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  • Measuring access to primary healthcare services after stroke: A spatial analytic approach

    Author(s)
    Finch, Emma
    Liu, Yan
    Foster, Michele
    Cruwys, Tegan
    Fleming, Jennifer
    Worrall, Linda
    Williams, Ian
    Shah, Darshan
    Aitken, Philip
    Corcoran, Jonathan
    Griffith University Author(s)
    Foster, Michele M.
    Year published
    2019
    Metadata
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    Abstract
    Objective: To determine accessibility of the primary healthcare system for patients with stroke recently discharged from hospital. Methods: This project mapped retrospective patient location data and the location of primary healthcare services in the same region. Patient location data were from all patients with stroke (N = 1595: January 2011–January 2017) discharged from one metropolitan hospital to the local Primary Health Network. Geographic Information System technology was used to map the patient discharge locations and the spatial distribution of primary healthcare services (general practitioner, pharmacy, allied health) ...
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    Objective: To determine accessibility of the primary healthcare system for patients with stroke recently discharged from hospital. Methods: This project mapped retrospective patient location data and the location of primary healthcare services in the same region. Patient location data were from all patients with stroke (N = 1595: January 2011–January 2017) discharged from one metropolitan hospital to the local Primary Health Network. Geographic Information System technology was used to map the patient discharge locations and the spatial distribution of primary healthcare services (general practitioner, pharmacy, allied health) across the region. Road network data were used to measure the level of access from each patient’s discharge location to the services. Results: Access to primary healthcare services was variable. Areas with larger proportions of patients with stroke did not necessarily have good service access. With an increase in travel time, the number of services accessible to patients also increased. However, the spatial variation of access to services remained largely unchanged. Conclusion: Access to primary healthcare services for patients with stroke varies spatially, with a trend towards relatively low levels of accessibility for many patients. There is an urgent need for future planning to consider geographical access to primary healthcare services for patients with stroke.
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    Journal Title
    Brain Impairment
    Volume
    20
    Issue
    3
    DOI
    https://doi.org/10.1017/BrImp.2019.11
    Subject
    Biomedical and clinical sciences
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Clinical Neurology
    Neurosciences
    Rehabilitation
    Publication URI
    http://hdl.handle.net/10072/393318
    Collection
    • Journal articles

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