Spatial patterns of attendance at general practitioner services
Geographical theory suggests that consumers will travel to the centre nearest to their residence which offers a particular service. This is a weak indicator of surgery attendance patterns in Gisborne, New Zealand. Nearby surgeries were attended, rather than the nearest available. Various attributes...
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Published in | Social science & medicine (1982) Vol. 31; no. 7; pp. 773 - 781 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Oxford
Elsevier Ltd
1990
Elsevier Pergamon Press Inc |
Series | Social Science & Medicine |
Subjects | |
Online Access | Get full text |
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Abstract | Geographical theory suggests that consumers will travel to the centre nearest to their residence which offers a particular service. This is a weak indicator of surgery attendance patterns in Gisborne, New Zealand. Nearby surgeries were attended, rather than the nearest available. Various attributes of the practices and the patients were examined to discover their influence on attendance patterns. The distribution of the practices themselves had a significant effect upon relative surgery attendance. Prior knowledge of services was particularly important in determining surgery selection and continued attendance. This accounted for the spatially unconstrained attendance of many Maori. Greater personal mobility enabled higher income households to travel further to attend. Conversely, the less mobile were spatially bounded. |
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AbstractList | Geographical theory suggests that consumers will travel to the centre nearest to their residence which offers a particular service. This is a weak indicator of surgery attendance patterns in Gisborne, New Zealand. Nearby surgeries were attended, rather than the nearest available. Various attributes of the practices and the patients were examined to discover their influence on attendance patterns. The distribution of the practices themselves had a significant effect upon relative surgery attendance. Prior knowledge of services was particularly important in determining surgery selection and continued attendance. This accounted for the spatially unconstrained attendance of many Maori. Greater personal mobility enabled higher income households to travel further to attend. Conversely, the less mobile were spatially bounded. A study of surgery attendance patterns in Gisborne New Zealand based on geographic location is discussed. It was found that patients did not attend the nearest surgery locations, but nearby ones. |
Author | Kearns, Robin A. Moran, Warren Hays, Susan M. |
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Cites_doi | 10.1111/j.1745-7939.1986.tb00047.x 10.2307/142624 10.2307/142803 10.1068/a120881 |
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Keywords | New Zealand primary health care utilization general practice attendance Human Internal medicine Primary health care Public health Result |
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References | Barnett (BIB18) 1981; 37 Richardson, Dingwall-Fordyce (BIB5) 14 Dec., 1968 Hopkins, Pye, Solomon, Solomon (BIB7) 1978; 16 Burn (BIB9) 1974 Stimson (BIB4) 1981; 15D Phillips (BIB3) 1979; 13D Joseph, Phillips (BIB16) 1984 Morrill, Earickson, Rees (BIB10) 1970; 46 Malcom, Higgins, Barnett (BIB14) 1980; 91 Lloyd (BIB15) 1977; 53 Pred (BIB2) 1967 Stimson (BIB8) 1980; 12 Richardson, Howie, Dingwall-Fordyce (BIB6) 1975; 33 Joseph, Joseph (BIB1) 1986; 42 Roghmann, Zastowny (BIB11) 1979; 13D Morrill, Gage, Robinson (BIB12) 1970; 19 New Zealand Department of Statistics (BIB13) 1987 Knox (BIB17) 1979; 29 Joseph (10.1016/0277-9536(90)90172-O_BIB1_1) 1986; 42 New Zealand Department of Statistics (10.1016/0277-9536(90)90172-O_BIB13) 1987 Morrill (10.1016/0277-9536(90)90172-O_BIB10) 1970; 46 Morrill (10.1016/0277-9536(90)90172-O_BIB12) 1970; 19 Lloyd (10.1016/0277-9536(90)90172-O_BIB15) 1977; 53 Joseph (10.1016/0277-9536(90)90172-O_BIB1_2) 1986; 42 Richardson (10.1016/0277-9536(90)90172-O_BIB5) 1968 Roghmann (10.1016/0277-9536(90)90172-O_BIB11) 1979; 13D Stimson (10.1016/0277-9536(90)90172-O_BIB8) 1980; 12 Burn (10.1016/0277-9536(90)90172-O_BIB9) 1974 Joseph (10.1016/0277-9536(90)90172-O_BIB16) 1984 Pred (10.1016/0277-9536(90)90172-O_BIB2) 1967 Hopkins (10.1016/0277-9536(90)90172-O_BIB7) 1978; 16 Malcom (10.1016/0277-9536(90)90172-O_BIB14) 1980; 91 Phillips (10.1016/0277-9536(90)90172-O_BIB3) 1979; 13D Knox (10.1016/0277-9536(90)90172-O_BIB17) 1979; 29 Stimson (10.1016/0277-9536(90)90172-O_BIB4) 1981; 15D Barnett (10.1016/0277-9536(90)90172-O_BIB18) 1981; 37 Richardson (10.1016/0277-9536(90)90172-O_BIB6) 1975; 33 |
