Search All

Articles

1. composed index of critical accessibility (CICA) to healthcare services in a traditional African City 2014

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3da9RAEB-8FqkvfpyWRmtYwQc_iE1387GBUsiFnm1FFM-j6kvYfHlFSKS5gsF_3plNcncRfejLHpudLLebyexkd-b3A3ju5crPUulZSinPcjLHtqRrJxZaviRzuJ0EBR9u5gBfbV2UP970J5LaUG_kuvk67kpYBGhiNSPYdnHtI62W8_M10K6vP7Js4QiL49rUn2T-q4vBWjQqVNUHJVKEpKpxkoqW3WLgfv51YqoXoum9lm211viF1S9KURoE4h9o8EONeLEB9HiD4d6Hu52LysJWpx7Arbwcw06fwVyPYfdknR2Hgp15wIadjlJ90Yzh9lvNGdw8hN8ho8D1qs4zpv8fqwqWdhQL7GhxrDRpYxum2xwdLI7Zi-gsCl-yZUXNbaomXacwNbpSdwZOy16WTLHllcou221N1lIflSzC3h7BfHryOTq1Os4HK0XrsbQkqojrHOZBWjhcFVwUSS4yjTlkU0iWctE_kUngpalfOCn3_FTyxBc5-iJJFmRiD5irgkJmbloodF5cvEEF6BX5aH2wJj3bgFf9Y49_tpge8Rq9meY9xnmPad7jxoA9VIxYfUebG89nnL5IiRvD9YUBu1pbVp2gqyS4K6UB5kB91gLSk4foMhmw3-tT3NmMOiaCYR4QJJwBz1bN-LbTEY4q8-qaZESA7gSOx4DXveJsdPG_UTy-kfQTuEPjbHea9mFreXWdP4Ut0mUTRv7FVyq_TEz95pmwHU7Ooyn-Tt7Nwk8mQa1eYO00Opt-w9p7_kGXH6n0Z38Atz4rgg

   Samuel, Kayode Julius; Adagbasa, Efosa

   Geo Journal, Vol. 79, Issue 3, pp. 267 - 278.

   While empirical works that analyse rural–urban differentials in accessibility to health services are common in the developing countries, systematic studies focusing on intra-urban variations in acc... Read more

   While empirical works that analyse rural–urban differentials in accessibility to health services are common in the developing countries, systematic studies focusing on intra-urban variations in accessibility to overall healthcare resources remain scant. Yet, many urban dwellers especially in the Sub-Saharan Africa have to travel long distances within the urban space to access basic health services. This study employs composed index of critical accessibility (CICA) to analyse differentials in access to health resources in Ibadan, a traditional African City. Data on healthcare centre location, ownership, doctors’ population were collected through field survey while spatial data on the administrative units and populated places were obtained from archival sources. Also, data on road networks was collected. Results show that the distribution of health facilities across local administrative units varies. In terms health facilities, Ibadan South West has 26 (36 %) of the total number while Ibadan South east has only 7 (9.8 %). The Doctor-Population Ratio also exhibits similar variations as Ibadan North has 20.5 as against 2.2, 1.9 and 0.3 for Ibadan SW, Ibadan NW and Ibadan NE respectively. The CICA analysis shows that 228,938 inhabitants are in high risk of negative accessibility while 49,234 are faced with condition of low risk of negative accessibility, which implies that a significant proportion of the population still finds it difficult to access basic health services as and when needed. The variations in the distribution of this deprived population are also noteworthy as the largest proportion of this group was localized in Ibadan NW. This has grave implication for the health and wellbeing of the population and raises once again the question of spatial equity in the delivery of urban public service. Curiously, these differences in the level of accessibility cut across administrative boundaries which brings to the fore the role of jurisdictional partitioning in ensuring equity in the delivery of urban public services. This opens a vista of research opportunity into the role jurisdictional partitioning in service provision in the urban centres. Read less

   Journal Article  |  Full Text Online

2. Cross-border spatial accessibility of health care in the North-East Department of Haiti 2018

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3fa9RAEB5sfVAQ0SoaW488CIKwTS7JbnahFK6xx_kgFKwgviz7I_ECNlfuzof-953ZJMXgmy-B7GZJ7mYmM7P55huAD6I2pXdSMGOMYIUvUiZ5ahm--awvstSqJptu5gAfa2ECaN_Z9rT7fXPateuArby9ccmIE0uuvlYitP3OkwM4KPNiTNGHLIs6VQ-fL-dSJDt0aAWhDwizxQWjnkU58dZlYj7xRYGy_98X81-eaYqa7PGSwQ0tX8DzIX6MF_1zvoRHdXcET4ZW5uu7I3jWb8TFfX3RK6grujezgWMz3hGAGtefrc9NaJXYg2PvzpL1ebxpaLyvjAwDBAuL2y7GIDEOH3jYpdnt48_owrYBnU5LVqbdt6_h-_LyulqxobcCcxjj7FlmpbFNKpXwZS09hoXeG-e5NSHKwqzJFlK5GidF4-YmVaYuU1tL7pyipjBvIeZGNdJz1xgMEjjPlFEYfZRo5XgmRRrBp_Hv1bc9d4YOOYcUuheLRrFoEosWEVyQAB4uJNrrMLDZ_tKD8HUtvLSuUbbMVSF4aS21PcoM5lHS2yKP4COJT5NxooycGWoMNl1NNFd6QfGdIAb_CE4mV6JRuen0qAB6MOqdzuY58ddxpSJ40-vCw-OOKhVBOdGSye-ZzqB2BzrvQZvf_ffKY3iakX6jR834CRzut3_q93BINSAztJAfZThezODx4rq6-jYL-w54tqq-LH_OgvXcA5kuF0Q

   Mathon, Dominique; Apparicio, Philippe; Lachapelle, Ugo

   International Journal Of Health Geographics, Vol. 17, Issue 1, p. 36.

