Geography of Health and Location of Health Facilities
İÇİNDEKİLERCONTENTS CHAPTER ONE 1. INTRODUCTION CHAPTER TWO 2. THE REVIEW OF THE HEALTH SERVICE SYSTEM, THE SUBSYSTEMS AND THE COMPONENTS 2.1. The Supply of Health Services 2.1.1. Scope, Classification and Characteristics of the Supply of Health Services 2.1.2. The Organization of Supply and the Structure Subsystem 2.1.3. Cost Curves, Economies of Scale and Optimum Size of Health Facilities 2.1.4. Ways of Utilizing and Integrating Cost Analyses Into the Health System 2.2. The Demand for Health Services 2.2.1. Conceptual Explanation on Demand for Health Services 2.2.2. Different Approaches for the Calculation of the Need for Medical Care 2.2.3. Utilization Studies 2.2.4. The Derivation of Demand Functions for Health Services 2.2.5. Conclusions and Proposed Demand Analysis 2.3. The Problems of Location of Health Service Facilities 2.3.1. Distance Measurement and Service Area Delineation Problems 2.3.2. Proposed Distance Measurement and Reconsideration of Demand and Supply 2.3.3. The Problems Involved in Location ModelsCHAPTER THREE 3. THE DESCRIPTIVE ANALYSIS OF THE CONSUMER POPULATION 3.1. Definition of the Survey 3.2. The Spatial Distribution of the Nonspatial Attributes of the Households 3.3. The Variations in the Demand Variables of the Districts 3.4. The District Clusters CHAPTER FOUR 4. CHARACTERISTICS OF THE PROVIDER 4.1. Total Service Population of the Health Facilities 4.2. The Characteristics of the Service Population and the Service Areas of Facilities Excluding Hospitals 4.3. The Analysis of Hospitals 4.3.1. The Service Area and Some Characteristics of the Service Population of the Seven Hospitals 4.3.2. The Calculated Attraction Indices and the Size and Scale of the Hospitals 4.3.3. Distance-Decay Functions CHAPTER FIVE 5. PREDICTION OF DEMAND WITH A GRAVITY-TYPE MODEL 5.1. Definition of the Problem 5.2. Calculation of Expected Visits 5.2.1. First Approach 5.2.2. Second Approach 5.2.3. Third Approach 5.2.4. Comparison of the Three Approaches 5.3. The Relationship Between U/U' and d 5.4. Evaluation of the Outcomes of the Model 5.4.1. Evaluation of Values 5.4.2. Total Over utilization of Hospitals Determined by the Third Approach and Hospital Utilization Rates 5.4.3. Using A. Values to Redefine Hospital Service Areas (Market Penetration)CHAPTER SIX 6. ACCESSIBILITY 6.1. Development of the Model to Define Another Determinant of Utilization: Accessibility 6.2. Spatial Attributes of the Districts: Calculation of the Districts' Accessibility Indices (Vi andZi) 6.3. Evaluation of the Behavior of the Districts With Respect to Vi and Zi Values 6.3.1. The Districts With High Zi and High Vi Values 6.3.2. The Districts With High Zi and Low Vi Values 6.3.3. The Districts With Low Zi Values 6.3.4. Comparison of the Behavior of Low-Income Districts 6.4. Further Explanations With Zi and Vi Values 6.4.1. The difference between the Spatial Opportunities and the Ability to Acquire These Opportunities 6.4.2. Total Distance Traveled by the Districts CHAPTER SEVEN 7. DETERMINANTS OF UTILIZATION 7.1. Clusters Redefined 7.2. Factors Determining Utilization Patterns of Clusters: Regression Analysis 7.3. The "0-1 Matrix" for the Determination of the Factors of Utilization CHAPTER EIGHT 8. CONCLUSION APPENDIX A: TABLES APPENDIX B: KEYS AND CLASSIFICATIONS Keys to Category Numbers Used in the Survey Classifications of Health Services APPENDIX C: MAPS OF CHAPTER FIVE Using Values to Redefine Hospital Service Areas REFERENCES  |
