Matches in SemOpenAlex for { <https://semopenalex.org/work/W2182255220> ?p ?o ?g. }
- W2182255220 abstract "For an equitable distribution of health resources, resource-allocation policies focus on rural and also remote areas, assuming that these areas are underserved. However, definitions of 'rural' and 'remote' vary, and are not necessarily synonymous with 'underserved'. This Japanese study evaluated the association between the rurality/remoteness of the community in which a patient lives and his/her geographic accessibility to dialysis facilities.Based on 1867 communities (census blocks) in Hiroshima Prefecture, Japan, predictive powers of five community-level rural/remote parameters (population size, population density, elderly rate, agriculture rate, and distance to the nearest city) were evaluated to identify communities where dialysis patients had a longer commute time to dialysis facilities. The proportion of low-access communities was examined when those communities were merged to form larger geographic units (four-level stepwise merger). One-way driving times of dialysis patients were used as the access parameter of a community and were calculated using geographic information systems based on the addresses of all the 7374 patients certified by municipalities as having renal disability, and on the addresses and capacities of all 98 dialysis facilities in Hiroshima.The average driving time was negatively correlated with population and population density, and positively correlated with elderly rate, agriculture rate, and distance to nearest city. When low-access was defined as >20, >30 & >40 min driving time, all rural/remote parameters showed better sensitivities (range 63.5-94.9%) than specificities (55.2-77.9%) to identify low-access communities, and positive predictive values were less than 50% for most parameters. When low-access was defined as >30 min driving time, the proportion of low-access communities substantially decreased when the geographic unit was expanded. In the administrative 'rural' area, the largest geographic unit, the percentage of low-access communities was 30%.In any definition of 'rural/remote', and in any definition of 'low-access', the rural/remote areas contain a substantial proportion of high-access communities. In addition, a substantial proportion of low-access communities was excluded from rural/remote areas. The accuracy of the term 'low-access' deteriorated when the geographic unit of analysis was expanded. In order to identify underserved areas precisely, it is necessary to set the geographic unit of analysis as small as possible and measure the geographic accessibility itself, rather than designate some areas as 'rural' or 'remote', based on conventional geographic/demographic/distance parameters." @default.
- W2182255220 created "2016-06-24" @default.
- W2182255220 creator A5030424613 @default.
- W2182255220 creator A5064227794 @default.
- W2182255220 creator A5076508942 @default.
- W2182255220 creator A5091414641 @default.
- W2182255220 date "2013-08-27" @default.
- W2182255220 modified "2023-09-24" @default.
- W2182255220 title "Do rural and remote areas really have limited accessibility to health care? Geographic analysis of dialysis patients in Hiroshima, Japan" @default.
- W2182255220 cites W1596862523 @default.
- W2182255220 cites W1770826511 @default.
- W2182255220 cites W1971489277 @default.
- W2182255220 cites W1991156192 @default.
- W2182255220 cites W1995776138 @default.
- W2182255220 cites W1998788099 @default.
- W2182255220 cites W2007727888 @default.
- W2182255220 cites W2011627164 @default.
- W2182255220 cites W2011751593 @default.
- W2182255220 cites W2014602008 @default.
- W2182255220 cites W2048529294 @default.
- W2182255220 cites W2064352562 @default.
- W2182255220 cites W2076128354 @default.
- W2182255220 cites W2079254993 @default.
- W2182255220 cites W2086642249 @default.
- W2182255220 cites W2093097541 @default.
- W2182255220 cites W2095039155 @default.
- W2182255220 cites W2100610291 @default.
- W2182255220 cites W2116499775 @default.
- W2182255220 cites W2120410466 @default.
- W2182255220 cites W2123629144 @default.
- W2182255220 cites W2128423597 @default.
- W2182255220 cites W2130998506 @default.
- W2182255220 cites W2133569314 @default.
- W2182255220 cites W2143609491 @default.
