The effect of centralization of health care services on travel time and its equality

Highlights • We analyzed the regional variations of patient travel times. • We conducted a simulation of the effects of health care services centralization. • We observed the presence of inequalities in accessibility using Gini coefficient. • These simulations showed reduced travel time for most pat...

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Veröffentlicht in:	Health policy (Amsterdam) 2015-03, Vol.119 (3), p.298-306
Hauptverfasser:	Kobayashi, Daisuke, Otsubo, Tetsuya, Imanaka, Yuichi
Format:	Artikel
Sprache:	eng
Schlagworte:	Breast cancer Centralized Hospital Services Equality Geographic Information Systems Gini coefficient Health administration Health care Health care access Health insurance Health policy Health Services Accessibility Healthcare Disparities Highways Hospitals Insurance Claim Review Internal Medicine Japan Location Medical service Patients Regional variations Time Factors Travel Travel time
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Beschreibung
Zusammenfassung:	Highlights • We analyzed the regional variations of patient travel times. • We conducted a simulation of the effects of health care services centralization. • We observed the presence of inequalities in accessibility using Gini coefficient. • These simulations showed reduced travel time for most patients. • We shed light on regional variations in patient travel times and equality of access.
ISSN:	0168-8510 1872-6054
DOI:	10.1016/j.healthpol.2014.11.008