary care physicians
URI	https://dx.doi.org/10.1016/j.healthplace.2009.06.002 https://www.ncbi.nlm.nih.gov/pubmed/19576837 https://www.proquest.com/docview/37200960 https://www.proquest.com/docview/57314507 https://www.proquest.com/docview/734020273
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