Delineating Hierarchical Hospital Service Areas in Florida.
Hospital service area ( HSA) and hospital referral region ( HRR), known as a hierarchical HSA system, have been used as analysis units in a growing body of large-scale studies of healthcare spending, utilization, and outcome in the United States. However, the popular Dartmouth HSAs and HRRs were pro...
| Publicado en: | Geographical Review Vol. 107; no. 4; pp. 608 - 624 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Taylor & Francis Ltd
Oct2017
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=125298359&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 125298359 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00167428 GOR jtl: Geographical Review issn: 00167428 maglogo: N pubinfo: dt: Oct2017 vid: 107 iid: 4 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 125298359 10.1111/j.1931-0846.2016.12207.x ppf: 608 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P size: 288KB tig: atl: Delineating Hierarchical Hospital Service Areas in Florida. aug: au: Jia, Peng Wang, Fahui Xierali, Imam M. su: Florida Hospitals Hospital care Hospital utilization Tertiary care Central places sug: subj: Hospitals Hospital care Florida General Medical and Surgical Hospitals General (except paediatric) hospitals Specialty (except Psychiatric and Substance Abuse) Hospitals Hospital utilization Tertiary care Central places keyword: central place theory distance‐decay function distance-decay function hospital referral regions ( HRRs) hospital referral regions (HRRs) hospital service areas ( HSAs) hospital service areas (HSAs) Huff Model State Inpatient Database ( SID) State Inpatient Database (SID) central place theory distance‐decay function distance-decay function hospital referral regions ( HRRs) hospital referral regions (HRRs) hospital service areas ( HSAs) hospital service areas (HSAs) Huff Model State Inpatient Database ( SID) State Inpatient Database (SID) ab: Hospital service area ( HSA) and hospital referral region ( HRR), known as a hierarchical HSA system, have been used as analysis units in a growing body of large-scale studies of healthcare spending, utilization, and outcome in the United States. However, the popular Dartmouth HSAs and HRRs were produced more than two decades ago and are unable to represent contemporary healthcare markets. This research uses a revised Huff Model to delineate two levels of hospital service areas in Florida, resulting in sixty-four HSAs nested in twenty-one HRRs. Three elements distinguish our method from existing work. First, a best-fitting distance-decay function derived from the actual travel pattern of hospitalization is embedded in the Huff Model to strengthen the model's theoretical foundation in individual spatial behavior. Secondly, the hierarchal central place structure is supported by the differing travel-friction coefficients for general versus specialized patients; general patients experience a steeper gradient and thus a shorter average travel range that supports delineating more HSAs of smaller area size, and specialized patients exhibit a flatter gradient and thus a longer average travel range that leads to fewer HRRs of large-sized areas. Finally, the delineation method automated in geographic information systems ( GIS) can be easily replicated in other regions to define large-scale and consistent hierarchical HSA systems. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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