Geospatial Analyses of Accessibility to Down Syndrome Specialty Care
| Autor: | Heidi Berger, Nicholas J. Joslyn, Brian G. Skotko |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Down syndrome medicine.medical_specialty Geospatial analysis Child Health Services Population Specialty computer.software_genre Pediatrics Health Services Accessibility Preventive care Health care Humans Medicine American population Healthcare Disparities Child education Travel education.field_of_study Geography business.industry medicine.disease United States Child Preschool Family medicine Pediatrics Perinatology and Child Health Geographic Information Systems Female Residence Preventive Medicine Down Syndrome business computer |
| Zdroj: | The Journal of Pediatrics. 218:146-150.e1 |
| ISSN: | 0022-3476 |
| Popis: | Objective To assess whether the location of 71 Down syndrome specialty care clinics in the US make them inaccessible to a considerable portion of the American population. Study design Using a population-based representative sample of 64 761 individuals with Down syndrome and a Google Maps Application Programming Interface Python program, we calculated the distance each patient with Down syndrome would need to travel to reach the nearest clinic. Two conceptualizations were used—the state fluidity method, which allowed an individual to cross state lines for care and the state boundary method, which required individuals receive care in their state of residence. Results Almost 1 in 5 US individuals face significant geographic obstacles to receiving specialty care. This finding is especially prominent in the South, where >33% of patients with Down syndrome must travel >2 hours to reach their nearest clinic. Conclusions Down syndrome specialty care clinics are inaccessible to a considerable portion of American society. Innovative usage of technology might be useful to minimize these disparities in healthcare accessibility. |
| Databáze: | OpenAIRE |
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