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Economic Geography of Health Care Systems

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Clippings:

Giving health Web sites a checkup (March 2001)

Seattle-area hospitals are carving out a niche in international medical services; Seattle Times, Sunday, November 8, 1998

"Treating people who come to Seattle from overseas still is a relatively tiny part of any hospital's business. But health-care providers such as Swedish now see much untapped potential, particularly in the area of specialty care, such as cancer treatment, infertility procedures and cardiology."

German Hospitals Look to Foreign Patients to Cure Empty Beds

"For Germany’s health care industry, the logic is simple. Foreign customers impressed by the “Made in Germany” label have been the salvation of the country’s manufacturers in recent years. So why not advertise “Medicine in Germany” to attract foreign patients? Hospitals in the United States and Switzerland do a booming business in treating “medical tourists,” after all, and well-to-do citizens of the African and Arab nations routinely travel to Great Britain and France for care, Russia’s newly affluent to Scandinavia....."

Literature:

Built Environment, Well Being , and Active Living Executive Summary. Budget pressures are causing governments to review health care policy. The new trend in health policy, exemplified by the Evans-Stoddart or Mustard-Frank approaches, puts more emphasis on social and physical environments than on... [7 Dec 95]

Allen, John C. and Don A. Dillman, "Medical Care: Fulfilling the Old Doctor's Account and Getting a Replacement," Ch.8 in: Against all Odds: Rural Community in the Information Age. Boulder: Westview, 1994 [HN79.W2.A43]

Armstrong, Jill. Uganda's AIDS Crisis: Its Implications for Development. Discussion Papers, No.298. Washington D.C.: World Bank 1995 (US$ 8.95 paper) ISBN 0-8213-3437-9 [Abstract in JEL June 1996, p.907]

Bronkesh, Sheryl J. et al., "Market-Based Strategic Planning," Ch.2 in: Outpatient Rehabilitation Services: A Guide to Planning and Management. (American Hospital Association). pp.47f. "Place" (distribution/accessibility)

Charlesworth, J., J.Clarke, and A. Cochrane, "Managing Local Mixed Economies of Care," Environment & Planning A, 1995, Vol.27, pp.1419-35.

Cliff, Andrew and Peter Haggett. "Disease Implications of Global Change," in: Johnston, R.J. et al., Geographies of Global Change, 1995, Ch.13, pp.206ff.

Cooper, P.F. and A.C.Monheit, "Does Employment Related Health Insurance Inhibit Job Mobility," Inquiry vol.30 (Winter 1994), pp.400-416.

Crowley, Walt. To Serve the Greatest Number: A History of Group Health Cooperative of Puget Sound. Seattle: Univ. of Washington Press, 1996.

Cutler, David M., "A Guide to Health Care Reform," Journ. of Econ. Perspectives 8(3), Summer 1994, 13-29.

Drummond, Michael F., et al., Methods for the Economic Evaluation of Health Care Programs. 2nd ed., Oxford UP 1997 (320pp.)

Dudzinski-C.S.; Erekson-O.H.; Ziegert-A.L. Estimating an hedonic translog cost function for the home health care industry. Applied-Economics. 1998; 30(9): 1259-1267

Medicare home health care plays an important role in providing cost effective care for the chronically ill and elderly. Long seen as a cost effective substitute for nursing home care, home care has become even more important with expenditures increasing by 31.4% from 1990 to 1996.

Frank, R.G. and D.S.Salkever, "Nonprofit Organizations in the Health Sector," Journal of Economic Perspectives 8(4), Fall 1994, 129-144.

Fuchs, Victor R., "Economics, Values, and Health Care Reform," American Economic Review 86(1), March 1996, pp.1-24.

Gellert,-G.-A.; Maxwell,-R.-M.; Higgins,-K.-V.; Kim-Khanh-Mai,; Lowery,-R., Barriers to health care access and utilization among Vietnamese Americans in southern California. Health-and-Place. 1995. 1(2), pp 91-99.

The objective of this study was to collect data on barriers to health care utilization and access among Vietnamese residents of southern California, and to assess the current influence of acculturation on acquisition of health care.

