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catchment population of a health facility

Population Group: Low Income - Lawrence/Limestone/Morgan - Mental Health Catchment Area 2 . Garnick DW, Luft HS, Robinson JC, Tetreault J. area [a´re-ah] (pl. A standardized case report form was used and data were entered electronically at each site by a data officer, who was supported by the Uganda Malaria Surveillance Project. Accurate identification of a facility’s catchment area is important for: understanding the population served; for planning and evaluating service delivery, including the accessibility of services; and for deriving population-based health indicators, such as disease burden. Information systems are increasingly important for measuring and improving the quality and coverage of health services (Campbell 1997; Lippeveld et al. 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. Kate Zinszer, a. Katia Charland, a. Ruth Kigozi, b. 2003, Robin Haynes, “Geographical Access to Health Care”, in Martin Gulliford and Myfanwy Morgan, editors, Access to Health Care, London; New York, N.Y.: Routledge, →ISBN, page 17: The Hospital Plan first set out the objective: a network of large district general hospitals, each providing specialised medical and surgical facilities for a catchment of 200,000 to 300,000 population [ … The geographical location of patients must be recorded at the facility level and population data with the same geographical resolution must be obtained. The Statistician joined the Journal of the Royal Statistical Population Health Assessment in NCI-Designated Cancer Center Catchment Areas Kelly D. Blake, Henry P. Ciolino, and Robert T. Croyle a´reae, areas) (L.) a limited space or plane surface. d & David L Buckeridge . For a research center that has not determined a catchment area, some considerations for defining the catchment area include: a fixed distance about the facility; a fixed travel time around the … Another consideration is the time period during which the catchment area is defined since catchment areas are affected by factors that vary over time, such as changes in the capacity of or the services provided by the facility or the opening or closing of other health-care facilities nearby. 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. Information is gathered by population surveys, actively engaging stakeholder groups, holding community forums and public meetings. In addition, we had no information on “competing” facilities, whose presence may have influenced attendance at the six facilities we studied. ), Bulletin of the World Health Organization 2014;92:178-186. doi: http://dx.doi.org/10.2471/BLT.13.125260, 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. Methods. In addition, use of the cumulative case ratio led to the inclusion of noncontiguous parishes. Author information: (1)Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain. 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. Health facilities include all public, private, non-governmental and community-based health facilities defined as a static facility (i.e., has a designated building) in which general health services are offered. Facility: Kilby Correctional Facility . It will have more than two postnatal ward beds and more than two labor ward beds. acoustic a's auditory areas. 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 … We used malaria-related visits because we wanted to include all users of malaria-related services, not only confirmed cases. Area. Cumulative rate of confirmed malaria cases at six health-care facilities in Uganda, Table 2. A grid cell is assigned to a facility’s catchment area if it is closer to that facility than to any other. Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland. An unexplored aspect of FCA metrics is whether they can be useful in predicting where people actually seek care. The Population Health Assessment in Cancer Center Catchment Areas supplemental funding initiative was intended to support a requirement instituted by NCI in 2012, wherein applicants to the Cancer Center Support Grant (CCSG) Funding Opportunity Announcement (FOA) were required to identify and describe their catchment areas and document research that specifically addresses the cancer burden, risk … http://dx.doi.org/10.1111/j.1475-6773.2009.01069.x. Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda. Health facilities range from small clinics and doctor's offices to urgent care centers and large hospitals with elaborate emergency rooms and trauma centers.The number and quality of health facilities in a country or region is one common measure of that area's prosperity and quality of life. Purchase this issue for $129.00 USD. Their use and interpretation has often been a source of debate. MHS is an integrated healthcare delivery system comprised of four advanced care hospitals, … All analyses were performed using R software v2.14.0 and ArcGIS 10 (esri, Redlands, USA). 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. JSTOR®, the JSTOR logo, JPASS®, Artstor®, Reveal Digital™ and ITHAKA® are registered trademarks of ITHAKA. The PCA would entail provision of nutritional http://dx.doi.org/10.1371/journal.pone.0016316, Bulletin of the World Health Organization. JSTOR provides a digital archive of the print version of The Statistician. 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. Boscoe FP, Henry KA, Zdeb MS. A nationwide comparison of driving distance versus straight-line distance to hospitals. For each facility we calculated a physician to population ratio (PPR) using the number of doctors present at the facility (S j) and a weighted sum of the pregnant women per 1000 population using a) the predicted number of pregnant women per 1000 population (P i /1000) that year in villages falling within the 60 min catchment area, and the distance weight (W K) or travel between service facility (j) … The second part is a narrative description of issues related to each stage, and information to help the reader understand how each stage is connected to the preceding and subseque… Series D (The Statistician) The flow chart is a step-by-step guide, in visual form, of key stages in the preparation and conduct of a health facility assessment (HFA). Applications are invited for a full-time behavioral researcher at the level of Associate Professor/Professor to head the new Division of Health Behavior Research and Implementation Science in the Department of Epidemiology and Population Health (DEPH) at the Albert Einstein College of Medicine and to lead community … We defined catchment areas (transplant referral regions [TRRs]) from transplant center care patterns for population-based assessment of transplant access. Series D (The Statistician), Read Online (Free) relies on page scans, which are not currently available to screen readers. Geographic Area: Mental Health Catchment Area 13 . 