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Impact of climate change on dengue fever: a bibliometric analysis. 气候变化对登革热的影响:文献计量学分析。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-02-19 DOI: 10.4081/gh.2025.1301
Mai Liu, Yin Zhang
{"title":"Impact of climate change on dengue fever: a bibliometric analysis.","authors":"Mai Liu, Yin Zhang","doi":"10.4081/gh.2025.1301","DOIUrl":"10.4081/gh.2025.1301","url":null,"abstract":"<p><p>Dengue is the most widespread and fastest-growing vectorborne disease worldwide. We employed bibliometric analysis to provide an overview of research on the impact of climate change on dengue fever focusing on both global and Southeast Asian regions. Using the Web of Science Core Collection (WoSCC) database, we reviewed studies on the impact of climate change on dengue fever between 1974 and 2022 taking into account study locations and international collaboration. The VOS viewer software (https://www.vosviewer.com/) and the Bibliometrix R package (https://www.bibliometrix.org/) were used to visualise country networks and keywords. We collected 2,055 relevant articles published globally between 1974 and 2022 on the impact of climate change on dengue fever, 449 of which published in Southeast Asia. Peaking in 2021, the overall number of publications showed a strong increase in the period 2000-2022. The United States had the highest number of publications (n=558) followed by China (261) and Brazil (228). Among the Southeast Asian countries, Thailand had most publications (n=123). Global and Southeast Asian concerns about the impact of climate change on dengue fever are essentially the same. They all emphasise the relationship between temperature and other climatic conditions on the one hand and the transmission of Aedes aegypti on the other. A significant positive correlation exists between the number of national publications and socioeconomic index and between international collaboration and scientific productivity in the field. Our study demonstrates the current state of research on the impact of climate change on dengue and provides a comparative analysis of the Southeast Asian region. Publication output in Southeast Asia lags behind that of major countries worldwide, and various strategies should be implemented to improve international collaboration, such as increasing the number of international collaborative projects and providing academic resources and research platforms for researchers.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatio-temporal analysis of foot traffic dynamics in Charleston County, South Carolina: before, during, and after COVID-19ston County, South Carolina: Before, During, and After COVID-19. 南卡罗来纳州查尔斯顿县:2019冠状病毒病之前、期间和之后的人流量动态时空分析
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-06-23 DOI: 10.4081/gh.2025.1363
Wish Shao, Abolfazl Mollalo, Navid Hashemi Tonekaboni
{"title":"Spatio-temporal analysis of foot traffic dynamics in Charleston County, South Carolina: before, during, and after COVID-19ston County, South Carolina: Before, During, and After COVID-19.","authors":"Wish Shao, Abolfazl Mollalo, Navid Hashemi Tonekaboni","doi":"10.4081/gh.2025.1363","DOIUrl":"https://doi.org/10.4081/gh.2025.1363","url":null,"abstract":"<p><p>While the COVID-19 pandemic significantly disrupted urban mobility in general, its effects on spatio-temporal foot traffic patterns remain insufficiently explored. This study addresses this issue by analysing foot traffic dynamics across various regions of Charleston County, South Carolina, before, during and after the pandemic. We examined changes across nine distinct stages of the pandemic from 2018 to 2022 at the sub-county level, utilizing point of interest data and public health records. Various machine learning models, including Random Forest, were employed to predict foot traffic trends, achieving high predictive accuracy with an R2 value of 0.88. Our findings reveal varying foot traffic patterns across the county. Prior to the pandemic, foot traffic was generally consistent across county subdivisions, maintaining steady levels in each area. The onset of the pandemic led to significant decreases in foot traffic across most subdivisions, followed by gradual recovery, with some areas surpassing pre-pandemic levels. These results underscore the need for tailored crisis management and urban planning, particularly in midsized counties with similar structures to inform more effective resource allocation and improve risk management in public safety during public health crises.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moran's I and Geary's C: investigation of the effects of spatial weight matrices for assessing the distribution of infectious diseases. Moran's I 和 Geary's C:调查空间权重矩阵对评估传染病分布的影响。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-04-07 DOI: 10.4081/gh.2025.1277
