Spatial accessibility of general inpatient care in Germany: an analysis of surgery, internal medicine and neurology.

Abstract:

:Improving spatial accessibility to hospitals is a major task for health care systems which can be facilitated using recent methodological improvements of spatial accessibility measures. We used the integrated floating catchment area (iFCA) method to analyze spatial accessibility of general inpatient care (internal medicine, surgery and neurology) on national level in Germany determining an accessibility index (AI) by integrating distances, hospital beds and morbidity data. The analysis of 358 million distances between hospitals and population locations revealed clusters of lower accessibility indices in areas in north east Germany. There was a correlation of urbanity and accessibility up to r = 0.31 (p < 0.001). Furthermore, 10% of the population lived in areas with significant clusters of low spatial accessibility for internal medicine and surgery (neurology: 20%). The analysis revealed the highest accessibility for heart failure (AI = 7.33) and the lowest accessibility for stroke (AI = 0.69). The method applied proofed to reveal important aspects of spatial accessibility i.e. geographic variations that need to be addressed. However, for the majority of the German population, accessibility of general inpatient care was either high or at least not significantly low, which suggests rather adequate allocation of hospital resources for most parts of Germany.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Bauer J,Klingelhöfer D,Maier W,Schwettmann L,Groneberg DA

doi

10.1038/s41598-020-76212-0

subject

Has Abstract

pub_date

2020-11-05 00:00:00

pages

19157

issue

1

issn

2045-2322

pii

10.1038/s41598-020-76212-0

journal_volume

10

pub_type

杂志文章
  • Odour-induced analgesia mediated by hypothalamic orexin neurons in mice.

    abstract::Various folk remedies employ certain odorous compounds with analgesic effects. In fact, linalool, a monoterpene alcohol found in lavender extracts, has been found to attenuate pain responses via subcutaneous, intraperitoneal, intrathecal, and oral administration. However, the analgesic effects of odorous compounds med...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep37129

    authors: Tashiro S,Yamaguchi R,Ishikawa S,Sakurai T,Kajiya K,Kanmura Y,Kuwaki T,Kashiwadani H

    更新日期:2016-11-15 00:00:00

  • Hypothermic Oxygenated Machine Perfusion of Liver Grafts from Brain-Dead Donors.

    abstract::Hypothermic oxygenated machine perfusion (HOPE) was introduced in liver transplantation (LT) to mitigate ischemia-reperfusion injury. Available clinical data mainly concern LT with donors after circulatory-determined death, whereas data on brain-dead donors (DBD) are scarce. To assess the impact of end-ischemic HOPE i...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-019-45843-3

    authors: Patrono D,Surra A,Catalano G,Rizza G,Berchialla P,Martini S,Tandoi F,Lupo F,Mirabella S,Stratta C,Salizzoni M,Romagnoli R

    更新日期:2019-06-27 00:00:00

  • Fibronectin synthesis, but not α-smooth muscle expression, is regulated by periostin in gingival healing through FAK/JNK signaling.

    abstract::During skin healing, periostin facilitates myofibroblast differentiation through a β1 integrin/FAK dependent mechanism and continued expression is associated with scarring. In contrast to skin, gingival tissue does not typically scar upon injury, but the role of periostin in gingival healing has never been investigate...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-35805-6

    authors: Kim SS,Nikoloudaki GE,Michelsons S,Creber K,Hamilton DW

    更新日期:2019-02-25 00:00:00

  • Association between preterm brain injury and exposure to chorioamnionitis during fetal life.

    abstract::Preterm infants are susceptible to inflammation-induced white matter injury but the exposures that lead to this are uncertain. Histologic chorioamnionitis (HCA) reflects intrauterine inflammation, can trigger a fetal inflammatory response, and is closely associated with premature birth. In a cohort of 90 preterm infan...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep37932

    authors: Anblagan D,Pataky R,Evans MJ,Telford EJ,Serag A,Sparrow S,Piyasena C,Semple SI,Wilkinson AG,Bastin ME,Boardman JP

    更新日期:2016-12-01 00:00:00

  • Dual-pump Kerr Micro-cavity Optical Frequency Comb with varying FSR spacing.

    abstract::In this paper, we demonstrate a novel dual-pump approach to generate robust optical frequency comb with varying free spectral range (FSR) spacing in a CMOS-compatible high-Q micro-ring resonator (MRR). The frequency spacing of the comb can be tuned by an integer number FSR of the MRR freely in our dual-pump scheme. Th...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep28501

    authors: Wang W,Chu ST,Little BE,Pasquazi A,Wang Y,Wang L,Zhang W,Wang L,Hu X,Wang G,Hu H,Su Y,Li F,Liu Y,Zhao W

    更新日期:2016-06-24 00:00:00

  • Magma plumbing system and seismicity of an active mid-ocean ridge volcano.

