Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)

<p>Abstract</p> <p>Objective</p> <p>While access and utilization form core components in assessing the effectiveness of a health service, the concept of coverage is often neglected. In this study we propose to develop a GIS-based methodological framework for the measure...

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Main Authors: Lee Shui Shan, Pang Tak Ting P
Format: Article
Language:English
Published: BMC 2008-01-01
Series:International Journal of Health Geographics
Online Access:http://www.ij-healthgeographics.com/content/7/1/5
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author Lee Shui Shan
Pang Tak Ting P
author_facet Lee Shui Shan
Pang Tak Ting P
author_sort Lee Shui Shan
collection DOAJ
description <p>Abstract</p> <p>Objective</p> <p>While access and utilization form core components in assessing the effectiveness of a health service, the concept of coverage is often neglected. In this study we propose to develop a GIS-based methodological framework for the measurement of district-based geographic coverage to examine the service effectiveness of methadone treatment programme (MTP) in Hong Kong on a regular basis.</p> <p>Methods</p> <p>To overcome the incompatibility of spatial units, population data and data of heroin addiction of the year 2001 are interpolated by population-weighted and area-weighted algorithms. Standard overlay and proximity analytical functions are used to delineate altogether 20 accessible zones around each methadone clinic at a fixed 1.5 km Euclidean distance. Geographic coverage here is defined as the percentage of heroin addicts covered by a methadone clinic within the accessible zone by district.</p> <p>Results</p> <p>A total of 6413 out of 11000 reported heroin addicts are found geographically covered. The average geographic coverage in Hong Kong is 44.6%, with the figure varying from 0% to 96% by district. One district having no clinic results in 0% coverage whereas another without a clinic yields 15.3% coverage from the clinic in adjacent district. Maps illustrating district-based geographic coverage are generated.</p> <p>Conclusion</p> <p>As continuous data collection is required for a monitoring system, the simplified approach facilitates the handling of large volume data and relevant data analysis. It is concluded that the number of methadone clinics is as important as their locations. Geographic coverage could become an important consideration for monitoring harm reduction.</p>
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spelling doaj.art-c357bccf1fa747c0a69aeedeb030fab82022-12-22T01:56:36ZengBMCInternational Journal of Health Geographics1476-072X2008-01-0171510.1186/1476-072X-7-5Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)Lee Shui ShanPang Tak Ting P<p>Abstract</p> <p>Objective</p> <p>While access and utilization form core components in assessing the effectiveness of a health service, the concept of coverage is often neglected. In this study we propose to develop a GIS-based methodological framework for the measurement of district-based geographic coverage to examine the service effectiveness of methadone treatment programme (MTP) in Hong Kong on a regular basis.</p> <p>Methods</p> <p>To overcome the incompatibility of spatial units, population data and data of heroin addiction of the year 2001 are interpolated by population-weighted and area-weighted algorithms. Standard overlay and proximity analytical functions are used to delineate altogether 20 accessible zones around each methadone clinic at a fixed 1.5 km Euclidean distance. Geographic coverage here is defined as the percentage of heroin addicts covered by a methadone clinic within the accessible zone by district.</p> <p>Results</p> <p>A total of 6413 out of 11000 reported heroin addicts are found geographically covered. The average geographic coverage in Hong Kong is 44.6%, with the figure varying from 0% to 96% by district. One district having no clinic results in 0% coverage whereas another without a clinic yields 15.3% coverage from the clinic in adjacent district. Maps illustrating district-based geographic coverage are generated.</p> <p>Conclusion</p> <p>As continuous data collection is required for a monitoring system, the simplified approach facilitates the handling of large volume data and relevant data analysis. It is concluded that the number of methadone clinics is as important as their locations. Geographic coverage could become an important consideration for monitoring harm reduction.</p>http://www.ij-healthgeographics.com/content/7/1/5
spellingShingle Lee Shui Shan
Pang Tak Ting P
Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
International Journal of Health Geographics
title Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
title_full Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
title_fullStr Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
title_full_unstemmed Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
title_short Measuring the geographic coverage of methadone maintenance programme in Hong Kong by using geographic information system (GIS)
title_sort measuring the geographic coverage of methadone maintenance programme in hong kong by using geographic information system gis
url http://www.ij-healthgeographics.com/content/7/1/5
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AT pangtaktingp measuringthegeographiccoverageofmethadonemaintenanceprogrammeinhongkongbyusinggeographicinformationsystemgis