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

Article


Finch, Emma, Liu, Yan, Foster, Michele, Cruwys, Tegan, Fleming, Jennifer, Worrall, Linda, Williams, Ian, Shah, Darshan, Aitken, Philip and Corcoran, Jonathan. 2019. "Measuring access to primary healthcare services after stroke: A spatial analytic approach." Brain Impairment. 20 (3), pp. 240-250. https://doi.org/10.1017/BrImp.2019.11
Article Title

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

ERA Journal ID15818
Article CategoryArticle
AuthorsFinch, Emma, Liu, Yan, Foster, Michele, Cruwys, Tegan, Fleming, Jennifer, Worrall, Linda, Williams, Ian, Shah, Darshan, Aitken, Philip and Corcoran, Jonathan
Journal TitleBrain Impairment
Journal Citation20 (3), pp. 240-250
Number of Pages11
YearDec 2019
PublisherCambridge University Press
Place of PublicationUnited Kingdom
ISSN1443-9646
1839-5252
Digital Object Identifier (DOI)https://doi.org/10.1017/BrImp.2019.11
Web Address (URL)https://www.cambridge.org/core/journals/brain-impairment/article/measuring-access-to-primary-healthcare-services-after-stroke-a-spatial-analytic-approach/E209F1BB96A565030E573827CCABC03B
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) 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.

