Methodology for building a geographical accessibility health index throughout metropolitan France

Abstract : Spatial accessibility to health services is a key factor in terms of public health. Even though some tools are available, establishing accessibility criteria applicable from one geographic scale to another remains difficult. Therefore, we propose a method for creating a health accessibility index applicable on a large geographic scale, based on a methodology that overcomes the limitations of political-administrative divisions and which allows a multi-scalar approach to be implemented. The index highlights, on a national scale, areas of cumulative health disadvantages. This index of accessibility to health care combines accessibility and availability and can be adapted to many geographical scales. As accessibility can be understood in various dimensions, a score could be calculated for various fields such as education and culture. The index can help policymakers to identify under-endowed areas and find optimal locations. In terms of public health, it may be used to understand the mechanisms underlying geographic health disparities.
Document type :
Journal articles
Complete list of metadatas

Cited literature [32 references]  Display  Hide  Download

https://www.hal.inserm.fr/inserm-02271030
Contributor : Myriam Bodescot <>
Submitted on : Monday, August 26, 2019 - 2:53:45 PM
Last modification on : Monday, September 23, 2019 - 3:58:04 PM

File

journal.pone.0221417.pdf
Publication funded by an institution

Identifiers

Citation

Ludivine Launay, Fabien Guillot, David Gaillard, Mohand Medjkane, Thierry Saint-Gérand, et al.. Methodology for building a geographical accessibility health index throughout metropolitan France. PLoS ONE, Public Library of Science, 2019, 14 (8), pp.e0221417. ⟨10.1371/journal.pone.0221417⟩. ⟨inserm-02271030⟩

Share

Metrics

Record views

56

Files downloads

60