Physician accessibility: An urban case study of pediatric providers

Mark F. Guagliardo, Cynthia R. Ronzio, Ivan Cheung, Elizabeth Chacko, Jill G Joseph

Research output: Contribution to journalArticle

109 Citations (Scopus)

Abstract

Social disparity in the spatial distribution of healthcare providers in urban areas is a recognized problem. However, efforts to quantify the problem have been hampered by a lack of satisfactory measurements and methods. We revive and enhance a strategy based on provider density, proposed nearly three decades ago. The method avoids the border-crossing problem associated with provider-population ratios, yet reports spatial accessibility in intuitive units that are easily compared across diverse populations and geographies. We find racial and socioeconomic disparities in our case city, Washington, DC, despite a citywide overabundance of primary care providers for children.

Original languageEnglish (US)
Pages (from-to)273-283
Number of pages11
JournalHealth and Place
Volume10
Issue number3
DOIs
StatePublished - Sep 2004
Externally publishedYes

Fingerprint

accessibility
physician
Pediatrics
Physicians
Geography
Emigration and Immigration
Health Personnel
health care
Population
Primary Health Care
urban area
spatial distribution
geography
lack
method
urban study
city
border
socioeconomics

Keywords

  • Children
  • Primary care
  • Social disparity
  • Spatial accessibility
  • Urban

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Development
  • Geography, Planning and Development
  • Health(social science)

Cite this

Physician accessibility : An urban case study of pediatric providers. / Guagliardo, Mark F.; Ronzio, Cynthia R.; Cheung, Ivan; Chacko, Elizabeth; Joseph, Jill G.

In: Health and Place, Vol. 10, No. 3, 09.2004, p. 273-283.

Research output: Contribution to journalArticle

Guagliardo, Mark F. ; Ronzio, Cynthia R. ; Cheung, Ivan ; Chacko, Elizabeth ; Joseph, Jill G. / Physician accessibility : An urban case study of pediatric providers. In: Health and Place. 2004 ; Vol. 10, No. 3. pp. 273-283.
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