geog 446 middy

high level factors to be used disntiguished one health care

degree of centralized control, health related policy, methods of financing

a population’s need for health care sercices that was not met by system

unmet need

jarvis law

describes how distance affects utilization

anderson’s behavioral model

predisposing, enabling, need

utilization data for relavance and commitment indices

origin & destination data

health care systems in developed nations

greater emphasis on the treatment of chronic health conditions

demand for public services emanates from individuals, who in aggregate, are continuously (though unevenly) dispersed across space, while most public sercies are distributed from disccrete facilities with fixed locations

basic property of inequality in health care; limited resources available to provide care for a dispersed population

spatial data vs regular data

• spatial data has linked tabular and positional information

• complex file storage formats

  • data can generally be viewed using GIS

distance decay

a scanrio such athat interactions decrease with increasing distance

contains the hospital for an entire country (or nation)

point data

mutable

factors that can be modified by policy

immutable

factors that cannot be modified by policy

health care policy - policy shapes the ineraction between people and the health care system

aday and anderson

predisposing

factors that can lead people to need health care (demographic)

enabling factors

characters the influence access health care (population level, system level, (family and income))

need factors

largely levels with illness or ill health in a population

roemer’s law

hospital beds that are built tend to be used

bypass behavior

people will bypass they’re closest facility to somewhere else

relevance index

how improtant the facilities are for every region

commiment index

how important the regions are for every facilitiy

relevance index

sum all visits to each region/divide visits by complete sum

commitment index

sum of all facilities/divide by all facilities

out of pocket

paying for medical expenses out of pocket

national health insurance

health care service where govt runs an insurance program with private doctors

US System

mixed based on everything

bismarck

health insurance pays fees for whole population that are necessary run by employers

beveridge

universal coverage for all citizens based for all citizens with govt. hospitals and govt. insurance

developing priority

infruscture, health, education

collectivitist

where insurance is paid

anti-collectivist

people pay for their own things