Get Accessibility and Utilization: Geographical Perspectives on PDF

By Alun E Joseph, David Phillips

ISBN-10: 0063182769

ISBN-13: 9780063182769

This e-book combines a wide-ranging theoretical view of accessibility and usage with empirical adventure from a number of related health-care supply platforms - these of the uk, the USA, Canada, Australia and New Zealand. The authors specialise in fundamental health-care provision, but in addition contemplate secondary and tertiary amenities. the place past clinical geography texts have handled illness ecology, this booklet presents a complete evaluate of modern geographical study into the wellbeing and fitness provider procedure and its usage. The publication is obviously dependent and good written, permitting scholars to know the necessities of the topic. The skilful use of references will enable extra complicated scholars to stick with up the themes in higher aspect.

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Extra info for Accessibility and Utilization: Geographical Perspectives on Health Care Delivery

Sample text

S ~~ N " o .... N ~ ~ eo OJ ~ t'U "0 IV ~>xlxl I:: ~%lo. lo. , 35 ~§ 'C) ..... '". ," '"01'" =: c:I _ - N C"""\ ""'" N C"""\ ~ - N C"""\ ""'" ~ ~ C;S'" ~ 67 (Marden 1966, p. 299). By contrast, the distribution of specialists was most strongly associated with the availability of hospital support facilities and the educational status of the population.

Keeping these emerging trends in health care delivery in mind, it is possible to characterize the contemporary health care delivery systems in most developed countries as tripartite. , the general hospital and the specialized physician constituting the secondary level, with specialized hospitals and clinics at the tertiary level. There is some overlap in function among these levels, particularly between the primary and secondary. Ingram et al. (1978), amongst others, have presented evidence for the use of hospital emergency and outpatient units as a substitute for general practitioner services (see Chapter 6).

Sanatoria and maternity hospitals). Specialized personnel were, as now, associated with this secondary, hospital-based tier of the health care delivery system. ModifIcations to this two-tier hierarchy occurred through the twentieth century in response to changes in medical science and technology together with the shifting priorities of professional organizations and governments. These changes and their implications for access to primary health care will be discussed in Chapter 4. The net result of these developments has been an increase in specialization, both of personnel and facilities, arguably an overspecialization in many cases.

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Accessibility and Utilization: Geographical Perspectives on Health Care Delivery by Alun E Joseph, David Phillips


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