Accessibility and Utilization: Geographical Perspectives on by Alun E Joseph, David Phillips

By Alun E Joseph, David Phillips

This ebook combines a wide-ranging theoretical view of accessibility and usage with empirical event from numerous similar health-care supply platforms - these of the uk, the USA, Canada, Australia and New Zealand. The authors specialise in fundamental health-care provision, but in addition reflect on secondary and tertiary amenities. the place past clinical geography texts have handled sickness ecology, this ebook offers a complete evaluation of contemporary geographical study into the well-being provider procedure and its usage. The booklet is obviously dependent and good written, permitting scholars to know the necessities of the topic. The skilful use of references will enable extra complicated scholars to keep on with up the themes in higher element.

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Moreover, 'other things' are rarely equal; geographical factors are not the only ones relevant to a consideration of health care delivery. Indeed, the interplay and relative importance of various sets of factors affecting access to health care is, in itself, an important area for discussion. Supply of service is a prerequisite for accessibility. Unless services are 'available', there can be no consideration of the factors, geographical or otherwise, that differentially influence the access of individuals or groups to needed services.

In spatial terms, this health service hierarchy is superficially analogous in form to the central place system familiar to most geographers (Shannon and Dever 1974). However, in terms of operation, the health care delivery hierarchy functions differently from a central place system. medica l school resea rch fa cilities auxiliaries ' school postgradua te me dica l tr aining ProfeSSional . medica l and paramedical. medical speCialists. research sClenr ists . aUXiliary \ Regional Health Centre j o/~~~.

At this juncture we focus on the interplay of these socio-economic factors (whatever their interconnection) with those of a geographical nature. Ifhealth care was a simple good, that is, a uniform service was available at identical facilities, then the situation would be relatively simple, at least in principle. The absolute extent of socio-economic barriers, based upon cost of service or whatever, would depend upon prevailing societal attitudes, preferences, and priorities as manifested in the health care delivery system.

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