KeywordsStroke; primary healthcare; geographic mapping; access; service planning
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Byline AffiliationsUniversity of Queensland
Griffith University
Camp Hill Healthcare, Australia
Princess Alexandra Hospital, Australia
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Xie, Bin and Liu, Yan. 2018. "Visualizing Australia’s urban extent: a comparison between residential housing addresses and night-time light data." Regional Studies, Regional Science. 5 (1), pp. 365-368. https://doi.org/10.1080/21681376.2018.1526648
Challenges of user-centred assistive technology provision in Australia: shopping without a prescription
Steel, Emily J., Layton, Natasha Ann, Foster, Michele M. and Bennett, Sally. 2016. "Challenges of user-centred assistive technology provision in Australia: shopping without a prescription." Disability and Rehabilitation Assistive Technology. 11 (3), pp. 235-240. https://doi.org/10.3109/17483107.2014.941953
An Evaluation of Participatory GIS (PGIS) for Land Use Planning in Malaysia
Zolkafli, Amirulikhsan, Brown, Greg and Liu, Yan. 2017. "An Evaluation of Participatory GIS (PGIS) for Land Use Planning in Malaysia." The Electronic Journal of Information Systems in Developing Countries. 83 (1), pp. 1-23. https://doi.org/10.1002/j.1681-4835.2017.tb00610.x
Spatially explicit assessment of land ecological security with spatial variables and logistic regression modeling in Shanghai, China
Feng, Yongjiu, Liu, Yan and Liu, Yu. 2017. "Spatially explicit assessment of land ecological security with spatial variables and logistic regression modeling in Shanghai, China." Stochastic Environmental Research and Risk Assessment. 31 (9), pp. 2235-2249. https://doi.org/10.1007/s00477-016-1330-7
Detection of spatial hot spots and variation for the neon flying squid Ommastrephes bartramii resources in the northwest Pacific Ocean
Feng, Yongjiu, Chen, Xinjun and Liu, Yan. 2017. "Detection of spatial hot spots and variation for the neon flying squid Ommastrephes bartramii resources in the northwest Pacific Ocean." Chinese Journal of Oceanology and Limnology. 35 (4), pp. 921-935. https://doi.org/10.1007/s00343-017-6036-2
Bridging the knowledge divide between public and experts using PGIS for land use planning in Malaysia
Zolkafli, Amirulikhsan, Liu, Yan and Brown, Greg. 2017. "Bridging the knowledge divide between public and experts using PGIS for land use planning in Malaysia." Applied Geography. 83, pp. 107-117. https://doi.org/10.1016/j.apgeog.2017.03.013
Time-delayed influence of urban landscape change on the susceptibility of koalas to chlamydiosis
McAlpine, Clive, Brearley, Grant, Rhodes, Jonathan, Bradley, Adrian, Baxter, Greg, Seabrook, Leonie, Lunney, Daniel, Liu, Yan, Cottin, Manuelle, Smith, Andrew G. and Timms, Peter. 2017. "Time-delayed influence of urban landscape change on the susceptibility of koalas to chlamydiosis." Landscape Ecology. 32 (3), pp. 663-679. https://doi.org/10.1007/s10980-016-0479-2
Understanding ‘change’ through spatial thinking using Google Earth in secondary geography
Xiang, X. and Liu, Y.. 2017. "Understanding ‘change’ through spatial thinking using Google Earth in secondary geography." Journal of Computer Assisted Learning. 33 (1), pp. 65-78. https://doi.org/10.1111/jcal.12166
Greenspace and Crime: An Analysis of Greenspace Types, Neighboring Composition, and the Temporal Dimensions of Crime
Kimpton, Anthony, Corcoran, Jonathan and Wickes, Rebecca. 2017. "Greenspace and Crime: An Analysis of Greenspace Types, Neighboring Composition, and the Temporal Dimensions of Crime." Journal of Research in Crime and Delinquency. 54 (3), pp. 303-337. https://doi.org/10.1177/0022427816666309
An Evaluation of the Capacity-building Effects of Participatory GIS (PGIS) for Public Participation in Land Use Planning
Zolkafli, Amirulikhsan, Brown, Greg and Liu, Yan. 2017. "An Evaluation of the Capacity-building Effects of Participatory GIS (PGIS) for Public Participation in Land Use Planning." Planning Practice and Research. 32 (4), pp. 385-401. https://doi.org/10.1080/02697459.2017.1329470
Mapping mis-location and housing stress in the private rental sector: A case study of Brisbane, Australia
Liu, Yan, Cheshire, Lynda and Wadley, David. 2016. "Mapping mis-location and housing stress in the private rental sector: A case study of Brisbane, Australia." Applied Geography. 76, pp. 207-216. https://doi.org/10.1016/j.apgeog.2016.09.026
The effects of changing spatial scales on spatial patterns of CPUE for Ommastrephes bartramii in the northwest Pacific Ocean
Feng, Yongjiu, Chen, Xinjun and Liu, Yan. 2016. "The effects of changing spatial scales on spatial patterns of CPUE for Ommastrephes bartramii in the northwest Pacific Ocean." Fisheries Research. 183, pp. 1-12. https://doi.org/10.1016/j.fishres.2016.05.006
Simulating the Impact of Economic and Environmental Strategies on Future Urban Growth Scenarios in Ningbo, China
Liu, Yan and Feng, Yongjiu. 2016. "Simulating the Impact of Economic and Environmental Strategies on Future Urban Growth Scenarios in Ningbo, China." Sustainability. 8 (10), pp. 1-16. https://doi.org/10.3390/su8101045
Scenario prediction of emerging coastal city using CA modeling under different environmental conditions: a case study of Lingang New City, China
Feng, Yongjiu and Liu, Yan. 2016. "Scenario prediction of emerging coastal city using CA modeling under different environmental conditions: a case study of Lingang New City, China." Environmental Monitoring and Assessment. 188 (9). https://doi.org/10.1007/s10661-016-5558-y
An effective 3D meshing approach for fractured rocks
Liu, Yan and Xing, H. L.. 2016. "An effective 3D meshing approach for fractured rocks." International Journal for Numerical Methods in Engineering. 107 (5), pp. 363-376. https://doi.org/10.1002/nme.5166
Greenspace and Place Attachment: Do Greener Suburbs Lead to Greater Residential Place Attachment?
Kimpton, Anthony, Wickes, Rebecca and Corcoran, Jonathan. 2014. "Greenspace and Place Attachment: Do Greener Suburbs Lead to Greater Residential Place Attachment? " Urban Policy and Research. 32 (4), pp. 477-497. https://doi.org/10.1080/08111146.2014.908769
Participation and chronic disease self-management: are we risking inequitable resource allocation?
Foster, Michele, Kendall, Elizabeth, Dickson, Paul, Chaboyer, Wendy, Hunter, Beth and Gee, Travis. 2003. "Participation and chronic disease self-management: are we risking inequitable resource allocation?" Australian Journal of Primary Health. 9 (2-3), pp. 132-140. https://doi.org/10.1071/PY03037
Baby boomers in Queensland: where are they and where are they moving?
Liu, Yan and Soar, Jeffrey. 2005. "Baby boomers in Queensland: where are they and where are they moving?" Bellman, Chris, Cartwright, William and Shortis, Mark (ed.) 2005 Spatial Sciences Institute Biennial Conference: Spatial Intelligence, Innovation and Praxis (SSC2005). Melbourne, Australia 12 - 16 Sep 2005 Melbourne, Australia.
Modelling the driving forces of Sydney's urban development (1971-96) in a cellular environment
Liu, Yan and Phinn, Stuart. 2005. "Modelling the driving forces of Sydney's urban development (1971-96) in a cellular environment." Applied Geographic Information Systems (GIS). 1 (3). https://doi.org/10.2104/ag050027