Abstract：
BACKGROUND:In the past two decades, the number of maternity hospitals in Finland has been reduced from 42 to 22. Notwithstanding the benefits of centralization for larger units in terms of increased safety, the closures will inevitably impair geographical accessibility of services. METHODS:This study aimed to employ a set of location-allocation methods to assess the potential impact on accessibility, should the number of maternity hospitals be reduced from 22 to 16. Accurate population grid data combined with road network and hospital facilities data is analyzed with three different location-allocation methods: straight, sequential and capacitated p-median. RESULTS:Depending on the method used to assess the impact of further reduction in the number of maternity hospitals, 0.6 to 2.7% of mothers would have more than a two-hour travel time to the nearest maternity hospital, while the corresponding figure is 0.5 in the current situation. The analyses highlight the areas where the number of births is low, but a maternity hospital is still important in terms of accessibility, and the areas where even one unit would be enough to take care of a considerable volume of births. CONCLUSIONS:Even if the reduction in the number of hospitals might not drastically harm accessibility at the level of the entire population, considerable changes in accessibility can occur for clients living close to a maternity hospital facing closure. As different location-allocation analyses can result in different configurations of hospitals, decision-makers should be aware of their differences to ensure adequate accessibility for clients, especially in remote, sparsely populated areas.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Huotari T,Rusanen J,Keistinen T,Lähderanta T,Ruha L,Sillanpää MJ,Antikainen Hdoi
10.1186/s12913-020-05222-5subject
Has Abstractpub_date
2020-04-21 00:00:00pages
337issue
1issn
1472-6963pii
10.1186/s12913-020-05222-5journal_volume
20pub_type
杂志文章abstract：OBJECTIVES:Many European countries face challenges in long-term care for older people, such as the growing number of older people requiring care, the increasing complexity of their health care problems, and a decreasing workforce that is inadequately prepared. Optimizing the staff and skill mix of health care teams may...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3812-4
更新日期：2018-12-20 00:00:00
abstract：BACKGROUND:Since 1950, the hospitals had been permitted to take a 15% mark-up of drug purchase price to remedy the loss of public hospitals and doctors' salaries in China due to tight government budget. This policy resulted in an increasing over-prescriptions which increased burden for patients eventually. The soaring ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05378-0
更新日期：2020-06-08 00:00:00
abstract：BACKGROUND:Nepal has made a significant improvement in child survival in the last few decades and the involvement of female community health volunteers (FCHVs) has been crucial in such achievement. While there have been many studies on child health in Nepal however, rarely explored the status and factors associated wit...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05424-x
更新日期：2020-06-19 00:00:00
abstract：BACKGROUND:There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. The aim of this study was to identify the relationships between general practitioner (GP) co-location ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-2913-4
更新日期：2018-02-21 00:00:00
abstract：BACKGROUND:To estimate the prevalence of pain among people aged 45 years and older in China, to analyze the effect factors of pain and pain related economic burden. METHODS:Nationally representative sample was derived from China Health and Retirement Longitudinal Study (CHARLS). Pain data, medical cost data were obtai...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05461-6
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:The existence of publicly-accessible datasets comprised a significant opportunity for health services research to evolve into a science that supports health policy making and evaluation, proper inter- and intra-organizational decisions and optimal clinical interventions. This paper investigated the role of p...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-197
更新日期：2009-10-29 00:00:00
abstract：BACKGROUND:Clinical documentation systems, such as templates, have been associated with process utilization. The T-System emergency department (ED) templates are widely used but lacking are analyses of the templates association with processes. This system is also unique because of the many different template options av...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-65
更新日期：2011-03-24 00:00:00
abstract：BACKGROUND:Abortion related deaths as a proportion of maternal mortality appears to have fallen dramatically in Bangladesh from 5 % in 2001 to 1 % in 2010. Yet complications from menstrual regulation (MR) and unsafe abortion continue to cause deleterious health, economic and social consequences for women in the country...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1115-6
更新日期：2015-09-28 00:00:00
abstract：BACKGROUND:Continuity of care has been explored largely from academic and service provider perspectives, and in relation to adult patient/client groups. We interviewed parents of children with complex chronic health conditions to examine how their experiences and perceptions of continuity of care fit with these perspec...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-242
更新日期：2009-12-21 00:00:00
abstract：BACKGROUND:Client satisfaction is the best indicator of quality service provision and has been found to correlate with continuity of care perceived by the client. The measurement of client satisfaction helps in understanding willingness and decisions to return for future services. Thus, this study aimed at assessing th...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4475-5
更新日期：2019-09-02 00:00:00
abstract：BACKGROUND:Poor adherence is the main barrier to the effectiveness of HIV medication. The objective of this study was to explore and conceptualize patterns and difficulties in physicians' work with patients' adherence to HIV medication. No previous studies on this subject have directly observed physicians' behavior. M...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-154
更新日期：2006-12-04 00:00:00
abstract：BACKGROUND:The Birmingham Free Clinic (BFC) in Pittsburgh, Pennsylvania, USA is a free, walk-in clinic that serves medically uninsured populations through the use of volunteer health care providers and an on-site medication dispensary. The introduction of an electronic medical record (EMR) has improved several aspects ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1308-7
更新日期：2016-02-19 00:00:00
abstract：BACKGROUND:Risperidone long-acting injection (LAI) is mostly administered twice weekly to people with schizophrenia by nurses at community mental health centres (CMHC) or through mobile outreach visits. This study estimates the cost of resource utilisation associated with the administration of risperidone LAI and the p...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-236
更新日期：2011-09-26 00:00:00
abstract：:Following publication of the original article [1], the author reported that their first names and last names were swapped. The original article has been corrected. ...