   The geographical accessibility of health services is an important issue especially in developing countries and even more for those sharing a border as for Haiti and the Dominican Republic. During t... Read more

   The geographical accessibility of health services is an important issue especially in developing countries and even more for those sharing a border as for Haiti and the Dominican Republic. During the last 2 decades, numerous studies have explored the potential spatial access to health services within a whole country or metropolitan area. However, the impacts of the border on the access to health resources between two countries have been less explored. The aim of this paper is to measure the impact of the border on the accessibility to health services for Haitian people living close to the Haitian-Dominican border. To do this, the widely employed enhanced two-step floating catchment area (E2SFCA) method is applied. Four scenarios simulate different levels of openness of the border. Statistical analysis are conducted to assess the differences and variation in the E2SFCA results. A linear regression model is also used to predict the accessibility to health care services according to the mentioned scenarios. The results show that the health professional-to-population accessibility ratio is higher for the Haitian side when the border is open than when it is closed, suggesting an important border impact on Haitians' access to health care resources. On the other hand, when the border is closed, the potential accessibility for health services is higher for the Dominicans. The openness of the border has a great impact on the spatial accessibility to health care for the population living next to the border and those living nearby a road network in good conditions. Those findings therefore point to the need for effective and efficient trans-border cooperation between health authorities and health facilities. Future research is necessary to explore the determinants of cross-border health care and offers an insight on the spatial revealed access which could lead to a better understanding of the patients' behavior. Read less

   Journal Article  |  Full Text Online

3. Systematic review of unmet healthcare needs in patients with epilepsy 2017

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3NS8MwFH_oBuLFb3R-EcGjYV2adCmMwRDHxI-LO3kJaZOigt2w22H_vS9NOxSmiMcc0qTvJfn9kvfyC8BlZHXXpDKiWuuIcsMDKkWQUFz5EsNZkMQZ-36Y4zeKxYoQfpmKtcCWXOCg0y31NUO-Dk1Enog1oDm4vRs9LuMGOH-9QioTFLE9qHWGVn_mJyxayTXDCnOG2_Bc97ZMNXEPHHzNuW-XOoeluEWt6fj3P9uBrYqJkoEfOruwZvM92HioYu37cP-0FHkm_oILmWRknr_bGem99P0Fyl77pe-Sx0iOKFiQ15xUQq0FcSe8xE5x1ZkWiwMYD2_G1yNavb1A01DEM5oY6w6FQoNbijTg3CAtsBmSt9g6fMuk1k55B8mj5jphYWo7cRK4h8ttVxodHgEROs6kEWmmkUMIwWIdIznp4iKAJRkFLbiqra-mXlpD1Tlnb6q0jHKWUQFTaJkWRLWHVMUOPOorNOvvFS9qfyqcOy4gonM7mRfKkVfkX0J2WnDoHb3sCZOSu_tNx_9t9gQ2Xckn_p1CY_Yxt2fQcKPkvBq2n14L6Yk

   Mahendran, Mayuri; Speechley, Kathy N.; Widjaja, Elysa

   Epilepsy & Behavior, Vol. 75, pp. 102 - 109.

   Patients with epilepsy (PWE) are more likely to have unmet healthcare needs than the general population. This systematic review assessed the reasons for unmet needs in PWE. Medline, Embase, PsycINF... Read more

   Patients with epilepsy (PWE) are more likely to have unmet healthcare needs than the general population. This systematic review assessed the reasons for unmet needs in PWE. Medline, Embase, PsycINFO, Cochrane, and Web of Science databases were searched using keywords relating to unmet healthcare needs, treatment barriers, and access to care. The search included all countries, adult and pediatric populations, survey and qualitative studies, but excluded non-English articles and articles published before 2001. Reasons for unmet needs were extracted. Nineteen survey and 22 qualitative studies were included. Three survey and five qualitative studies excluded patients with comorbidities. There were twice as many studies on unmet mental healthcare needs than unmet physical care needs in PWE. Poor availability of health services, accessibility issues, and lack of health information contributed to unmet needs in both Western and developing countries. Lack of health services, long wait lists, uncoordinated care, and difficulty getting needed health information were prevalent in the United States (US) as well as countries with a universal healthcare system. However, unmet needs due to costs of care were reported more commonly in studies from the US. This systematic review identified reasons for unmet needs in PWE across different countries, which will inform specific interventions required to address these unmet needs. Unmet needs may have been underestimated due to exclusion of PWE with comorbidities in some studies. Additional studies are needed to understand the contribution of comorbidities on unmet needs and their interaction with caregiver and family factors. •Unmet healthcare needs of pediatric and adult patients with epilepsy were studied.•Twice as many studies reported unmet mental health needs than physical care needs.•Exclusion of PWE with comorbidities may have led to underreporting of unmet needs.•Availability, accessibility, and lack of health information were global concerns.•Cost issues were more commonly reported in US studies rather than the UK or Canada. Read less

   Journal Article  |  Full Text Online

See all 8,681 article results