Accessibility and Utilization: Geographical Perspectives on - download pdf or read online

By Alun E Joseph, David Phillips

ISBN-10: 0063182769

ISBN-13: 9780063182769

This booklet combines a wide-ranging theoretical view of accessibility and usage with empirical event from quite a few similar health-care supply platforms - these of the uk, the U.S., Canada, Australia and New Zealand. The authors specialise in basic health-care provision, but in addition think of secondary and tertiary amenities. the place earlier scientific geography texts have handled illness ecology, this booklet offers a accomplished assessment of contemporary geographical learn into the future health provider procedure and its usage. The booklet is obviously established and good written, allowing scholars to understand the necessities of the topic. The skilful use of references will allow extra complex scholars to persist with up the subjects in higher aspect.

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Extra resources for Accessibility and Utilization: Geographical Perspectives on Health Care Delivery

Sample text

Med ica l assistant. nurse. m ldwile . heal th VIsitor. health assista nt C- ~ ~ M obil e clini CS. Villa ge and domi cil iary visits by staff of rural health centre A possible health care hierarchy in a developing country. 1 The health care hierarchy in terms of facilities, personnel, administration and population served Source: after Fry (1971) Functional differences are of two main forms. First, the location of facilities and personnel of different types and levels may be interdependent. Most notably, there is strong evidence that the location of general practitioners is influenced by the location of hospitals providing necessary support services such as X-rays, blood te~ts, an~ so on (Phillips 1981 a).

This is, of course, a highly generalized outline and a renaissance has taken place in primary care in Britain and other Western countries in the last decade or so, chiefly in response to changing patterns of disease and illness (Hunt 1957; Phillips 198Ia). These include the increasing frequency of chronic conditions associated with ageing populations, which are suited to treatment in a home or community environment, versus acute conditions conventionally demanding hospital-based care. Indeed, it appears that through the development of effective treatment for previously acute and deadly conditions, advanced medical technology has contributed substantially toward the increasing importance of care for chronic conditions (Fry 1979).

In spatial terms, this health service hierarchy is superficially analogous in form to the central place system familiar to most geographers (Shannon and Dever 1974). However, in terms of operation, the health care delivery hierarchy functions differently from a central place system. medica l school resea rch fa cilities auxiliaries ' school postgradua te me dica l tr aining ProfeSSional . medica l and paramedical. medical speCialists. research sClenr ists . aUXiliary \ Regional Health Centre j o/~~~.

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Accessibility and Utilization: Geographical Perspectives on Health Care Delivery by Alun E Joseph, David Phillips


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