Sarah Isnan, Ahmad Fikri Bin Abdullah, Abdul Rashid Shariff, Iskandar Ishak, Sharifah Norkhadijah Syed Ismail, Maheshwara Rao Appanan
{"title":"Moran's <i>I</i> and Geary's <i>C</i>: investigation of the effects of spatial weight matrices for assessing the distribution of infectious diseases.","authors":"Sarah Isnan, Ahmad Fikri Bin Abdullah, Abdul Rashid Shariff, Iskandar Ishak, Sharifah Norkhadijah Syed Ismail, Maheshwara Rao Appanan","doi":"10.4081/gh.2025.1277","DOIUrl":"10.4081/gh.2025.1277","url":null,"abstract":"<p><p>The COVID-19 outbreak has precipitated severe occurrences on a global scale. Hence, spatial analysis is crucial in determining the relationships and patterns of geospatial data. Moran's I and Geary's C are prominent methodologies used to measure the spatial autocorrelation of geographical data. Both measure the degree of similarity or dissimilarity between nearby locations based on attribute values in such a way that the selection of distance techniques and weight matrices significantly impact the spatial autocorrelation results. This paper aimed at carrying out the spatial epidemiological characteristics analysis of the pandemic comparing the results of Moran's I and Geary's C with different parameters to gain a comprehensive understanding of the spatial relationship of COVID-19 cases. We employed distance-based techniques, K-nearest neighbour, and Queen contiguity techniques to assess the sensitivity of the different parameter configurations for both Moran's I and Geary's C. The findings revealed that former provided more reliable and robust results compared to the latter, with consistent results of spatial autocorrelation (positive spatial autocorrelation). The distance weight of 0.05 using the Manhattan method of Moran's I is the recommended distance weight, as it outperformed other weight matrices (Moran's I = 0.0152, Z-value= 110.8844 and p-value=0.001).</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Land surface temperature predicts mortality due to chronic obstructive pulmonary disease: a study based on climate variables and impact machine learning. 地表温度预测慢性阻塞性肺病的死亡率:一项基于气候变量和影响机器学习的研究。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-03-26 DOI: 10.4081/gh.2025.1319
Alireza Mohammadi, Bardia Mashhoodi, Ali Shamsoddini, Elahe Pishgar, Robert Bergquist
{"title":"Land surface temperature predicts mortality due to chronic obstructive pulmonary disease: a study based on climate variables and impact machine learning.","authors":"Alireza Mohammadi, Bardia Mashhoodi, Ali Shamsoddini, Elahe Pishgar, Robert Bergquist","doi":"10.4081/gh.2025.1319","DOIUrl":"10.4081/gh.2025.1319","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic Obstructive Pulmonary Disease (COPD) mortality rates and global warming have been in the focus of scientists and policymakers in the past decade. The long-term shifts in temperature and weather patterns, commonly referred to as climate change, is an important public health issue, especially with regard to COPD.</p><p><strong>Method: </strong>Using the most recent county-level age-adjusted COPD mortality rates among adults older than 25 years, this study aimed to investigate the spatial trajectory of COPD in the United States between 2001 and 2020. Global Moran's I was used to investigate spatial relationships utilising data from Terra satellite for night-time land surface temperatures (LSTnt), which served as an indicator of warming within the same time period across the United States. The forest-based classification and regression model (FCR) was applied to predict mortality rates.</p><p><strong>Results: </strong>It was found that COPD mortality over the 20-year period was spatially clustered in certain counties. Moran's I statistic (I=0.18) showed that the COPD mortality rates increased with LSTnt, with the strongest spatial association in the eastern and south-eastern counties. The FCR model was able to predict mortality rates based on LSTnt values in the study area with a R2 value of 0.68.</p><p><strong>Conclusion: </strong>Policymakers in the United States could use the findings of this study to develop long-term spatial and health-related strategies to reduce the vulnerability to global warming of patients with acute respiratory symptoms.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Local healthcare resources associated with unmet healthcare needs in South Korea: a spatial analysis. 与韩国未满足的医疗保健需求相关的当地医疗保健资源:空间分析
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-03-11 DOI: 10.4081/gh.2025.1295
Sang Min Lee, Dong Woo Huh, Young Gyu Kwon
