Comparison of perceived and modelled geographical access to accident and emergency departments: a cross-sectional analysis from the Caerphilly Health and Social Needs Study
2006

Access to Accident and Emergency Departments in Caerphilly

Sample size: 11853 publication Evidence: moderate

Author Information

Author(s): David L. Fone, Stephen Christie, Nathan Lester

Primary Institution: Cardiff University

Hypothesis

Is there a correlation between perceived accessibility of A&E departments and GIS-modelled accessibility measures?

Conclusion

The study found that perceived accessibility of A&E departments is significantly correlated with GIS-modelled measures of accessibility.

Supporting Evidence

  • The median drive-time was significantly shorter for those with better perceived access.
  • Correlations were stronger among respondents with good public transport access.
  • Perceived accessibility was influenced by recent attendance at A&E for injury treatment.

Takeaway

People's feelings about how easy it is to get to the hospital match up with how far away it really is, showing that what they think matters.

Methodology

A postal questionnaire survey was conducted among residents of Caerphilly county borough, with data analyzed for perceived accessibility and GIS-modelled drive-time.

Potential Biases

The survey responses may have been influenced by non-spatial factors such as financial considerations and service acceptability.

Limitations

The study was limited to a specific area with a maximum distance of 22 km from A&E, which may not reflect broader accessibility issues.

Participant Demographics

The study included 11,853 respondents aged 18 and over from Caerphilly county borough.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1476-072X-5-16

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