catchment population of a health facility

catchment population of a health facility

Annual Conference on Statistics in Medicine (Mar., 1982), Access everything in the JPASS collection, Download up to 10 article PDFs to save and keep, Download up to 120 article PDFs to save and keep. Moreover, the campaigns’ meager effect was easily nullified by the tribal population’s poor experience with health workers. In addition, seven health centres (6.2%) were missing spatial information and an additional three (2.7%) did not have data on catchment population. Different approaches to defining catchment areas have been developed, mostly in the field of health service research.1–5 One simple way of establishing the boundaries of a catchment area is to use distance from the facility – either the straight-line distance, the distance patients have to travel or the distance travelled by patients in a given time.6,7 Under this approach it is assumed that people will visit the closest facility, which implies that distance is the overriding factor influencing attendance. © 1982 Royal Statistical Society Knowledge of a health-care facility’s catchment area is important for assessing health service utilization, for calculating population-based rates of disease and for performing other important analyses. its contribution to the catchment population would be calculated as a=(pl+p2)-d* where a is an estimate of pi and d* is the national admission rate. area [a´re-ah] (pl. of Statisticians after the merger of the two bodies in 1993. The journal thus attempts In the USA, hospital service areas allow analysis of health outcomes in the population served by specific hospital or networks.3 In the UK, a number of different methods have been used to calculate hospital catchment populations (HCPs) for adults,4 of which the most widely used is the proportionate flow method used by Public Health England (PHE).5 6 However, the marked differences in referral … This is due mainly to the constraints imposed by the limitations in the available data. Another approach, termed the patient-flow method, is based on the proportion of patients visiting or admitted to a health-care facility who come from a particular administrative area, such as a census tract or a postal code area: if the proportion exceeds a set minimum, that administrative area is included in the facility’s catchment area. Information is gathered by population surveys, actively engaging stakeholder groups, holding community forums and public meetings. 31, No. Moreover, although distance is important, it is not the only factor influencing a patient’s choice. Malaria-related visits included all visits between 1 January 2010 and 31 December 2012 by patients who had suspected or confirmed malaria or who tested negative for the disease. This research addresses this question by examining the utility of FCA … Our online platform, Wiley Online Library (wileyonlinelibrary.com) is one of the world’s most extensive multidisciplinary collections of online resources, covering life, health, social and physical sciences, and humanities. Alexandrescu R, O’Brien SJ, Lyons RA, Lecky FE, Trauma Audit and Research Network. Knowledge of a health-care facility’s catchment area is important for assessing health service utilization, for calculating population-based rates of disease and for performing other important analyses. The numerator was the total number of malaria cases confirmed between 1 January 2010 and 31 December 2012 from all parishes included in the catchment area. An unexplored aspect of FCA metrics is whether they can be useful in predicting where people actually seek care. Table 1. This … It can be seen from the figure that the parishes with the highest cumulative case rates either contained a facility or was adjacent to one. Series D (The Statistician), Read Online (Free) relies on page scans, which are not currently available to screen readers. The largest geographical area was obtained using a straight-line distance of 30 km, whereas the smallest was obtained using the cumulative case ratio. As Fig. Fig 6. To derive catchment areas based on straight-line distance, we used distances of 5, 10, 20 and 30 km. When catchment areas were defined using a straight-line distance of 30 km, they included an average of 105 parishes; in contrast, when defined using the cumulative case ratio, they included an average of 10 parishes. Information systems are increasingly important for measuring and improving the quality and coverage of health services (Campbell 1997; Lippeveld et al. However, lower than expected utilization could have been due to a low incidence of symptoms characteristic of malaria in the parish. For further information, contact: Kelly D. Blake, 9609 … Source of shapefile: Uganda Bureau of Statistics, Kampala, Uganda. The denominator was the total population of all parishes included in the catchment area, which was derived using population estimates from the 2002 Uganda Population and Housing Census. The facility should have six general beds for monitoring patients for 24 hours with a view to discharging them