Spatial Access and Local Demand for Major Cancer Care Facilities in the United States

Dados Bibliográficos

ID8375488
AutoresXun Shi (0000-0002-7169-5175, Dartmouth College), Jennifer Alford-Teaster, Jennifer Alford‐Teaster (0000-0002-2600-446X), Tracy Onega (0000-0002-1633-3040, Dartmouth Psychiatric Research Center), Dongmei Wang (0000-0001-6900-8295, Dartmouth College)
Ano2012
Volume102
Fascículo5
Páginas1125-1134
Data de publicação2012-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAnnals of the Association of American Geographers (JOURNAL)
Identificadores do periódicoISSN: 0004-5608 • E-ISSN: 1467-8306
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00045608.2012.657498
OpenAlexW2012496820
IdiomaEN
Citações recebidas23
Referências citadas33

The Cancer Centers designated by the National Cancer Institute (NCI Centers) and academic medical centers (AMCs) form the “backbone” of the cancer care system in the United States. We conducted a nationwide analysis and generated a high-resolution map detailing spatial variation in the potentially unfulfilled demand for these facilities. A local demand value incorporates spatial access to the facilities and the number of local potential patients. The spatial access was estimated using the two-step floating catchment area method, taking into account both travel time and facility capacity. The travel time was measured using service-area rings created around each facility based on road networks. The facility capacity was measured as the ratio between the bed count of the facility and the number of potential patients in its three-hour catchment. The number of local potential patients was estimated from local demography and standard cancer rates. The demographic information is a combination of LandScan data and U.S. Census data, and the cancer rates are from the Surveillance Epidemiology and End Results. The final demand map shows distinctive patterns in the western and eastern halves of the contiguous United States. The demand in the east is spatially continuous but relatively low, whereas in the west it is sporadic but tends to have high values. We also examined the inherent relationships between several methods for measuring spatial access and found that the differences between them are technical rather than conceptual, which sets a theoretical basis for selecting and adapting those methods

Business · Cartography · Catchment area · Census · Drainage basin · Environmental health · Geography · Population · Regional science · Service (business) · Sociology · Spatial analysis · Spatial epidemiology · Demography · Epidemiology · Marketing · Medicine · Older Adults Driving Studies · Spatial and Panel Data Analysis · Urban Transport and Accessibility