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Neighbourhoods and potential access to health care: The role of spatial and aspatial factors

机译：邻里和潜在的医疗保健机会：空间和空间因素的作用

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The availability of, and access to, primary health care is one neighbourhood characteristic that has the potential to impact health thus representing an important area of focus for neighbourhood-health research. This research examines neighbourhood access to primary health care in the city of Mississauga, Ontario, Canada. A modification of the Two Step Floating Catchment Area method is used to measure multiple spatial and aspatial (social) dimensions of potential access to primary health care in natural neighbourhoods of Mississauga. The analysis reveals that neighbourhood-level potential access to primary care is dependant on spatial and aspatial dimensions of access selected for examination. The results also show that potential accessibility is reduced for linguistic minorities as well as for recent immigrant populations who appear, on the surface, to have better access to walk-in clinics than dedicated physicians. The research results reinforce the importance of focusing on intra-urban variations in access to care and demonstrate the utility of a new approach for studying neighbourhood impacts that better represents spatial variations in health care access and demand.
机译：初级卫生保健的可获得性和可及性是一个邻里特征，它有可能影响健康，因此代表了邻里健康研究的重要重点领域。这项研究调查了加拿大安大略省密西沙加市附近社区获得初级卫生保健的机会。改进了“两步漂浮式集水区”方法，用于测量密西沙加自然社区中潜在获得初级医疗保健的多个空间和空间（社会）维度。分析表明，社区一级获得初级保健的潜在机会取决于选择进行检查的机会的空间和空间大小。结果还表明，语言上的少数族裔以及最近看来似乎比专职医生更容易进入门诊诊所的外来移民群体，其潜在的可及性降低了。研究结果强调了关注城市内获得医疗服务的变化的重要性，并证明了一种新方法在研究邻里影响方面的效用，该方法可以更好地代表医疗服务和需求的空间变化。

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