[Travel time to memory clinics in Bavaria: A geographical analyses within the framework of digiDEM Bayern].

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Gesundheitswesen Pub Date : 2024-04-01 Epub Date: 2024-04-05 DOI:10.1055/a-2233-6168

Jana Rühl, Sebastian T Brinkmann, Dominik Schaufler, Elmar Gräßel, Blake Byron Walker, Peter Kolominsky-Rabas

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引用次数: 0

Abstract

Background: Memory clinics can contribute significantly to a qualified diagnosis of dementia. Since the accessibility of medical facilities is an important predictor for their utilisation, the aim of this study was to determine the accessibility of memory clinics for persons with dementia in Bavaria.

Methods: We used a Geographic Information System (GIS) to determine travel times to the nearest memory clinic for all Bavarian municipalities based on OpenStreetMap road network data.

Results: The majority of the modelled persons with dementia in Bavaria (40%; n = 93,950) live in communities with an average travel time of 20 to 40 minutes to the nearest memory clinic. Almost 7,000 (3%) require more than one hour. Especially persons from rural communities have to travel significantly longer distances than people from urban areas.

Conclusion: In view of demographic developments, there is an urgent need for memory clinics to be accessible throughout the country for all persons with dementia, regardless of where they live. The systematic development of memory clinics in areas with long travel times or the establishment of mobile diagnostic services could help to improve dementia care.

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[前往巴伐利亚记忆诊所的旅行时间：巴伐利亚数字化医疗中心框架内的地理分析]。

背景：记忆门诊可为痴呆症的合格诊断做出重要贡献。由于医疗设施的可及性是预测其利用率的一个重要因素，本研究旨在确定巴伐利亚州痴呆症患者前往记忆诊所的可及性：方法：我们使用地理信息系统（GIS），根据 OpenStreetMap 的路网数据，确定巴伐利亚州所有城市到最近的记忆诊所的旅行时间：巴伐利亚州大多数痴呆症患者（40%；n = 93,950）所居住的社区距离最近的记忆诊所平均需要 20 到 40 分钟的路程。将近 7000 人（3%）需要一个多小时。特别是来自农村社区的人需要走的路要比来自城市地区的人长得多：鉴于人口结构的发展，迫切需要在全国范围内为所有痴呆症患者提供记忆诊所，无论他们居住在哪里。在交通时间较长的地区有计划地发展记忆诊所或建立流动诊断服务，有助于改善痴呆症护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

18.20%

发文量

308

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