Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study
BackgroundAccess to health care services is a critical determinant of population health and well-being. Measuring spatial accessibility to health services is essential for understanding health care distribution and addressing potential inequities. ObjectiveIn this...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2024-02-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2024/1/e51727 |
| _version_ | 1827345624722309120 |
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| author | Soheil Hashtarkhani David L Schwartz Arash Shaban-Nejad |
| author_facet | Soheil Hashtarkhani David L Schwartz Arash Shaban-Nejad |
| author_sort | Soheil Hashtarkhani |
| collection | DOAJ |
| description |
BackgroundAccess to health care services is a critical determinant of population health and well-being. Measuring spatial accessibility to health services is essential for understanding health care distribution and addressing potential inequities.
ObjectiveIn this study, we developed a geoprocessing toolbox including Python script tools for the ArcGIS Pro environment to measure the spatial accessibility of health services using both classic and enhanced versions of the 2-step floating catchment area method.
MethodsEach of our tools incorporated both distance buffers and travel time catchments to calculate accessibility scores based on users’ choices. Additionally, we developed a separate tool to create travel time catchments that is compatible with both locally available network data sets and ArcGIS Online data sources. We conducted a case study focusing on the accessibility of hemodialysis services in the state of Tennessee using the 4 versions of the accessibility tools. Notably, the calculation of the target population considered age as a significant nonspatial factor influencing hemodialysis service accessibility. Weighted populations were calculated using end-stage renal disease incidence rates in different age groups.
ResultsThe implemented tools are made accessible through ArcGIS Online for free use by the research community. The case study revealed disparities in the accessibility of hemodialysis services, with urban areas demonstrating higher scores compared to rural and suburban regions.
ConclusionsThese geoprocessing tools can serve as valuable decision-support resources for health care providers, organizations, and policy makers to improve equitable access to health care services. This comprehensive approach to measuring spatial accessibility can empower health care stakeholders to address health care distribution challenges effectively. |
| first_indexed | 2024-03-07T23:15:18Z |
| format | Article |
| id | doaj.art-a514a4e508b347d9aa75819ad367b8ed |
| institution | Directory Open Access Journal |
| issn | 2561-326X |
| language | English |
| last_indexed | 2024-03-07T23:15:18Z |
| publishDate | 2024-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Formative Research |
| spelling | doaj.art-a514a4e508b347d9aa75819ad367b8ed2024-02-21T14:00:35ZengJMIR PublicationsJMIR Formative Research2561-326X2024-02-018e5172710.2196/51727Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case StudySoheil Hashtarkhanihttps://orcid.org/0000-0001-7750-6294David L Schwartzhttps://orcid.org/0000-0002-7235-5586Arash Shaban-Nejadhttps://orcid.org/0000-0003-2047-4759 BackgroundAccess to health care services is a critical determinant of population health and well-being. Measuring spatial accessibility to health services is essential for understanding health care distribution and addressing potential inequities. ObjectiveIn this study, we developed a geoprocessing toolbox including Python script tools for the ArcGIS Pro environment to measure the spatial accessibility of health services using both classic and enhanced versions of the 2-step floating catchment area method. MethodsEach of our tools incorporated both distance buffers and travel time catchments to calculate accessibility scores based on users’ choices. Additionally, we developed a separate tool to create travel time catchments that is compatible with both locally available network data sets and ArcGIS Online data sources. We conducted a case study focusing on the accessibility of hemodialysis services in the state of Tennessee using the 4 versions of the accessibility tools. Notably, the calculation of the target population considered age as a significant nonspatial factor influencing hemodialysis service accessibility. Weighted populations were calculated using end-stage renal disease incidence rates in different age groups. ResultsThe implemented tools are made accessible through ArcGIS Online for free use by the research community. The case study revealed disparities in the accessibility of hemodialysis services, with urban areas demonstrating higher scores compared to rural and suburban regions. ConclusionsThese geoprocessing tools can serve as valuable decision-support resources for health care providers, organizations, and policy makers to improve equitable access to health care services. This comprehensive approach to measuring spatial accessibility can empower health care stakeholders to address health care distribution challenges effectively.https://formative.jmir.org/2024/1/e51727 |
| spellingShingle | Soheil Hashtarkhani David L Schwartz Arash Shaban-Nejad Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study JMIR Formative Research |
| title | Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study |
| title_full | Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study |
| title_fullStr | Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study |
| title_full_unstemmed | Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study |
| title_short | Enhancing Health Care Accessibility and Equity Through a Geoprocessing Toolbox for Spatial Accessibility Analysis: Development and Case Study |
| title_sort | enhancing health care accessibility and equity through a geoprocessing toolbox for spatial accessibility analysis development and case study |
| url | https://formative.jmir.org/2024/1/e51727 |
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