Quantitative measurements of inequality in geographic accessibility to pediatric care in Oita Prefecture, Japan: Standardization with complete spatial randomness
2011

Measuring Access to Pediatric Care in Japan

Sample size: 162976 publication Evidence: moderate

Author Information

Author(s): Tanimura Susumu, Shima Masayuki

Primary Institution: Hyogo College of Medicine

Hypothesis

The study aims to standardize the measurement of inequality in geographic accessibility to pediatric care.

Conclusion

The study demonstrates that standardizing the inequality measure allows for better comparison of geographic accessibility to pediatric care across regions.

Supporting Evidence

  • The mean travel time to pediatric care was found to be 4.50 minutes.
  • The observed inequality measure averaged 1.1, indicating varying access across regions.
  • Standardization of the inequality measure reversed the ranks of accessibility among regions.

Takeaway

This study looks at how far children have to travel to see a doctor and finds a way to compare this across different areas to make sure everyone gets fair access to care.

Methodology

Travel times to the nearest pediatric care were calculated for all children in Oita Prefecture, and the inequality measure was standardized using Monte Carlo simulation based on complete spatial randomness.

Potential Biases

The study does not account for variations in travel modes and assumes car travel for all individuals, which may underestimate travel times for those using public transport or walking.

Limitations

The study assumes that children will go to the nearest pediatric facility, which may not always be true due to personal preferences or other factors.

Participant Demographics

Children aged 0-14 years in Oita Prefecture, Japan.

Digital Object Identifier (DOI)

10.1186/1472-6963-11-163

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication