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DOI10.1093/jphsr/rmaa022
An adapted two-step floating catchment area method accounting for urban-rural differences in spatial access to pharmacies
Zhou, Yuhong; Beyer, Kirsten M. M.; Laud, Purushottam W.; Winn, Aaron N.; Pezzin, Liliana E.; Nattinger, Ann B.; Neuner, Joan
通讯作者Zhou, YH (corresponding author), Med Coll Wisconsin, Inst Hlth & Equ, 8701 W Watertown Plank Rd, Wauwatosa, WI 53226 USA.
来源期刊JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH
ISSN1759-8885
EISSN1759-8893
出版年2021
卷号12期号:1页码:69-77
英文摘要Objective To adapt the two-step floating catchment area approach to account for urban-rural differences in pharmacy access in the United States. Methods The urban-rural two-step floating catchment area method was described mathematically. To calculate urban-rural-two-step floating catchment area measure, census tracts and pharmacies within the study area (Southeastern Wisconsin) were classified as urban, suburban or rural, and then different catchment area sizes (2, 5 and 15 miles) were applied, based on the Centers for Medicare & Medicaid Services (CMS)' criteria for Medicare Part D service access within urban, suburban and rural areas. The urban-rural-two-step floating catchment area measures were compared to traditional two-step floating catchment area measures computed using three fixed catchment area sizes (2, 5, and 15 miles) by visually examining their spatial distributions. Associations between the four pharmacy accessibility measures and selected socio-demographics are calculated using Spearman's rank-order correlation and further compared. Key findings The urban-rural two-step floating catchment area measure outperforms all the fixed catchment size measures and has the strongest Spearman correlations with the selected census variables. It also reduces the number of census tracts characterized as 'no access' when compared to the original measures. The spatial distribution of urban-rural two-step floating catchment area pharmacy access exhibits a more granular variation across the study area. Conclusions The results support our hypothesis that spatial access to pharmacies should account for urbanicity/rurality patterns within a region.
英文关键词two-step floating catchment area spatial accessibility urban-rural differences pharmacy access
类型Article
语种英语
收录类别ESCI
WOS记录号WOS:000651819800012
WOS关键词PRIMARY-HEALTH-CARE ; ACCESSIBILITY ; DISPARITIES ; SERVICES ; POPULATION ; DESERTS
WOS类目Health Care Sciences & Services
WOS研究方向Health Care Sciences & Services
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/352897
作者单位[Zhou, Yuhong; Beyer, Kirsten M. M.; Laud, Purushottam W.; Pezzin, Liliana E.] Med Coll Wisconsin, Inst Hlth & Equ, Milwaukee, WI 53226 USA; [Beyer, Kirsten M. M.; Laud, Purushottam W.; Winn, Aaron N.; Pezzin, Liliana E.; Nattinger, Ann B.; Neuner, Joan] Med Coll Wisconsin, Ctr Adv Populat Sci, Milwaukee, WI 53226 USA; [Winn, Aaron N.] Med Coll Wisconsin, Sch Pharm, Dept Clin Sci, Milwaukee, WI 53226 USA; [Pezzin, Liliana E.; Nattinger, Ann B.; Neuner, Joan] Med Coll Wisconsin, Dept Med, Milwaukee, WI 53226 USA
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GB/T 7714
Zhou, Yuhong,Beyer, Kirsten M. M.,Laud, Purushottam W.,et al. An adapted two-step floating catchment area method accounting for urban-rural differences in spatial access to pharmacies[J],2021,12(1):69-77.
APA Zhou, Yuhong.,Beyer, Kirsten M. M..,Laud, Purushottam W..,Winn, Aaron N..,Pezzin, Liliana E..,...&Neuner, Joan.(2021).An adapted two-step floating catchment area method accounting for urban-rural differences in spatial access to pharmacies.JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH,12(1),69-77.
MLA Zhou, Yuhong,et al."An adapted two-step floating catchment area method accounting for urban-rural differences in spatial access to pharmacies".JOURNAL OF PHARMACEUTICAL HEALTH SERVICES RESEARCH 12.1(2021):69-77.
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