Use of healthcare services in the residence and workplace neighbourhood: the effect of spatial accessibility to healthcare services

Ruben Brondeel; Alain Weill; Frédérique Thomas; Basile Chaix

doi:10.1016/j.healthplace.2014.09.004

Use of healthcare services in the residence and workplace neighbourhood: the effect of spatial accessibility to healthcare services

Health Place. 2014 Nov:30:127-33. doi: 10.1016/j.healthplace.2014.09.004. Epub 2014 Sep 28.

Authors

Ruben Brondeel¹, Alain Weill², Frédérique Thomas³, Basile Chaix¹

Affiliations

¹ INSERM, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France; Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France.
² Caisse Nationale d'Assurance Maladie des Travailleurs Salariés, 50, avenue du Professeur André Lemierre, 75020 Paris, France.
³ Centre d'Investigations Préventives et Cliniques, 6 rue La Pérouse, 75116 Paris, France.

PMID: 25262490
DOI: 10.1016/j.healthplace.2014.09.004

Abstract

This study investigated the effect of spatial accessibility to healthcare services (HS) in residential and workplace neighbourhoods on the use of HS. Questionnaire data from the RECORD Study (2007-2008) were merged with administrative healthcare and geographic data. A novel method was developed to assess clustering of visits to HS around the residence/workplace. We found clustered use of HS around the workplace for few participants (11%). Commuting from suburbs to Paris and commuting distance were associated with a higher use of HS around the workplace. No associations were found between the spatial accessibility to and the use of HS.

Keywords: Geographic information system; Healthcare use; Spatial access; Spatial clustering analysis; Work neighbourhood.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Aged
Cohort Studies
Female
Health Services / statistics & numerical data*
Health Services Accessibility*
Humans
Male
Middle Aged
Residence Characteristics
Surveys and Questionnaires
Workplace