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Examining Distance Effects on Hospitalizations Using GIS

A Study of Three Health Regions in British Columbia, Canada

Bibliographic Data

ID4141945
AuthorsGuanqiong Lin (0000-0002-6792-7519, West Virginia University, corresponding author), Ge Lin (0000-0002-4586-2603, Department of Geology and Geography, 425 White Hall, University of West Virginia, Morgantown, WV 26506-6300, USA), Diane E Allan (Centre on Aging, University of Victoria, Victoria, British Columbia, Canada V8W 2Y2), Diane Allan (University of Victoria, corresponding author), Margaret J Penning (0000-0001-7919-7077, University of Victoria, corresponding author)
Year2002
Volume34
Issue11
Pages2037-2053
Publication date2002-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEnvironment and Planning A Economy and Space (JOURNAL)
Journal identifiersISSN: 0308-518X • E-ISSN: 1472-3409
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1068/a3528
OpenAlexW2033212463
LanguageEN
Citations received13
References cited51

We examine travel distance and its effect on total and on avoidable hospitalizations, using data from three health regions in British Columbia, Canada. We conceptualize distance to hospital in geographic and socioeconomic contexts from the care seeker's perspective, and develop a GIS procedure to generate variables for these contexts. The procedure includes geocoding hospital locations and patient locations to determine travel distance for each hospitalization, generating several geographic barriers such as mountain crossings, and linking patient-neighborhood locations to socioeconomic variables. The findings reveal that overall, hospitalization rates are inversely related to distance to hospital. Even though low-income patients are more likely to be hospitalized for avoidable conditions, the income effect influences different dimensions from those affected by the distance effect. A balanced approach may be needed to address issues appropriately at both the low and the high ends of physical accessibility

Cartography · Demographic economics · Economic growth · Environmental health · Geocoding · Geographic information system · Geographical distance · Geography · Health care · Location · Socioeconomic status · Sociology · Computer Science · Demography · Global Health Care Issues · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes

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Unique citing works13
Citations per year0,59
Citation span2004 - 2025 (22)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12

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