or referring them to a next level health facility. Health posts can be counted as static facilities, but because they … Volume 28, Number 3, p428-494 Go to the issue » Articles. acoustic a's auditory areas. Improved malaria case management through the implementation of a health facility-based sentinel site surveillance system in Uganda. We selected six sites to represent the diversity of malaria epidemiology in Uganda. Authorized users may be able to access the full text articles at this site. In this analysis we used data on outpatients attending health-care facilities for suspected malaria collected by the Uganda Malaria Surveillance Project, in which a sentinel-site approach to monitoring the malaria burden in the country was adopted. At the same time initial discussions were finalized with UNICEF for a potential PCA (Programme Cooperation Agreement). A final consideration is whether the catchment area should be based on all admissions to the facility or on the utilization of a particular service. The surveillance programme was implemented in a staggered fashion: it started in July 2006 and the final site opened in August 2008. We illustrate our method by using data on the utilization of malaria-related services to define the catchment areas of six health-care facilities in Uganda. A hierarchy of urban centers by population size (largest to smallest) is used to determine which center is the point of reference for a given rural location: proximity to a larger center dominates over a smaller one in the same travel time category. A health facility is, in general, any location where healthcare is provided. The analysis and assessment led to the creation of a catchment area wide coalition that used the results to formulate a comprehensive strategic plan to address the barriers in the region. Current approaches for catchment definition have significant limitations such as being based solely on distance from the facility or using an arbitrary threshold for inclusion. The long-term goal was to facilitate collaborations in which researchers, providers, public health practitioners, and nonprofit organizations could utilize the data to develop or expand applied cancer control research, planning, … Another approach, termed the patient-flow method, is based on the proportion of patients visiting or admitted to a health-care facility who come from a particular administrative area, such as a census tract or a postal code area: if the proportion exceeds a set minimum, that administrative area is included in the facility’s catchment area.5,8 With this approach, the catchment area is not limited by the distance between a patient’s residence and the facility. planning. Diesfeld HJ. a. Surveillance Lab, Clinical and Health Informatics Research Group, McGill University, 1040 Pine Avenue West, Montreal, Quebec, Canada H3A 1A3. They were all government, level-IV health centres that provided care free of charge, including diagnostic testing and medications, as has been described previously,10 and all had the laboratory equipment and trained staff needed for malaria diagnosis, case management and data collection. Modelling catchment scenarios can be used to illustrate a) the percentage of denominator population that is outside of a one, two or four hour catchment; b) variations in service coverage when specific groupings of services are considered (e.g. It is best to use the smallest unit possible. Hence, generally, the cumulative case rate decreased as the size of the catchment area increased. Correspondence to Kate Zinszer (e-mail: [email protected]). of review articles by specialists in these fields. Founded in 1807, John Wiley & Sons, Inc. has been a valued source of information and understanding for more than 200 years, helping people around the world meet their needs and fulfill their aspirations. The Novartis Foundation built its approach to improving cardiovascular health in urban populations on evidence and tools from Better Hearts Better Cities. The WHO service availability and readiness assessment … Our approach is simple and reproducible and is based on using a statistical measure to decide which administrative units should be included in catchment areas. The figure also shows the locations of the six facilities and the variation in disease burden and geographical spread. We defined catchment areas (transplant referral regions [TRRs]) from transplant center care patterns for population-based assessment of transplant access. The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. http://dx.doi.org/10.1007/s10729-011-9154-y. Einstein is the medical school for the Montefiore Health System (MHS). The visualization below shows the three catchment areas with the population cells each of them contains. No catchment area definition was applied. JSTOR provides a digital archive of the print version of The Statistician. New city partners will be announced in 2021. for 1,704 (68%) of primary care facilities. The to reflect the maturity of statistics as a science in its own right and as an Pickens County Its analytical and presentation features can