GESLER, W.M.: The Cultural Geography of Health Care. London 1991.

Gesler, Wilbert M. and Thomas C. Ricketts, eds., Health in Rural North America: The Geography of Health Care Services and Delivery. New Brunswick NJ: Rutgers Univ.Press, 1992. [reviewed in: Annals (AAG) 83(3), pp.528-9]

Hemenway, David. "The Optimal Location of Doctors," New England Journal of Medicine 306(7), 1982, pp.397-401.

Henderson,-G.; Akin,-J.; Li-Zhiming,; Jin-Shuigao,; Ma-Haijiang,; Ge-Keyou, Equity and the utilization of health services: report of an eight- province survey in China. Social-Science-and-Medicine. 1994. 39(5), pp 687-699.

Based upon a large-scale survey of almost 1600 individuals, examines a sub-sample of working-age adults who have identified themselves as injured or ill during the four weeks prior to being interviewed. Very few individual-level factors are related to the use of services when ill or injured. Only gender (female) and employment in state-run enterprises are associated with higher patterns of use.

HENRY, NORAH F., (Editors: Frazier,-J.W.; Epstein,-B.J.), Socio-spatial dimensions of health-seeking behavior in an urban elderly population. in: Proc. of applied geography conferences, vol. 4, 1981. (Dept. Geography, SUNY, Binghamton), 1981, pp 34-38, fig, 2 tables, 8 refs.

Examines some socio-spatial dimensions of health seeking behavior in an urban elderly population. Use of multifunction locations for health screening, interest in home health care and recommendations are included.

Laires, M.F., M.J.Ladeira, and J.P.Christensen, eds., Health in the Communications Age. Amsterdam: IOS Press, 1995.

Lepper, Marion J. C. et al, THE ADDED VALUE OF GEOGRAPHICAL INFORMATION SYSTEMS IN PUBLIC AND ENVIRONMENTAL HEALTH, Kluwer Academic Publishers, Dordrecht, 1995.

Home care & managed care : strategies for the future / edited by Eric B. Linne. Chicago : American Hospital Pub., c1995. Home-care-services -- Economic-aspects -- United-States. Managed-care-programs -- United-States. Home-care-services -- United-States -- Administration. Home-Care-Services -- organization--administration. Managed-Care-Programs -- organization--administration. [Health Sciences Book Stacks WY 115 H763 1995.]

Liu-L.; Hader-J.; Brossart-B.; White-R.; Lewis-S. Impact of rural hospital closures in Saskatchewan, Canada. Social-Science-and-Medicine. 2001; 52(12): 1793-1804

Canada's health care system has undergone major changes since 1990. In Saskatchewan, 52 small rural hospitals funded for less than eight beds stopped receiving funding for acute care services in 1993. Most were subsequently converted to primary health care centers. Since then, concerns have been raised about the impact of the changes on rural residents' access to care, their health status, and the viability of rural communities.

Lovett-A.; Haynes-R.; Sunnenberg-G.; Gale-S., Car travel time and accessibility by bus to general practitioner services: A study using patient registers and GIS. Social-Science-and-Medicine. 2002; 55(1): 97-111

"Information from patient registers was combined with details of general practitioner surgery locations, road network characteristics, bus routes and community transport services, and a geographical information system (GIS) was used to calculate measures of accessibility to surgeries by public and private transport."

Lowe, J.M. and A.Sen, Gravity Model Applications in Health Planning: Analyses of an Urban Hospital Market," Journal of Regional Science, 36 (1996), 437-62.

Luke, Roice et al., "Quasi Firms: Strategic Interorganizational Forms in the Health Care Industry," Academy of Management Review 14(1), 1989, pp.9-19.

Magnani,-R.J.; Rice,-J.C.; Mock,-N.B.; Abdoh,-A.A.; Mercer,-D.M.; Tankari,-K. The impact of primary health care services on under-five mortality in rural Niger. International-Journal-of-Epidemiology. 1996. 25/3, 568-577.