{"title":"Local healthcare resources associated with unmet healthcare needs in South Korea: a spatial analysis.","authors":"Sang Min Lee, Dong Woo Huh, Young Gyu Kwon","doi":"10.4081/gh.2025.1295","DOIUrl":"10.4081/gh.2025.1295","url":null,"abstract":"<p><p>Despite national initiatives to enhance healthcare accessibility, unmet healthcare needs in South Korea remain notably high, particularly in specific regions. This study investigated the factors contributing to geographical disparities in unmet healthcare needs by employing spatial regression models to examine the spatial interactions between healthcare resources and unmet needs. Utilizing data from the 2020 Community Health Survey and Statistics Korea for 216 local government entities, excluding remote areas to ensure data consistency, we identified significant spatial clusters of unmet healthcare needs. These clusters are primarily located in non-metropolitan regions facing transportation barriers and limited healthcare infrastructure. Spatial regression analysis revealed that general hospitals and clinics are significantly associated with reduced unmet healthcare needs underscoring their critical role in mitigating regional disparities. In contrast, hospitals (≥30 beds) and convalescent hospitals did not exhibit significant effects, likely owing to their focus on specialised inpatient and long-term care services, which do not directly address immediate outpatient needs. These findings advance the understanding of how healthcare resource distribution impacts unmet needs at a regional level in South Korea and highlight the necessity for allocating general hospitals and clinics strategically to promote health equity. Based on these results, we recommend evidence- based policy interventions that optimise existing healthcare resources and strategically deploy new facilities in underserved regions. These insights provide valuable guidance for policymakers to reduce geographical health disparities and enhance overall public health outcomes.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Typhoid fever in Jakarta, Indonesia 2017-2023: spatial clustering and seasonality of hospitalization data to inform better intervention. 2017-2023年印度尼西亚雅加达伤寒病例:住院数据的空间聚类和季节性为更好的干预提供信息
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-05-15 DOI: 10.4081/gh.2025.1372
Mujiyanto Mujiyanto, Basuki Rachmat, Aris Yulianto, Made Agus Nurjana, Wawan Ridwan, Endang Puji Astuti, Doni Lasut, Pandji Wibawa Dhewantara
{"title":"Typhoid fever in Jakarta, Indonesia 2017-2023: spatial clustering and seasonality of hospitalization data to inform better intervention.","authors":"Mujiyanto Mujiyanto, Basuki Rachmat, Aris Yulianto, Made Agus Nurjana, Wawan Ridwan, Endang Puji Astuti, Doni Lasut, Pandji Wibawa Dhewantara","doi":"10.4081/gh.2025.1372","DOIUrl":"https://doi.org/10.4081/gh.2025.1372","url":null,"abstract":"<p><p>Typhoid fever is one of the common enteric fevers in developing countries, especially in emerging metropolitan areas in Indonesia. Yet, studies on spatial and temporal distribution of tyhoid fever are lacking. This study was conducted to analyze retrospective hospital-based data at the village level over the period 2017-2023 to understand the spatial and temporal variation of typhoid fever in Jakarta. Spatial analyses were performed by Moran's I and Local Indicators of Spatial Association (LISA) to examine spatial clustering of typhoid incidence and to identify high-risk villages for typhoid fever, respectively. Seasonal decomposition analysis was performed to investigate the seasonality of this infection. A total of 57,468 typhoid cases, resulting in a cumulative incidence of 533.99 per 100,000 people, were reported during the study period. The incidence was significantly clustered (I=0.548; p=0.001) at the village level across Jakarta. Statistically significant high-risk clusters were detected in the South and East of Jakarta that were heterogeneous over time. We identified seven persistent high-risk clusters in the eastern part of the city and two in the southern part. Moreover, the typhoid incidence showed a strong seasonality trend, significantly associated with monthly total rainfall (p=0.018). The study revealed a significant spatial variation with strong seasonality in typhoid incidence across the city suggesting a variation in transmission intensity and needs for effective public health interventions, especially in the high-risk areas. Improvement in water and sanitation facilities, hygiene awareness and surveillance are essential to help reduce typhoid transmission in Jakarta.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spatial autocorrelation pattern of COVID-19 vaccine coverage in Thailand 2021 and 2022. 2021年和2022年泰国COVID-19疫苗覆盖率的空间自相关模式
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-05-13 DOI: 10.4081/gh.2025.1368
Sarayu Muntaphan, Kittipong Sornlorm