    abstract::At mid-ocean ridges volcanism generally decreases with spreading rate but surprisingly massive volcanic centres occur at the slowest spreading ridges. These volcanoes can host unexpectedly strong earthquakes and vigorous, explosive submarine eruptions. Our understanding of the geodynamic processes forming these volcan...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep42949

    authors: Schmid F,Schlindwein V,Koulakov I,Plötz A,Scholz JR

    更新日期:2017-02-20 00:00:00

  • Simultaneous bilateral total knee arthroplasty in patients with end-stage hemophilic arthropathy: a mean follow-up of 6 years.

    abstract::To investigate the safety, cost-effectiveness, and clinical outcomes of simultaneous bilateral total knee arthroplasty (TKA) in hemophilic arthropathy (HA), the requirements for transfusions, complications, costs, hospital stays, Hospital for Special Surgery (HSS) knee scores, knee range of motion (ROM) and revision r...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-19852-7

    authors: Jiang C,Zhao Y,Feng B,Zhai J,Bian Y,Qiu G,Weng X

    更新日期:2018-01-25 00:00:00

  • Intravenous C16 and angiopoietin-1 improve the efficacy of placenta-derived mesenchymal stem cell therapy for EAE.

    abstract::The placenta has emerged as an attractive source of mesenchymal stem cells (MSCs) because of the absence of ethical issues, non-invasive access, and abundant yield. However, inflammatory cell invasion into grafts negatively impacts the survival and efficacy of transplanted cells. Previous studies have shown that synth...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-22867-9

    authors: Tian KW,Zhang YY,Jiang H,Han S

    更新日期:2018-03-15 00:00:00

  • The neurophysiological correlates of religious chanting.

    abstract::Despite extensive research on various types of meditation, research on the neural correlates of religious chanting is in a nascent stage. Using multi-modal electrophysiological and neuroimaging methods, we illustrate that during religious chanting, the posterior cingulate cortex shows the largest decrease in eigenvect...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-019-40200-w

    authors: Gao J,Leung HK,Wu BWY,Skouras S,Sik HH

    更新日期:2019-03-12 00:00:00

  • One-pot synthesis of four-coordinate boron(III) complexes by the ligand-promoted organic group migration between boronic acids.

    abstract::Multidisciplinary applications of four-coordinate boron(III) complexes make them very attractive and challenging research field in chemistry, biology and material sciences. The dual role played by boron atom in stabilising the chelate ligand and enhancing the π-conjugation makes them very useful as luminescent materia...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-017-00236-2

    authors: Sadu VS,Bin HR,Lee DM,Lee KI

    更新日期:2017-03-21 00:00:00

  • Electrochemical monitoring of an important biomarker and target protein: VEGFR2 in cell lysates.

    abstract::Vascular endothelial growth factor receptor 2 (VEGFR2) is a potential cell-type biomarker in clinical diagnoses. Besides, it's the target protein of many tyrosine kinase inhibitors and its expression significantly associates with clinical performance of these inhibitors. VEGFR2 detection provides an early warning for ...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep03982

    authors: Wei T,Tu W,Zhao B,Lan Y,Bao J,Dai Z

    更新日期:2014-02-05 00:00:00

  • A controlled double-duration inducible gene expression system for cartilage tissue engineering.

    abstract::Cartilage engineering that combines competent seeding cells and a compatible scaffold is increasingly gaining popularity and is potentially useful for the treatment of various bone and cartilage diseases. Intensive efforts have been made by researchers to improve the viability and functionality of seeding cells of eng...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep26617

    authors: Ma Y,Li J,Yao Y,Wei D,Wang R,Wu Q

    更新日期:2016-05-25 00:00:00

  • Role of Early PET/CT Imaging with 68Ga-PSMA in Staging and Restaging of Prostate Cancer.

    abstract::Ga-68 Prostate-Specific Membrane Antigen PET/CT is a new tool for the assessment of prostate cancer. Standard imaging time is 60 minutes post injection of radiotracer. At 60 minutes, there is physiologic accumulation of radiotracer in the urinary bladder which may cause some lesions in its vicinity to be obscured. Our...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-59296-6

    authors: Barakat A,Yacoub B,Homsi ME,Saad Aldine A,El Hajj A,Haidar MB

    更新日期:2020-02-17 00:00:00

  • AlkB homolog 3-mediated tRNA demethylation promotes protein synthesis in cancer cells.

    abstract::The mammalian AlkB homolog (ALKBH) family of proteins possess a 2-oxoglutarate- and Fe(II)-dependent oxygenase domain. A similar domain in the Escherichia coli AlkB protein catalyzes the oxidative demethylation of 1-methyladenine (1-meA) and 3-methylcytosine (3-meC) in both DNA and RNA. AlkB homolog 3 (ALKBH3) was als...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep42271

    authors: Ueda Y,Ooshio I,Fusamae Y,Kitae K,Kawaguchi M,Jingushi K,Hase H,Harada K,Hirata K,Tsujikawa K

