By Alun E Joseph, David Phillips
This e-book combines a wide-ranging theoretical view of accessibility and usage with empirical adventure from numerous similar health-care supply platforms - these of the uk, the USA, Canada, Australia and New Zealand. The authors specialize in basic health-care provision, but additionally think of secondary and tertiary amenities. the place prior scientific geography texts have handled illness ecology, this ebook presents a accomplished assessment of modern geographical study into the wellbeing and fitness carrier procedure and its usage. The ebook is obviously based and good written, permitting scholars to understand the necessities of the topic. The skilful use of references will allow extra complicated scholars to persist with up the subjects in higher element.
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Additional info for Accessibility and Utilization: Geographical Perspectives on Health Care Delivery
Although the former will not be ignored, the attention here will be on examples of the latter type of study. The distribution of physicians within any geographically defined health care system is the aggregate outcome of decisions made with respect to individual preferences within a set of constrained choices. In considering the major features of these preferences and of the various constraints on locational choice, the initial focus will be on the preferences of individuals. ~ (a) Individual preferences It is axiomatic that individual preferences are a function of attitudes (Fishbein 1967).
A three-tier organization is now probably the most typical. Changes in health care organization have typically been complex, and opportunities for useful generalization concerning them are further limited by the difficulty of attributing locational and accessibility changes to particulaf organizational developments. In Chapter 3, we were content to identify rapid and cumulative developments in medical science and technology and the differentiation of labour during the process of industrial urbanization as major driving forces behind the progressive specialization of medical personnel and facilities.
The basic premise underpinning the referral system is that those in need of health care are unable to gauge the precise nature of their need and the appropriate treatment. It usually falls upon the primary level of the health care system to decide this for the potential patient (Fry 1979). Some individuals may enter the health care system via public health clinics, hospital emergency units, or other medical institutions, but most people enter the system through the general practitioner or 'family doctor' (Phillips 1981a).
Accessibility and Utilization: Geographical Perspectives on Health Care Delivery by Alun E Joseph, David Phillips