{"title":"Spatial autocorrelation pattern of COVID-19 vaccine coverage in Thailand 2021 and 2022.","authors":"Sarayu Muntaphan, Kittipong Sornlorm","doi":"10.4081/gh.2025.1368","DOIUrl":"https://doi.org/10.4081/gh.2025.1368","url":null,"abstract":"<p><p>During the COVID-19 pandemic in 2021-2022, vaccination against this infection was crucial for Thailand's recovery. This research aimed to identify spatial patterns of association between the distribution and spread of the COVID-19 pandemic on the one hand and vaccine coverage, health service and socio-economic factors on the other. Univariate analysis using Getis-Ord GI* found strong clustering of the vaccine coverage, mostly in Eastern, Central, and Southern regions (Andaman coast), while bivariate analysis using Moran's I revealed significant positive spatial correlation vaccine coverage with the presence of COVID-19 patients (2021 = 0.273; 2022 = 0.273), Night Time Light (NTL) (2021 = 0.159; 2022 = 0.118) and medical personnel (2021 = 0.174; 2022 = 0.123). In addition, Local Indicators of Spatial Association (LISA) analysis found High-High clusters predominantly in the Eastern and Central regions. Areas with high economic growth (as reflected by high NTL) had greater COVID-19 vaccine coverage, likely due to better access to information and efficient transport systems in areas with stronger financial resources than elsewhere. These factors facilitated access to healthcare ensured presence of adequate personnel and enabled rapid distribution of the vaccine. Additionally, high rates of COVID-19 infections increased public awareness of infection risk leading to better vaccination uptake. Policymakers should prioritise vaccine distribution in high-risk and underserved areas to ensure equitable access. Additionally, increasing health workforce capacity is essential to improving service efficiency and readiness for future outbreaks.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Design and implementation of a spatial database for analysis of wheelchair accessibility. 轮椅可达性空间数据库的设计与实现。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-03-24 DOI: 10.4081/gh.2025.1324
Peter Nezval, Takeshi Shirabe
{"title":"Design and implementation of a spatial database for analysis of wheelchair accessibility.","authors":"Peter Nezval, Takeshi Shirabe","doi":"10.4081/gh.2025.1324","DOIUrl":"10.4081/gh.2025.1324","url":null,"abstract":"<p><p>Accessibility is an essential consideration in the design of public spaces, and commonly referred to as 'pedestrian accessibility' when walking is the primary mode of transportation. Computational methods, frequently coupled with Geographic Information systems (GIS), are increasingly available for assessing pedestrian accessibility using digital cartographic data such as road networks and digital terrain models. However, they often implicitly assume a level of mobility that may not be achievable by individuals with mobility impairments, e.g., wheelchair users. Therefore, it remains uncertain whether conventional pedestrian accessibility adequately approximates 'wheelchair accessibility,' and, if not, what computational resources would be required to evaluate it more accurately. We therefore designed a spatial database aimed at customizing mobility networks according to mobility limitations and compared the accessibility of a university campus for people with and without wheelchairs under various assumptions. The results showed there are clusters of locations either completely inaccessible or substantially less accessible for wheelchair users, indicating the presence of particular 'wheelchair coldspots', not only due to steep slopes and stairways but also arising from unforeseen consequences of aesthetic and safety enhancements, such as pebble pavements and raised sidewalks. It was found that a combination of simple spatial queries would help identifying potential locations for mobility aids such as ramps. These findings suggest that accessibility is not an invariant of a public space but experienced differently by different groups. Therefore, more comprehensive needs analysis and spatial database design are necessary to support inclusive design of healthier public spaces.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prioritizing the location of vaccination centres during the COVID-19 pandemic by bike in the Netherlands. 在荷兰COVID-19大流行期间,自行车优先考虑疫苗接种中心的位置。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-03-03 DOI: 10.4081/gh.2025.1293
Adel Al-Huraibi, Sherif Amer, Justine Blanford
