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By Alun E Joseph, David Phillips

This e-book combines a wide-ranging theoretical view of accessibility and usage with empirical adventure from numerous similar health-care supply structures - these of the uk, the us, Canada, Australia and New Zealand. The authors concentrate on basic health-care provision, but in addition ponder secondary and tertiary amenities. the place past clinical geography texts have handled illness ecology, this ebook presents a entire overview of contemporary geographical study into the future health provider process and its usage. The e-book is obviously established and good written, permitting scholars to understand the necessities of the topic. The skilful use of references will enable extra complex scholars to stick with up the themes in better element.

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Additional info for Accessibility and Utilization: Geographical Perspectives on Health Care Delivery

Example text

Assuming the absence of socio-economic barriers for the moment, an individual has a given potential accessiblity in physical space to each tier (and the constituent facility and manpower components) of the health care system, but realization of this accessibility (that is, utilization of an 'available' service) may well depend upon the efficiency of the referral system. Consider, for instance, a small child in southern Ontario, Canada, who has a heart problem. Given that a problem is recognized by the child's parents and is brought to the attention of the family physician, in an ideal situation the child would be referred to a cardiologist at the 'local ' general hospital for tests and then, if necessary, on to a specialized institution like the Hospital for Sick Children in Toronto for the appropriate, highly specialized treatment.

However, no reference has yet been made to how the impact of these factors might be monitored, that is, to the nature of relevant indicators. In addition, although most commentators agree on the value of indicators to monitor the delivery of an important service like health care (Aday and Andersen 1974), there is no such consensus on the design of indicators. Broadly speaking, there are two schools of thought. The first advocates a Access to Health Care 59 focus on utilization patterns whereas the second concentrates on potential barriers to utilization.

It has been repeatedly suggested that physicians make their key career choices early. 7 percent of those practising in small communities had made their career specialization and locational choices in their internship/residency periods. 4 percent, respectively, reported that they made these choices in early years of practice. A later study, by Diseker and Chappell (1976), found the locational priorities of residents and practitioners to be virtually identical. Taken together, these studies point toward the importance of the professional views espoused by mentors, teachers, or peers in the medical school environment.

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