References_xml | – year: 1974 ident: BIB9 article-title: Utilization of medical care services in Mangere, Auckland contributor: fullname: Burn – volume: 16 start-page: 368 year: 1978 end-page: 378 ident: BIB7 article-title: The relation of patients' age, sex and distance from surgery to the demand on the family doctor publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Solomon – volume: 29 start-page: 160 year: 1979 end-page: 168 ident: BIB17 article-title: The accessibility of primary care to urban patients: a geographical analysis publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Knox – volume: 15D start-page: 27 year: 1981 end-page: 44 ident: BIB4 article-title: The provision and use of general practitioner services in Adelaide, Australia: application of tools of locational analysis and theories of the provider and user spatial behaviour publication-title: Soc. Sci. Med. contributor: fullname: Stimson – volume: 37 start-page: 33 year: 1981 end-page: 34 ident: BIB18 article-title: Reply to measuring potential accessibility to general practitioners in urban areas: a methodological note by A.E. Joseph publication-title: N.Z. Geograph. contributor: fullname: Barnett – volume: 46 start-page: 161 year: 1970 end-page: 171 ident: BIB10 article-title: Factors influencing distances travelled to hospitals publication-title: Econ. Geogr. contributor: fullname: Rees – volume: 33 start-page: 16 year: 1975 end-page: 75 ident: BIB6 article-title: Patient geography in general practice: a repeat study in Aberdeen publication-title: Hlth Bull. contributor: fullname: Dingwall-Fordyce – start-page: 1291 year: 14 Dec., 1968 end-page: 1293 ident: BIB5 article-title: Patient geography in general practice; catchment areas of Aberdeen practices publication-title: The Lancet contributor: fullname: Dingwall-Fordyce – volume: 13D start-page: 169 year: 1979 end-page: 181 ident: BIB3 article-title: Spatial variations in attendance at general practitioner services publication-title: Soc. Sci. Med. contributor: fullname: Phillips – volume: 19 start-page: 331 year: 1970 end-page: 342 ident: BIB12 article-title: Patterns of demand in general practice publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Robinson – year: 1967 ident: BIB2 article-title: Behaviour and Location, Part 1 publication-title: Lund Stud. Geogr. Series B contributor: fullname: Pred – volume: 91 start-page: 396 year: 1980 end-page: 399 ident: BIB14 article-title: The availability, distribution and utilization of general practitioners in New Zealand. A study based upon GMS claims publication-title: N.Z. Med. J. contributor: fullname: Barnett – volume: 12 start-page: 881 year: 1980 end-page: 907 ident: BIB8 article-title: Spatial aspects of epidemiological phenomena and the utilization of health care services in Australia: a review of methodological problems and empirical analyses publication-title: Envir. Plann. A contributor: fullname: Stimson – year: 1987 ident: BIB13 publication-title: 1986 Census of Population and Dwellings, Regional Statistics—East Cape Local Government Region contributor: fullname: New Zealand Department of Statistics – year: 1984 ident: BIB16 publication-title: Accessibility and Utilization: Geographical Perspectives on Health Care Delivery contributor: fullname: Phillips – volume: 42 start-page: 1 year: 1986 end-page: 17 ident: BIB1 article-title: The accessibility of public hospital services in Auckland: a geographic study publication-title: N.Z. Geograph. contributor: fullname: Joseph – volume: 13D start-page: 61 year: 1979 end-page: 69 ident: BIB11 article-title: Proximity as a factor in the selection of health care providers publication-title: Soc. Sci. Med. contributor: fullname: Zastowny – volume: 53 start-page: 14 year: 1977 end-page: 27 ident: BIB15 article-title: Consumer behaviour after migration: a reassessment process publication-title: Econ. Geogr. contributor: fullname: Lloyd – volume: 13D start-page: 61 year: 1979 ident: 10.1016/0277-9536(90)90172-O_BIB11 article-title: Proximity as a factor in the selection of health care providers publication-title: Soc. Sci. Med. contributor: fullname: Roghmann – year: 1987 ident: 10.1016/0277-9536(90)90172-O_BIB13 publication-title: 1986 Census of Population and Dwellings, Regional Statistics—East Cape Local Government Region contributor: fullname: New Zealand Department of Statistics – volume: 42 start-page: 1 year: 1986 ident: 10.1016/0277-9536(90)90172-O_BIB1_1 article-title: The accessibility of public hospital services in Auckland: a geographic study publication-title: N.Z. Geograph. doi: 10.1111/j.1745-7939.1986.tb00047.x contributor: fullname: Joseph – start-page: 1291 year: 1968 ident: 10.1016/0277-9536(90)90172-O_BIB5 article-title: Patient geography in general practice; catchment areas