{"title":"Prioritizing the location of vaccination centres during the COVID-19 pandemic by bike in the Netherlands.","authors":"Adel Al-Huraibi, Sherif Amer, Justine Blanford","doi":"10.4081/gh.2025.1293","DOIUrl":"10.4081/gh.2025.1293","url":null,"abstract":"<p><p>Once a vaccine against COVID-19 had been developed, distribution strategies were needed to vaccinate large numbers of the population as efficiently as possible. In this study we explored the geographical accessibility of vaccination centres and examined their optimal location. To achieve this, we used open-source data. For the analysis we assessed the centre-to-population ratio served to assess inequalities and examined the optimal number and location of centres needed to serve 50%, 70% and 85% of the population, while ensuring physical accessibility using a common mode of transportation, the bicycle. The Location Set Covering Problem (LSCP) model was used to determine the lowest number of vaccination centres needed and assess where these should be located for each Municipal Health Service (GGD) region in The Netherlands. Our analysis identified an unequal distribution of health centres by GGD region, with a primary concentration of vaccination locations in the central region of the Netherlands. GGD Region Noord en Oost Gelderland (N=34), Utrecht (N=29) and Hollands-Midden (N=26) had the highest numbers, while the lowest were found in West-Brabant (N=1), Brabant-Zuidoost (N=2), with Kennemerland, Hollands-Noorden, Groningen and Flevoland (N=3) each. The centre-to-population ratio ranged from 1 centre serving 22,000 people (Noord en Oost Gelderland) to 1 centre serving 672,000 people (West Brabant region). The location-allocation analysis identified several regions that would benefit by adding more centres, most of which would serve densely populated regions previously neglected by the existing vaccination strategy. The number of centres needed ranged from 110 to 322 to achieve 50% and 85% population coverage respectively. In conclusion, location-allocation models coupled with Geographic Information Systems (GIS) can aid decision-making efforts during mass vaccination efforts. To increase effectiveness, a nuanced distribution approach considering accessibility and coverage would be useful. The methodology presented here is valuable for aiding decisionmakers in providing optimized locally adapted crucial health services accessible for the population, such as vaccination centres.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The future of general practitioner care in Lower Saxony, Germany: an analysis of actual vs target states using a GIS-based floating catchment area method. 德国下萨克森州全科医生护理的未来:使用基于gis的浮动集水区方法对实际与目标州进行分析。
IF 1 4区 医学
Geospatial Health Pub Date : 2025-01-23 Epub Date: 2025-02-19 DOI: 10.4081/gh.2025.1339
Jonas Schoo, Frank Schüssler
{"title":"The future of general practitioner care in Lower Saxony, Germany: an analysis of actual <i>vs</i> target states using a GIS-based floating catchment area method.","authors":"Jonas Schoo, Frank Schüssler","doi":"10.4081/gh.2025.1339","DOIUrl":"10.4081/gh.2025.1339","url":null,"abstract":"<p><p>Ensuring universal and equitable accessibility to healthcare services is crucial for fostering equal living conditions aligned with global and national objectives. This study examines disparities in accessing General Practitioner (GP) care within Lower Saxony and Bremen, Germany, using the two-step floating catchment area method for spatial analysis at street section level, incorporating various transportation modes. Findings are compared with needs-related planning guidelines to uncover spatial disparities and deviations between prescribed guidelines (target state) and empirical findings (actual state). The analysis reveals significant discrepancies, with over 50% of the population inadequately supplied due to accessibility or capacity issues, particularly in rural and some urban areas, challenging assumptions of sufficient urban healthcare provision. This is the first detailed analysis of primary care provision at this granular level in Lower Saxony, exposing substantial gaps between current GP care and planning targets. Fine-grained spatial analysis proves essential for revealing healthcare accessibility inequities and offers a roadmap for targeted policy interventions. Despite limitations, such as not fully capturing real-world dynamics or patient preferences, the study provides valuable insights into enhancing geographically equitable GP care. It contributes to the discourse on achieving equal living conditions through equitable healthcare accessibility, advocating a more refined, localised approach to healthcare planning, emphasizing the importance of detailed spatial analysis for informed decision-making and promoting health equity.</p>","PeriodicalId":56260,"journal":{"name":"Geospatial Health","volume":"20 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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