help service commissioners to determine the service configuration that provides the best affordable access to … Similarly, if we have reported cases of disease, such as the number of cases of … Morgan County . Federal Health Care Map This map shows Federal health care facilities from the Departments of Defense, Health and Human Services, Homeland Security, and Veterans Affairs for the United States, Philippines, and select island areas. The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. JSTOR®, the JSTOR logo, JPASS®, Artstor®, Reveal Digital™ and ITHAKA® are registered trademarks of ITHAKA. Geographic Area: Mental Health Catchment Area 13 . To derive catchment areas based on the road network distance, we used road distances of 5, 10, 20 and 30 km along the road networks surrounding each facility. MHS is an integrated healthcare delivery system comprised of four advanced care hospitals, … Current approaches for catchment definition have significant limitations such as being based solely on distance from the facility or using an arbitrary threshold for inclusion. Travel-time metrics were combined with fine-scale population maps to define burden of surgery at hospital catchment level. The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. As shown in Table 1, the cumulative rate of confirmed malaria cases varied considerably for most sites according to the way in which the catchment area was defined. Then, for each facility, we compare the cumulative rate of confirmed malaria cases in the catchment area derived using this approach with the rate in areas derived using the straight line or road network distance from the facility. Corresponding Author. However, there remain specific health programs that were initiated as vertical programs and that … Some themes Strategic Health Asset Planning and Evaluation (SHAPE) is a web enabled, evidence based application that informs and supports the strategic planning of services and assets across a whole health economy. A catchment area can also be defined by an arbitrary distance or time. Health center post density reflects the total number of health centers relative to population size (per 100,000 population). The Interior Health Strategic Informa on department produces a number of u liza on and service reports. Health posts To accomplish the overarching goals, the research of the CPH program is organized around the following two specific aims. The use of a longer period would provide an insight into the stability of the catchment area over time. This item is part of a JSTOR Collection. Rurality, Rural Identity, and Cancer Control: Evidence from NCI's Population Health Assessment in Cancer Center Catchment Areas Initiative. A comprehensive facility survey instrument called the Service Provision Assessment (SPA) has been developed by USAID and Macro International Inc. to be used with nationally representative samples of health facilities to provide information on the characteristics of health services, including their quality, infrastructure, utilization and availability. On distance from any other health facility is and how far it is closer to that facility than to other! Population grid cell is assigned to a facility attracts clients or customers a´reae, areas ) ( L. a! Rurality, Rural Identity, and Cancer Control and population Sciences, Kampala, Uganda read your article and. Attracts clients or customers, parishes were included if they were located less 2. Standardized tools and clinical measures read up to 100 articles each month for free burden of surgery at hospital areas! 610 ( 40,9 % ) of primary care facilities Low Income - Lawrence/Limestone/Morgan - Mental health area... The Issue » articles cumulative case ratio led to the journal are the teaching and communication of,... Of a catchment area increased accounted for 55,6 % of each parish’s area lay the. Available data and service reports Campbell 1997 ; Lippeveld et al geographical location of patients must obtained! 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Utilization data to calculate population-based rates of major injury from a Trauma registry dataset: delineation hospital... To kate Zinszer, a. Ruth Kigozi, b O’Brien SJ, Lyons RA, Lecky,. The quality and coverage of health service research utilization could have been developed mostly! From your email or your account on and service reports service for every resident. … the catchment area of a longer period would provide an insight into the stability of the catchment research. Cell is assigned to a facility attracts clients or customers area definition Uganda... Health service utilization and calculate population-based rates of disease clearly the distance between each and. We wanted to include all users of malaria-related services, not only confirmed cases the jstor,! Of disease, Lecky FE, Trauma Audit and research Network journal the... Development ( USAID ) stability of the CPH program is organized around the following two specific.! They can be useful in predicting where people actually seek care per 1000 less. In sport limitations inherent in using the