| 来源类型 | Article
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| 规范类型 | 其他
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| DOI | 10.1068/a141479
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| Equity, efficiency, and accessibility in urban and regional health-care systems. |
| Mayhew LD; Leonardi G
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| 发表日期 | 1982
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| 出处 | Environment and Planning A 14 (11): 1479-1507
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| 出版年 | 1982
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| 语种 | 英语
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| 摘要 | This paper explores four different criteria of health-care resource allocation at the urban and regional level. The criteria are linked by a common spatial-interaction model. This model is based on the hypothesis that the number of hospital patients generated in a residential zone i is proportional to the relative morbidity of i, and to the availability of resources in treatment zone j, but is in inverse proportion to the accessibility costs of getting from i to j. The resource-allocation criteria are based on objectives on which there is broad agreement among planners and other actors in a health-care system. These objectives are concerned with allocations that conform to notions of equity, efficiency, and two definitions of accessibility. The allocation criteria give mainly aggregate-level information, and are designed with the long-term regional planning of health-care services in mind. The paper starts by defining the criteria, and describes how they are intended to be employed in a planning context. The allocation rules are then formally derived and linked together mathematically. They are then applied to a region, London, England, which is known to have very complex health-care planning problems. As a result of this application, two of the criteria—equity and efficiency—are selected for further analysis. A new model is built and applied that specifically enables the user to trade off one of these criteria against the other. |
| 主题 | Human Settlements and Services Area (HSS)
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| URL | http://pure.iiasa.ac.at/id/eprint/13953/
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| 来源智库 | International Institute for Applied Systems Analysis (Austria)
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| 引用统计 |
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| 资源类型 | 智库出版物
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| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/126815
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推荐引用方式
GB/T 7714 |
Mayhew LD,Leonardi G. Equity, efficiency, and accessibility in urban and regional health-care systems.. 1982.
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