Racial Disparities In Geographic Access To Primary Care In Philadelphia
| Autor: | David Grande, Corentin M. Barbu, Elizabeth J. Brown, Jane W. Seymour, Daniel Polsky |
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| Přispěvatelé: | Value Institute, Christiana Care Health System, Departments Family Community Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania [Philadelphia], Wharton School - Health Care Management and Economics, Agronomie, Institut National de la Recherche Agronomique (INRA)-AgroParisTech, School of Public Health, Departement of Epidemiology, Boston University [Boston] (BU), School of medecine, Independence Foundation, in Philadelphia, Pennsylvania, Reproductive, Perinatal, and Pediatric Epidemiology training grant at the Boston University School of Public Health, AgroParisTech-Institut National de la Recherche Agronomique (INRA) |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Urban Population [SDV]Life Sciences [q-bio] Primary care Health outcomes Health Services Accessibility Insurance Coverage White People Odds 03 medical and health sciences Young Adult 0302 clinical medicine Racism Nursing Environmental health 11. Sustainability Health care Outcome Assessment Health Care Medicine Humans Healthcare workforce 030212 general & internal medicine Healthcare Disparities Health policy Aged Philadelphia 030505 public health Primary Health Care business.industry Health Policy Patient Protection and Affordable Care Act 1. No poverty Hispanic or Latino Census Middle Aged 3. Good health Black or African American Cross-Sectional Studies Census tract Female 0305 other medical science business |
| Zdroj: | Health Affairs Health Affairs, Project HOPE, 2016, 35 (8), pp.1374-1381. ⟨10.1377/hlthaff.2015.1612⟩ |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2015.1612⟩ |
| Popis: | Primary care is often thought of as the gateway to improved health outcomes and can lead to more efficient use of health care resources. Because of primary care's cardinal importance, adequate access is an important health policy priority. In densely populated urban areas, spatial access to primary care providers across neighborhoods is poorly understood. We examined spatial variation in primary care access in Philadelphia, Pennsylvania. We calculated ratios of adults per primary care provider for each census tract and included buffer zones based on prespecified drive times around each tract. We found that the average ratio was 1,073; the supply of primary care providers varied widely across census tracts, ranging from 105 to 10,321. We identified six areas of Philadelphia that have much lower spatial accessibility to primary care relative to the rest of the city. After adjustment for sociodemographic and insurance characteristics, the odds of being in a low-access area were twenty-eight times greater for census tracts with a high proportion of African Americans than in tracts with a low proportion of African Americans. |
| Databáze: | OpenAIRE |
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