Disparities in spatial accessibility of primary care in Louisiana
From physical to virtual accessibility
Bibliographic Data
| ID | 22071075 |
|---|---|
| Authors | Fahui Wang (0000-0001-7152-2226, Louisiana State University, corresponding author), Yutian Zeng (0000-0002-9902-0137, Louisiana State University), Lingbo Liu (0000-0002-9876-8506, Harvard University), Tracy Onega (0000-0002-1633-3040, University of Utah) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1154574-1154574 |
| Publication date | 2023-04-18 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1154574 |
| PMID | 37143988 |
| OpenAlex | W4366293995 |
| Language | EN |
| Citations received | 8 |
| References cited | 26 |
Telehealth has been widely employed and has transformed how healthcare is delivered in the United States as a result of COVID-19 pandemic. While telehealth is utilized and encouraged to reduce the cost and travel burden for access to healthcare, there are debates on whether telehealth can promote equity in healthcare services by narrowing the gap among diverse groups. Using the Two-Step Floating Catchment Area (2SFCA) and Two-Step Virtual Catchment Area (2SVCA) methods, this study compares the disparities of physical and virtual access to primary care physicians (PCPs) in Louisiana. Both physical and virtual access to PCPs exhibit similar spatial patterns with higher scores concentrated in urban areas, followed by low-density and rural areas. However, the two accessibility measures diverge where broadband availability and affordability come to play an important role. Residents in rural areas experience additive disadvantage of even more limited telehealth accessibility than physical accessibility due to lack of broadband service provision. Areas with greater Black population proportions tend to have better physical accessibility, but such an advantage is eradicated for telehealth accessibility because of lower broadband subscription rates in these neighborhoods. Both physical and virtual accessibility scores decline in neighborhoods with higher Area Deprivation Index (ADI) values, and the disparity is further widened for in virtual accessibility compared to than physical accessibility. The study also examines how factors such as urbanicity, Black population proportion, and ADI interact in their effects on disparities of the two accessibility measures
Business · Cartography · Catchment area · Digital divide · Disadvantage · Economic growth · Economics · Environmental health · Geography · Health care · Health equity · Political science · Population · Rural area · Telehealth · Telemedicine · The Internet · World Wide Web · Computer Science · Health disparities and outcomes · Medicine · Telemedicine and Telehealth Implementation · Urban Transport and Accessibility
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| Citations per year | 4 |
|---|---|
| Citation span | 2024 - 2026 (3) |
| Highly cited | No |