    更新日期:2017-02-13 00:00:00

  • Experimental study on mandibular length and facial symmetry of low estrogen level and anterior disc displacement of temporomandibular joint.

    abstract::This study was aimed at elucidating the changes of mandible symmetry in a rabbit model with low estrogen levels induced by ovariectomy (OVX) combined with temporomandibular joint (TMJ) anterior disc displacement without reduction (ADDWoR). 32 growing rabbits were randomly allocated into 4 groups; OVX group, ADDWoR gro...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-34023-4

    authors: Jiao Z,Wang X,Zhang X,Yang C

    更新日期:2018-10-23 00:00:00

  • Beyond Homozygosity Mapping: Family-Control analysis based on Hamming distance for prioritizing variants in exome sequencing.

    abstract::A major challenge in current exome sequencing in autosomal recessive (AR) families is the lack of an effective method to prioritize single-nucleotide variants (SNVs). AR families are generally too small for linkage analysis, and length of homozygous regions is unreliable for identification of causative variants. Vario...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep12028

    authors: Imai A,Nakaya A,Fahiminiya S,Tétreault M,Majewski J,Sakata Y,Takashima S,Lathrop M,Ott J

    更新日期:2015-07-06 00:00:00

  • Deconvoluting the Photonic and Electronic Response of 2D Materials: The Case of MoS2.

    abstract::Evaluating and tuning the properties of two-dimensional (2D) materials is a major focus of advancing 2D science and technology. While many claim that the photonic properties of a 2D layer provide evidence that the material is "high quality", this may not be true for electronic performance. In this work, we deconvolute...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-017-16970-6

    authors: Zhang K,Borys NJ,Bersch BM,Bhimanapati GR,Xu K,Wang B,Wang K,Labella M,Williams TA,Haque MA,Barnard ES,Fullerton-Shirey S,Schuck PJ,Robinson JA

    更新日期:2017-12-05 00:00:00

  • Core promoter information content correlates with optimal growth temperature.

    abstract::The subtle mechanisms by which protein-DNA interactions remain functional across a wide range of temperatures are largely unknown. In this work, we manually curated available information relating fully sequenced archaeal genomes with organism growth temperatures. We built a motif that represents the core promoter of e...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-19495-8

    authors: Aptekmann AA,Nadra AD

    更新日期:2018-01-22 00:00:00

  • Characterization of the dielectric properties of water and methanol in the D-band using a quasi-optical spectroscopy.

    abstract::This work presents the measurement of the permittivities of water and methanol in the D-band. Water is a reference medium for dielectric measurement. The dielectric permittivity of water in the millimeter wave range is a fundamental parameter in many applications, and needs to be investigated systematically. The measu...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-019-55126-6

    authors: Liu X,Yu J

    更新日期:2019-12-06 00:00:00

  • Amphibian responses in the aftermath of extreme climate events.

    abstract::Climate change-induced extinctions are estimated to eliminate one in six known species by the end of the century. One major factor that will contribute to these extinctions is extreme climatic events. Here, we show the ecological impacts of recent record warm air temperatures and simultaneous peak drought conditions i...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-60122-2

    authors: Bucciarelli GM,Clark MA,Delaney KS,Riley SPD,Shaffer HB,Fisher RN,Honeycutt RL,Kats LB

    更新日期:2020-02-25 00:00:00

  • Assessment of the physicochemical properties and bacterial composition of Lactobacillus plantarum and Enterococcus faecium-fermented Astragalus membranaceus using single molecule, real-time sequencing technology.

    abstract::We investigated if fermentation with probiotic cultures could improve the production of health-promoting biological compounds in Astragalus membranaceus. We tested the probiotics Enterococcus faecium, Lactobacillus plantarum and Enterococcus faecium + Lactobacillus plantarum and applied PacBio single molecule, real-ti...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-018-30288-x

    authors: Qiao H,Zhang X,Shi H,Song Y,Bian C,Guo A

    更新日期:2018-08-08 00:00:00

  • Epigenetic Regulation of Intronic Transgenes in Arabidopsis.

    abstract::Defense mechanisms of plant genomes can epigenetically inactivate repetitive sequences and exogenous transgenes. Loss of mutant phenotypes in intronic T-DNA insertion lines by interaction with another T-DNA locus, termed T-DNA suppression, has been observed in Arabidopsis thaliana, although the molecular basis of esta...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep45166

    authors: Osabe K,Harukawa Y,Miura S,Saze H

    更新日期:2017-03-24 00:00:00

  • Climate variability and outbreaks of infectious diseases in Europe.

