Int J Health Geogr - Catchments of general practice in different countries--a literature review.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ spatial(1525) area(1432) region(1030) }
{ framework(1458) process(801) describ(734) }
{ general(901) number(790) one(736) }
{ studi(2440) review(1878) systemat(933) }
{ research(1085) discuss(1038) issu(1018) }
{ research(1218) medic(880) student(794) }
{ treatment(1704) effect(941) patient(846) }
{ clinic(1479) use(1117) guidelin(835) }
{ analysi(2126) use(1163) compon(1037) }
{ process(1125) use(805) approach(778) }
{ data(1737) use(1416) pattern(1282) }
{ measur(2081) correl(1212) valu(896) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ group(2977) signific(1463) compar(1072) }
{ activ(1138) subject(705) human(624) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
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{ control(1307) perform(991) simul(935) }
{ gene(2352) biolog(1181) express(1162) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ model(3404) distribut(989) bayesian(671) }
{ inform(2794) health(2639) internet(1427) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ assess(1506) score(1403) qualiti(1306) }
{ problem(2511) optim(1539) algorithm(950) }
{ concept(1167) ontolog(924) domain(897) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ model(3480) simul(1196) paramet(876) }
{ sampl(1606) size(1419) use(1276) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
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{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
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{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
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{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The purpose of this paper is to review the current research on catchment areas of private general practices in different developed countries because healthcare reform, including primary health care, has featured prominently as an important political issue in a number of developed countries. The debates around health reform have had a significant health geographic focus. Conceptually, GP catchments describe the distribution, composition and profile of patients who access a general practitioner or a general practice (i.e. a site or facility comprising one or more general practitioners). Therefore, GP catchments provide important information into the geographic variation of access rates, utilisation of services and health outcomes by all of the population or different population groups in a defined area or aggregated area.This review highlights a wide range of diversity in the literature as to how GP catchments can be described, the indicators and measures used to frame the scale of catchments. Patient access to general practice health care services should be considered from a range of locational concepts, and not necessarily constrained by their place of residence. An analysis of catchment patterns of general practitioners should be considered as dynamic and multi-perspective. Geographic information systems provide opportunities to contribute valuable methodologies to study these relationships. However, researchers acknowledge that a conceptual framework for the analysis of GP catchments requires access to real world data. Recent studies have shown promising developments in the use of real world data, especially from studies in the UK. Understanding the catchment profiles of individual GP surgeries is important if governments are serious about patient choice being a key part of proposed primary health reforms. Future health planning should incorporate models of GP catchments as planning tools, at the micro level as well as the macro level, to assist policies on the allocation of resources so that opportunities for good health outcomes for all groups within society, especially those who have been systematically denied equitable access, are maximised.

Resumo Limpo

purpos paper review current research catchment area privat general practic differ develop countri healthcar reform includ primari health care featur promin import polit issu number develop countri debat around health reform signific health geograph focus conceptu gp catchment describ distribut composit profil patient access general practition general practic ie site facil compris one general practition therefor gp catchment provid import inform geograph variat access rate utilis servic health outcom popul differ popul group defin area aggreg areathi review highlight wide rang divers literatur gp catchment can describ indic measur use frame scale catchment patient access general practic health care servic consid rang locat concept necessarili constrain place resid analysi catchment pattern general practition consid dynam multiperspect geograph inform system provid opportun contribut valuabl methodolog studi relationship howev research acknowledg conceptu framework analysi gp catchment requir access real world data recent studi shown promis develop use real world data especi studi uk understand catchment profil individu gp surgeri import govern serious patient choic key part propos primari health reform futur health plan incorpor model gp catchment plan tool micro level well macro level assist polici alloc resourc opportun good health outcom group within societi especi systemat deni equit access maximis

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