- W2182255220 cites W2146374370 @default.
- W2182255220 cites W2146383529 @default.
- W2182255220 cites W2148125384 @default.
- W2182255220 cites W2151934006 @default.
- W2182255220 cites W2152575748 @default.
- W2182255220 cites W2159054044 @default.
- W2182255220 cites W2159417587 @default.
- W2182255220 cites W2185037254 @default.
- W2182255220 cites W2328176404 @default.
- W2182255220 doi "https://doi.org/10.22605/rrh2507" @default.
- W2182255220 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23984839" @default.
- W2182255220 hasPublicationYear "2013" @default.
- W2182255220 type Work @default.
- W2182255220 sameAs 2182255220 @default.
- W2182255220 citedByCount "5" @default.
- W2182255220 countsByYear W21822552202013 @default.
- W2182255220 countsByYear W21822552202014 @default.
- W2182255220 countsByYear W21822552202015 @default.
- W2182255220 countsByYear W21822552202016 @default.
- W2182255220 countsByYear W21822552202022 @default.
- W2182255220 crossrefType "journal-article" @default.
- W2182255220 hasAuthorship W2182255220A5030424613 @default.
- W2182255220 hasAuthorship W2182255220A5064227794 @default.
- W2182255220 hasAuthorship W2182255220A5076508942 @default.
- W2182255220 hasAuthorship W2182255220A5091414641 @default.
- W2182255220 hasBestOaLocation W21822552201 @default.
- W2182255220 hasConcept C129047720 @default.
- W2182255220 hasConcept C141071460 @default.
- W2182255220 hasConcept C142724271 @default.
- W2182255220 hasConcept C144024400 @default.
- W2182255220 hasConcept C149923435 @default.
- W2182255220 hasConcept C205649164 @default.
- W2182255220 hasConcept C2779465365 @default.
- W2182255220 hasConcept C2779978075 @default.
- W2182255220 hasConcept C2908647359 @default.
- W2182255220 hasConcept C41856607 @default.
- W2182255220 hasConcept C45355965 @default.
- W2182255220 hasConcept C52130261 @default.
- W2182255220 hasConcept C58640448 @default.
- W2182255220 hasConcept C71924100 @default.
- W2182255220 hasConcept C99454951 @default.
- W2182255220 hasConceptScore W2182255220C129047720 @default.
- W2182255220 hasConceptScore W2182255220C141071460 @default.
- W2182255220 hasConceptScore W2182255220C142724271 @default.
- W2182255220 hasConceptScore W2182255220C144024400 @default.
- W2182255220 hasConceptScore W2182255220C149923435 @default.
- W2182255220 hasConceptScore W2182255220C205649164 @default.
- W2182255220 hasConceptScore W2182255220C2779465365 @default.
- W2182255220 hasConceptScore W2182255220C2779978075 @default.
- W2182255220 hasConceptScore W2182255220C2908647359 @default.
- W2182255220 hasConceptScore W2182255220C41856607 @default.
- W2182255220 hasConceptScore W2182255220C45355965 @default.
- W2182255220 hasConceptScore W2182255220C52130261 @default.
- W2182255220 hasConceptScore W2182255220C58640448 @default.
- W2182255220 hasConceptScore W2182255220C71924100 @default.
- W2182255220 hasConceptScore W2182255220C99454951 @default.
- W2182255220 hasLocation W21822552201 @default.
- W2182255220 hasLocation W21822552202 @default.
- W2182255220 hasLocation W21822552203 @default.
- W2182255220 hasLocation W21822552204 @default.
- W2182255220 hasOpenAccess W2182255220 @default.
- W2182255220 hasPrimaryLocation W21822552201 @default.
- W2182255220 hasRelatedWork W2049219088 @default.
- W2182255220 hasRelatedWork W3119166962 @default.
- W2182255220 hasRelatedWork W3157783610 @default.
- W2182255220 hasRelatedWork W3207221567 @default.