交通障碍如何影响医疗访问?利用基于移动设备的轨迹数据为卫生公平提供信息

IF 3.8 Q2 TRANSPORTATION
Mohammad Maleki, Janille Smith-Colin
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引用次数: 0

摘要

通往医疗保健的交通障碍是一个关键问题,导致每年数百万美国人,特别是弱势群体的医疗保健需求得不到满足。因此,了解和解决这些障碍是朝着改善卫生公平迈出的重要一步。为了了解交通障碍如何影响医疗保健获取,本研究首先利用基于移动的轨迹数据来绘制2021年达拉斯市的医疗保健访问模式。其次,采用随机森林模型结合空间分析技术,考察交通因素和社会经济地位与医疗保健就诊的关系。此外,为了为卫生公平决策提供信息,还比较了不同种族人口统计数据中交通障碍的影响。结果表明,较高的交通网络密度与就诊次数增加有关,而较高的交通和开车时间、交通死亡人数和运输成本负担与就诊次数减少有关。社会经济因素,包括较高的医疗补助覆盖率和较高的收入,与增加的就诊次数呈正相关。结果还表明,黑人-白人在医疗保健访问中的种族不平等被交通障碍放大。通过引入基于移动的医疗可及性分析轨迹,本研究通过增强对交通相关医疗可及性障碍的理解和解决,为现有文献做出了贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How do transportation barriers affect healthcare visits? Using mobile-based trajectory data to inform health equity
Transportation barriers to healthcare access are a critical issue, leading to unmet healthcare needs for millions of Americans each year, particularly among disadvantaged groups. Understanding and addressing these barriers is thus an important step toward improving health equity. To understand how transportation barriers affect healthcare access, this study first utilized a mobile-based trajectory data to map healthcare visit patterns in the City of Dallas in 2021. Next, a random forest model integrated with spatial analysis techniques was employed to examine the associations of transportation factors and socioeconomic status with healthcare visits. Additionally, to inform health equity decisions, the impact of transportation barriers was compared across racial demographics. Results showed that higher transportation network densities was associated with increased healthcare visits, while higher transit and drive time to healthcare, traffic fatalities, and transport cost burden aligned with decreased healthcare visits. Socio-economic factors including higher Medicaid coverage and higher incomes were positively associated with increased visits. Results also showed that Black-white racial inequities in healthcare visits were amplified by transportation barriers. By introducing mobile-based trajectories for healthcare accessibility analysis, this study contributes to the existing literature by enhancing the understanding and resolution of transportation-related barriers to healthcare access.
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来源期刊
Transportation Research Interdisciplinary Perspectives
Transportation Research Interdisciplinary Perspectives Engineering-Automotive Engineering
CiteScore
12.90
自引率
0.00%
发文量
185
审稿时长
22 weeks
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