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MedicalGeography:HealthCareAccessibilityandImplicationsFahuiWangFredB.KniffenProfessorofGeographyLouisianaStateUniversityJune17,2010@CNU
ContentsTheissueofaccessGIS-basedaccessibilitymeasuresOptimizationtowardsequalaccessApplicationinhealthcareaccessPHSAdesignationandlate-stagecancerConcludingcomments
AccessMatters!Convenienceofaccesstoactivitiesjob,school,healthcare,park,publicservice,shopping…Accessdefines“location”SpatialWhereyouareNonspatialWhoyouareSocialjusticeandpublicpolicy
Supplyvs.Demand(ratio)Howscarcearetheservices?01DistanceRoadnetworkTransportationmeansHowfararedemandsfromsupplies?02Measurement
Distance(time)fromsupply1Simplypotentialmodel2Supply-demandratiowithinanarea3FCAwitharadius/box4FCAwithatraveltimerange5Primitivemeasures
FromS/DRatiotoFCA01FCAwithaRadiusSimplyS/DRatio03Straight-lineS-DbeyondradiusLimitations02Within-unitvariationCross-borderImprovements
ScaleavailabilityateachsupplylocationSumupaccessiblesuppliesaroundeachdemandlocation2-stepfloatingcatchmentarea:2SFCA
1a.Foreachsupplylocationj,selectalldemandlocationskwithinatraveltimerangefromj(catchmentCj).2a.Foreachdemandlocationi,searchallsupplylocationsjwithinthetraveltimerangefromi(catchmentZi).1b.ComputethesupplytodemandratiowithinCj: 2b.Sumupthesupplytodemandratiosatthesesupplylocations:12342SFCARecap
Generalizing“distancedecay”asacontinuousfunctionapowerorexponentialfunctionaGaussianfunctionasadiscretevariabledichotomousasin2SFCAmultipleasinE2SFCAahybridapproachakerneldensityfunctionathree-zoneapproach
Generalizing“distancedecay”
Individualtravelbehavior01Aggregatedtravelpattern02Modelingactualsupply-demandinteractionsValidation
TowardsequalaccessibilityFormulatedasaplanningproblemminimizingaccessibilitygapsamongdemandlocationsbyadjustingtheamountsof
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