of Aberdeen practices publication-title: The Lancet contributor: fullname: Richardson – volume: 46 start-page: 161 year: 1970 ident: 10.1016/0277-9536(90)90172-O_BIB10 article-title: Factors influencing distances travelled to hospitals publication-title: Econ. Geogr. doi: 10.2307/142624 contributor: fullname: Morrill – volume: 91 start-page: 396 year: 1980 ident: 10.1016/0277-9536(90)90172-O_BIB14 article-title: The availability, distribution and utilization of general practitioners in New Zealand. A study based upon GMS claims publication-title: N.Z. Med. J. contributor: fullname: Malcom – volume: 53 start-page: 14 year: 1977 ident: 10.1016/0277-9536(90)90172-O_BIB15 article-title: Consumer behaviour after migration: a reassessment process publication-title: Econ. Geogr. doi: 10.2307/142803 contributor: fullname: Lloyd – volume: 37 start-page: 33 year: 1981 ident: 10.1016/0277-9536(90)90172-O_BIB18 article-title: Reply to measuring potential accessibility to general practitioners in urban areas: a methodological note by A.E. Joseph publication-title: N.Z. Geograph. contributor: fullname: Barnett – volume: 29 start-page: 160 year: 1979 ident: 10.1016/0277-9536(90)90172-O_BIB17 article-title: The accessibility of primary care to urban patients: a geographical analysis publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Knox – issue: No. 27 year: 1967 ident: 10.1016/0277-9536(90)90172-O_BIB2 article-title: Behaviour and Location, Part 1 publication-title: Lund Stud. Geogr. Series B contributor: fullname: Pred – volume: 13D start-page: 169 year: 1979 ident: 10.1016/0277-9536(90)90172-O_BIB3 article-title: Spatial variations in attendance at general practitioner services publication-title: Soc. Sci. Med. contributor: fullname: Phillips – year: 1984 ident: 10.1016/0277-9536(90)90172-O_BIB16 publication-title: Accessibility and Utilization: Geographical Perspectives on Health Care Delivery contributor: fullname: Joseph – volume: 12 start-page: 881 year: 1980 ident: 10.1016/0277-9536(90)90172-O_BIB8 article-title: Spatial aspects of epidemiological phenomena and the utilization of health care services in Australia: a review of methodological problems and empirical analyses publication-title: Envir. Plann. A doi: 10.1068/a120881 contributor: fullname: Stimson – volume: 16 start-page: 368 year: 1978 ident: 10.1016/0277-9536(90)90172-O_BIB7 article-title: The relation of patients' age, sex and distance from surgery to the demand on the family doctor publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Hopkins – volume: 15D start-page: 27 year: 1981 ident: 10.1016/0277-9536(90)90172-O_BIB4 article-title: The provision and use of general practitioner services in Adelaide, Australia: application of tools of locational analysis and theories of the provider and user spatial behaviour publication-title: Soc. Sci. Med. contributor: fullname: Stimson – volume: 42 start-page: 11 year: 1986 ident: 10.1016/0277-9536(90)90172-O_BIB1_2 article-title: The accessibility of public hospital services in Auckland: a geographic study publication-title: N.Z. Geograph. doi: 10.1111/j.1745-7939.1986.tb00047.x contributor: fullname: Joseph – volume: 19 start-page: 331 year: 1970 ident: 10.1016/0277-9536(90)90172-O_BIB12 article-title: Patterns of demand in general practice publication-title: J.R. Coll. Gen. Pract. contributor: fullname: Morrill – year: 1974 ident: 10.1016/0277-9536(90)90172-O_BIB9 contributor: fullname: Burn – volume: 33 start-page: 16 year: 1975 ident: 10.1016/0277-9536(90)90172-O_BIB6 article-title: Patient geography in general practice: a repeat study in Aberdeen publication-title: Hlth Bull. contributor: fullname: Richardson |
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Snippet | Geographical theory suggests that consumers will travel to the centre nearest to their residence which offers a particular service. This is a weak indicator of... A study of surgery attendance patterns in Gisborne New Zealand based on geographic location is discussed. It was found that patients did not attend the nearest... |
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SubjectTerms | attendance Behavior Biological and medical sciences Catchment Area (Health) Cities Family Practice General practice general practice utilization primary health care attendance New Zealand Geographic aspects Health care Health Services Accessibility - statistics & numerical data Hospitals Humans Medical sciences New Zealand primary health care Private Practice - statistics & numerical data Public health. Hygiene Public health. Hygiene-occupational medicine Social research Socioeconomic Factors Travel Use utilization |
Title | Spatial patterns of attendance at general practitioner services |
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