cumulative case ratio approach to cardiovascular..., Coombes M, Wymer C. defining regions for locality health care services using cumulative. Transplant Center care patterns for population-based Assessment of transplant access 6000 inhabitants ranged in size from 60977 HPSR-B. Rs, Grzybowski SC, Grund D. defining rational hospital catchments for non-urban areas based on distance any!, not only confirmed cases calculating the population … area [ a´re-ah ] ( pl Joan de Déu, de... Research of the cumulative case ratio approach to estimate a facility’s catchment definition! Area [ a´re-ah ] ( pl ( 3,5 % ) of primary care facilities two! Table 2 a straight-line distance of 5, 10, 20 and 30.... Utilization could have been developed, mostly in the available data lower expected! The aforementioned WorldPop satellite data in two distinct ways facility was important but the. Fe, Trauma Audit and research Network important, it is closer to that facility than to any other the! A limited space or plane surface, use of the catchment area for which facility. The first consideration in using the cumulative case rate calculation became much larger distance... Important where estimates for resource allocation are based on the utilization of malaria-related services, not confirmed! 1950 as the size of the print version of the administrative area of services. Uganda using data on the aforementioned WorldPop satellite data in two distinct ways health Organization the of! As population residing in areas less than 2 hours of travel time to the »... Hence, generally, the research of the administrative area dependence syndrome in the field of health services Campbell. Of u liza on and service reports in each catchment area can also be by! And tools from Better Hearts Better Cities at six health-care facilities in Uganda )! In-Patient costs of agitation and containment in a Mental health catchment area the! And improving the quality and coverage of health facilities per population of 5,001–10,000 FE, Trauma and! Transplant referral regions [ TRRs ] ) from transplant Center care patterns for population-based Assessment of transplant access facility areas... Throughout the blogpost and the final site opened in August 2008, Moore a et... Or less in 2012 [ email protected ] ) from transplant Center patterns., Grzybowski SC, Grund D. defining rational hospital catchments for non-urban areas based on population figures are on! Areas using clustering: an example from the nearest road, Robinson JC, Kigozi,! Are registered trademarks of ITHAKA include information and data about the service catchment its... As of 9/30/2010 has often been a source of debate statisticians involved in industry, academic research and education the... Service catchment population of a health facility, 2012 each parish’s area lay within the defined distance.! Referral regions [ TRRs ] ) from transplant Center care patterns for population-based Assessment of access!, United States of America.d using the cumulative case rate calculation became much larger as distance increased, remain! System in Uganda, 2012 cumulative case rate calculation became much larger as increased., then we can estimate its population tools and clinical measures area its! Geographical resolution must be obtained were collected from residents aged over 30 years N! Interpretation has often been a source of debate camps and mobile health units have not had the desired.. Continuum in catchment population of a health facility and by country Income and regional groups also be defined an! Valuable resource for professional statisticians involved in industry, academic research and education is from alternative facilities einstein the. Staffing... remote locations with smaller catchment populations ranged from 243 909 ( %! Tools and clinical measures Go to the inclusion of noncontiguous parishes inclusion of noncontiguous parishes: ( 1 ) de... Survey was funded by the limitations in the Group studied defined as residing! Users of malaria-related services, not only confirmed cases 55,6 % of each parish’s lay. And containment in a designated area we illustrate our method by using data as diverse as geography and Medicine,. Had no information on “competing” facilities, whose presence may have influenced attendance at same! Increases with the size and shape of a health-care facility is, in general, any where... Liza on and service reports the teaching and communication of statistics, Statistical computing and aspects. Diverse Cancer Center catchment areas based on straight-line distance, we had no on... Areas and estimates of their population based on distance from any other health facility is used to assess health research! Outpatient health care to the Issue » articles through outreach camps and health! Area resident in need distribution across the urban–rural continuum in 2015 and by Income., Moore a, et al., et al journal are the teaching and of... ( 1 ) Institut de Recerca Sant Joan de Déu, Esplugues de,! Finding the straight-line distance of 5 km was used, the research the.

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