Health service use and under-five mortality rates for children born in the 5 years prior to a 1985 survey are compared for three groups of villages: villages served by a dispensary, villages served by village health teams (VHT), and villages without access to modern primary care services.

Malczewski, J.; Ogryczak,-W. An interactive approach to the central facility location problem: locating pediatric hospitals in Warsaw. Geographical Analysis. 1990. 22(3), pp 244-258.

Most of the conventional approaches to the central facility location problem neglect the interaction of analyst and decision-maker during the locational choice process. This paper presents a new interactive approach to the central facility location problem.

Martin, D. and H.C.W.L. Williams, "Market-Area Analysis and Accessibility to Primary Health-Care Centres," Environment and Planning A vol.24, 1992, pp.1009-1019.

Mason, James, Finding Health Resources on the Internet--The Departure Lounge Health-Economics; 5(4), July-Aug. 1996, pages 375-79.

Mayhew, Leslie. Urban hospital location / Leslie Mayhew. London ; Boston : Allen & Unwin, 1986. Revision of thesis (Ph. D.)--University of London, 1979. Bibliography: p. [161]-163. Hospitals -- Location -- Mathematical-models. Health-Services-Accessibility. Hospital-Planning. Series Info.: London research series in geography ; 4. [WX 27.1 M469u 1986]

Melling J.; Turner R. The road to the asylum: Institutions, distance and the administration of pauper lunacy in Devon, 1845-1914, Journal of Historical Geography. 1999; 25(3): 298-332

The importance of space and distance in the development of social and political institutions ... important methodological and epistemological questions as well as substantive empirical issues about the impact of distance on the provision of medical services over time. This essay reviews this literature with particular reference to the debate about the capacity of distance-decay models to explain the varied use made of lunatic asylums in the nineteenth century.

Norris, Jack. "Health Care," Ch.8, Gilbert Castle, ed., Profiting from A Geographic Information System. 1993, pp.153ff.

Oppong,-J.-R.; Hodgson,-M.-J. Spatial accessibility to health care facilities in Suhum District, Ghana. Professional Geographer. 1994. 46(2), pp 199-209.

To improve geographical accessibility to health facilities in rural Ghana, it has been recommended that additional health facilities be built. Resource constraints made this recommendation infeasible. Using location-allocation models, this paper demonstrates that in the Suhum District of Ghana substantial improvements in accessibility can be achieved with better locational choices and without additional facilities.

Panfila-Ching, User fees, demand for children's health care and access across income groups: the Philippine case. Social-Science-and-Medicine. 1995. 41(1), pp 37-46.

This paper examines the potential effects of user fees on the demand for child health care across income groups. A mixed/conditional logit model of provider choice is estimated using national data from the Philippines.

Panos-Institute. The Hidden Cost of Aids: The Challenge of HIV to Development. London. 1992.

Sundstrom G.; Tortosa M.A. The effects of rationing home-help services in Spain and Sweden: A comparative analysis. Ageing and Society. 1999; 19(3): 343-361

In both Spain and Sweden the most important public support for older people that is provided in their own homes are home-help services. In Sweden, these programmes were expanded in years of economic growth but recently have radically declined. Spain still strives to expand them in spite of financial problems. Both countries ration these services but in different ways.

Telemedicine Literature

Thomas, Richard. Geomedical Systems: Intervention and Control. London: Routledge. 1992 [WA950.T461g]

Williams, A.M. The development of Ontario's home care program: a critical geographical analysis. Social-Science-and-Medicine. 1996. 42/6, 937-948.

Using existing evaluations, an historical analysis of home care programs in Ontario (Canada's largest and most populous province) informs how developments in long-term health care policy have contributed to the geographical inequalities that exist in home care services throughout the province.

Zweifel, Peter & Friedrich Breyer. Health Economics. Oxford UP, 1997. (416pp.)

Other Resources:

INQUIRY (Special Issue) "Health Workforce Policy", 31(3), Fall 1994.

DISCONFECT (dis kon fekt') (verb): To sterilize the piece of candy you dropped on the floor by blowing on it, assuming this will somehow remove all the germs

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