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Racial disparities in access to health care infrastructure across US counties

A geographic information systems analysis

Bibliographic Data

ID22088328
AuthorsJingchuan Guo (0000-0001-9799-2592, University of Florida, corresponding author), Sean Dickson (West Health), Lucas A Berenbrok (0000-0001-9479-8209, University of Pittsburgh), Shangbin Tang (0000-0003-2088-2891, University of Pittsburgh), Utibe R Essien (0000-0002-4494-5028, University of Pittsburgh), Inmaculada Hernandez (0000-0002-0118-4986, University of California San Diego)
Year2023
Volume11
Pages897007-897007
Publication date2023-04-11
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.897007
PMID37113167
OpenAlexW4364367829
LanguageEN
Citations received3
References cited1

Infrastructure system in the U.S. have been shown to be linked to social and health inequities. We calculated driving distance to the closest health care facility for a representative sample of the U.S. population using ArcGIS Network Analyst and a national transportation dataset, and identified areas where Black residents have a longer driving distance to the closest facility than White residents. Our data demonstrated that racial disparities in access to health care facilities presented large geographic variation. Counties with significant racial disparities were concentrated in the Southeast and did not correspond to counties with a greater proportion of the overall population >5 miles to the closest facility, which were concentrated in the Midwest. This geographic variation demonstrates the need to adopt a spatially explicit data driven approach in the design of equitable health care facility establishment that address the specific limitations of the local infrastructure

Business · Cartography · Economic growth · Environmental health · Geographic information system · Geographic variation · Geographical distance · Geography · Health care · Health equity · Location · Population · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Urban Transport and Accessibility

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Citations per year1.5
Citation span2024 - 2025 (2)
Highly citedNo

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