journal_title：BMC health services research
pub_type： 杂志文章,已发布勘误
doi：10.1186/s12913-018-3597-5
更新日期：2018-10-11 00:00:00
abstract：BACKGROUND:Informal caregivers' (CGs') subjective burden is an important aspect of the care situation because it is linked to various outcomes such as health, mortality risk, institutionalization, and caregiving style. The aims of this study were a) to examine the convergent and discriminant validity of the 10-item sho...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3047-4
更新日期：2018-04-02 00:00:00
abstract：BACKGROUND:Tuberculosis (TB) patients have difficulty following a long-term treatment regimen. Efforts to improve treatment outcomes require better understanding of adherence as a complex behavioral issue and of the particular barriers to and facilitators of patient adherence. METHODS:This study was carried out in Jia...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-169
更新日期：2009-09-18 00:00:00
abstract：BACKGROUND:Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their disease, improving clinical outcomes and their quality of life. However, many patients with T2DM do not ac...
journal_title：BMC health services research
pub_type： 临床试验,杂志文章
doi：10.1186/s12913-019-4572-5
更新日期：2019-11-08 00:00:00
abstract：BACKGROUND:There has been a recent growth in health provider search portals, where patients specify filters-such as specialty or insurance-and providers are ranked by patient ratings or other attributes. Previous work has identified attributes associated with a provider's quality through user surveys. Other work suppor...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1338-1
更新日期：2016-03-14 00:00:00
abstract：:An amendment to this paper has been published and can be accessed via the original article. ...
journal_title：BMC health services research
pub_type： 杂志文章,已发布勘误
doi：10.1186/s12913-020-05545-3
更新日期：2020-07-22 00:00:00
abstract：BACKGROUND:The increasing number of patients co-affected with Diabetes and TB may place individuals with low socio-economic status at particular risk of persistent poverty. Kyrgyz health sector reforms aim at reducing this burden, with the provision of essential health services free at the point of use through a State-...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1369-7
更新日期：2016-04-05 00:00:00
abstract：BACKGROUND:Diabetic retinopathy (DR) is the commonest cause of preventable blindness in working age populations, but up to 98% of visual loss secondary to DR can be prevented with early detection and treatment. In 2012, an innovative outreach DR screening model was implemented in remote communities in a state of Austra...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2045-2
更新日期：2017-02-22 00:00:00
abstract：BACKGROUND:Measurement of healthcare spatial access over a network involves accounting for demand, supply, and network structure. Popular approaches are based on floating catchment areas; however the methods can overestimate demand over the network and fail to capture cascading effects across the system. METHODS:Optim...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0919-8
更新日期：2015-07-17 00:00:00
abstract：BACKGROUND:Although general practitioners (GPs) and community pharmacists (CPs) are encouraged to collaborate, a true collaborative relationship does not exist between them. Our objective was to identify and analyze factors affecting GP-CP collaboration. METHODS:This was a descriptive-exploratory qualitative study car...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-188
更新日期：2012-07-07 00:00:00
abstract：BACKGROUND:The decision to obtain a computed tomography CT scan in the emergency department (ED) is complex, including a consideration of the risk posed by the test itself weighed against the importance of obtaining the result. In patients with limited access to primary care follow up the consequences of not making a d...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-2958-4
更新日期：2018-03-02 00:00:00
abstract：BACKGROUND:Access to health care is a particular concern given the important role of poor access in perpetuating poverty and inequality. South Africa's apartheid history leaves large racial disparities in access despite post-apartheid health policy to increase the number of health facilities, even in remote rural areas...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0541-1
更新日期：2014-11-04 00:00:00
abstract：BACKGROUND:This study aims to identify the statistical software applications most commonly employed for data analysis in health services research (HSR) studies in the U.S. The study also examines the extent to which information describing the specific analytical software utilized is provided in published articles repor...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-252
更新日期：2011-10-06 00:00:00
abstract：BACKGROUND:Since 2003 and 2005, National Pilot Medical Financial Assistance Scheme (MFA) has been implemented in rural and urban areas of China to improve the poorest families' accessibility to health services. Local governments of the pilot areas formulated various benefit packages. Comparative evaluation research on ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-170
更新日期：2010-06-17 00:00:00
abstract：BACKGROUND:The health care delivery system in the United States is facing cost and quality pressures that will require fundamental changes to remain viable. The optimal structures of the relationships between the hospital, medical school, and physicians have not been determined but are likely to have a large impact on ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-57
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:People with spinal cord injury (SCI) suffer from complex secondary health conditions and rely on specialized health care services, which are often centralized and difficult to reach for individuals living in remote areas. As a consequence, they might move to regions where they expect better access to care. T...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3449-3
更新日期：2018-08-22 00:00:00
abstract：BACKGROUND:Guidelines recommend shared decision making (SDM) for determining whether to use statins to prevent cardiovascular events in at-risk patients. We sought to develop a toolkit to facilitate the cross-organizational spread and scale of a SDM intervention called the Statin Choice Conversation Aid (SCCA) by (i) a...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4055-8
更新日期：2019-04-24 00:00:00