    abstract::Several studies provide evidence of a link between vector-borne disease outbreaks and El Niño driven climate anomalies. Less investigated are the effects of the North Atlantic Oscillation (NAO). Here, we test its impact on outbreak occurrences of 13 infectious diseases over Europe during the last fifty years, controll...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep01774

    authors: Morand S,Owers KA,Waret-Szkuta A,McIntyre KM,Baylis M

    更新日期:2013-01-01 00:00:00

  • External Cesium-137 doses to humans from soil influenced by the Fukushima and Chernobyl nuclear power plants accidents: a comparative study.

    abstract::External exposure to gamma-photon irradiation from soil contamination due to nuclear power plant (NPP) accidents has significant contribution to human radiation exposure in the proximity of the NPP. Detailed absorbed doses in human organs are rarely reported in the literature. We applied the Monte Carlo Neutron Partic...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-64812-9

    authors: Wai KM,Krstic D,Nikezic D,Lin TH,Yu PKN

    更新日期:2020-05-13 00:00:00

  • Fully automated rapid quantification of Hepatitis C Virus RNA in human plasma and serum by integrated on-chip RT-qPCR and capillary electrophoresis.

    abstract::The quantification of hepatitis C virus (HCV) is essential for the management of chronic hepatitis C therapy. We have developed a fully automated microfluidic RT-qPCR system for rapid quantitative detection of HCV RNA in human EDTA-plasma and serum, and the performance of the method was assessed. The platform for the ...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-64169-z

    authors: Chan SDH,Toyoda H,Sanjeeviraman J,Souppe A,Iwamoto M,Wu W,Eto D,Tada T,Kumada T,Zhang JP

    更新日期:2020-04-30 00:00:00

  • Winner-loser effects overrule aggressiveness during the early stages of contests between pigs.

    abstract::Contest behaviour, and in particular the propensity to attack an unfamiliar conspecific, is influenced by an individual's aggressiveness, as well as by experience of winning and losing (so called 'winner-loser effects'). Individuals vary in aggressiveness and susceptibility to winner-loser effects but the relationship...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-69664-x

    authors: Oldham L,Camerlink I,Arnott G,Doeschl-Wilson A,Farish M,Turner SP

    更新日期:2020-08-07 00:00:00

  • Female Blow Flies As Vertebrate Resource Indicators.

    abstract::Rapid vertebrate diversity evaluation is invaluable for monitoring changing ecosystems worldwide. Wild blow flies naturally recover DNA and chemical signatures from animal carcasses and feces. We demonstrate the power of blow flies as biodiversity monitors through sampling of flies in three environments with varying h...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-019-46758-9

    authors: Owings CG,Banerjee A,Asher TMD,Gilhooly WP 3rd,Tuceryan A,Huffine M,Skaggs CL,Adebowale IM,Manicke NE,Picard CJ

    更新日期:2019-07-22 00:00:00

  • Imaging and radiation effects of gold nanoparticles in tumour cells.

    abstract::Gold nanoparticle radiosensitization represents a novel technique in enhancement of ionising radiation dose and its effect on biological systems. Variation between theoretical predictions and experimental measurement is significant enough that the mechanism leading to an increase in cell killing and DNA damage is stil...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/srep19442

    authors: McQuaid HN,Muir MF,Taggart LE,McMahon SJ,Coulter JA,Hyland WB,Jain S,Butterworth KT,Schettino G,Prise KM,Hirst DG,Botchway SW,Currell FJ

    更新日期:2016-01-20 00:00:00

  • ULK1 and ULK2 are less redundant than previously thought: computational analysis uncovers distinct regulation and functions of these autophagy induction proteins.

    abstract::Macroautophagy, the degradation of cytoplasmic content by lysosomal fusion, is an evolutionary conserved process promoting homeostasis and intracellular defence. Macroautophagy is initiated primarily by a complex containing ULK1 or ULK2 (two paralogs of the yeast Atg1 protein). To understand the differences between UL...

    journal_title:Scientific reports

    pub_type: 杂志文章

    doi:10.1038/s41598-020-67780-2

    authors: Demeter A,Romero-Mulero MC,Csabai L,Ölbei M,Sudhakar P,Haerty W,Korcsmáros T

    更新日期:2020-07-02 00:00:00

  • Corrigendum: BCIP: A gene-centered platform for identifying potential regulatory genes in breast cancer.

    abstract::This corrects the article DOI: 10.1038/srep45235. ...

    journal_title:Scientific reports

    pub_type: 杂志文章,已发布勘误

    doi:10.1038/srep46913

    authors: Wu J,Hu S,Chen Y,Li Z,Zhang J,Yuan H,Shi Q,Shao N,Ying X

    更新日期:2017-12-22 00:00:00