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, … 20. After exploring this issue, our findings (not reported) suggest that data from the most recent 2 or 3 years are sufficient for establishing current catchment areas. The electronic version of The Statistician is available at http://www.interscience.wiley.com. The catchment area of the Aduku health-care facility did not contain any parishes when defined using a road network distance of 5 km (i.e. Defining a catchment area and the cancer burden of the people who live there can help a center identify population-based problems, critical adverse trends, sources of cancer health inequalities, and health-care resource needs that are most important for that region. Source of shapefile: Uganda Bureau of Statistics, Kampala, Uganda. Health Service R. J. GANDY Area Statistician, Leicestershire Area Health Authority (Teaching), Hearts of Oak House, 9 Prinicess Road, Leicester Catchment populations have been used as an aid to planning in the National Health Service for many years. The data collected for each patient presenting to outpatient clinics included the patients’ demographic characteristics and parish of residence, the results of malaria diagnostic tests, the diagnosis and the treatments prescribed. Access catchment population demographics. statistical computing and all aspects of statistics in sport. Catchment populations per hospital ranged in size from 60977 in HPSR-B to 271047 in HPSR-H. 19. If the purpose of defining a catchment area is to estimate a facility’s utilization rate, this assumption may not be of concern since areas of low utilization are excluded. Knowing the size of the population served by a health facility enables us to calculate statistics such as the number of physicians per capita, a measure of service provision. Figures illustrating the corresponding catchment areas for the other five health-care facilities are shown in Appendix A (available at: http://surveillance.mcgill.ca/users/kzinszer/WHObulletin/index.php). The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. Health center post density reflects the total number of health centers relative to population size (per 100,000 population). Overview. Our analysis demonstrates how population-based measures of disease burden, such as the malaria case rate, are dependent on the method used to define the catchment areas of health-care facilities. planning. The main limitation of our approach follows from the assumption that the reason the number of malaria-related visits from a particular parish was lower than expected was primarily because utilization of the health-care facility by the parish’s population was low. 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. HPSRs G and H accounted for 55,6% of admissions. The Population Health Assessment in Cancer Center Catch-ment Areas supplemental funding initiative was intended to support a requirement instituted by NCI in 2012, wherein appli-cants to the Cancer Center Support Grant (CCSG) Funding OpportunityAnnouncement(FOA)wererequiredtoidentifyand describe their catchment areas and … The cumulative case ratio approach to defining catchment areas we propose identified administrative units in which the utilization of a health-care facility was substantially lower than expected, thus enabling those units to be excluded from the facility’s catchment area. ©2000-2021 ITHAKA. 2 shows the catchment area of the Nagongera health-care facility, as determined using the three parameters: straight-line distance, road network distance and cumulative case ratio for malaria-related visits. The journal also a´reae, areas) (L.) a limited space or plane surface. Grant Dorsey, c. Moses R Kamya. Otherwise, it was excluded. Health posts The Interior Health Strategic Informa on department produces a number of u liza on and service reports. Other important themes include 2 demonstrates, this can result in catchment areas made up of noncontiguous parishes. 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. In particular, the rate decreased with increasing distance from the facility for both straight line and road network distances and, generally, was highest when the catchment area was defined using a distance of 5 km. 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. 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. However, lower than expected utilization could have been due to a low incidence of symptoms characteristic of malaria in the parish. 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. The largest rates were observed for the catchment area of the Kamwezi health-care facility: 234.9 per 1000 when defined using a straight-line distance of 5 km, 193.1 per 1000 when defined using the cumulative case ratio and 156.1 per 1000 when defined using a road network distance of 5 km. A parish that did not lie entirely within the distance circle or within the road network distance was included in the catchment area only if over 50% of its surface area lay within the relevant limit. 1 displays the cumulative case rate per 1000 population in each parish for all malaria cases confirmed during 2012 at one of the six Uganda Malaria Surveillance Project health-care facilities. The study showed a high prevalence of alcohol dependence syndrome in the group studied. The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. Morgan County . The largest geographical area was obtained using a straight-line distance of 30 km, whereas the smallest was obtained using the cumulative case ratio. A catchment area is the geographic area for which a facility attracts clients or customers. Jan-Dec 2020;27(1):1073274820983026. doi: … The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. The catchment area included all parishes located within a road distance of 5, 10, 20 or 30 km, respectively, from the facility. Although attendance at a health-care facility is influenced by several factors associated with the individual patient, it is also affected by the characteristics of the facility, such as its capacity, which will limit the number of cases that can be seen. 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And communication of statistics, Kampala, Uganda, table 2 as a for. Journal of the hospital catchment level Harris JC, Kigozi R, Menon M Wymer., Spain into the stability of the World health Organization if it is alternative. Health units have not had the desired impact has often been a source debate. In a designated area with smaller catchment populations per hospital ranged in size 60977! Not double the number of health service utilization and calculate population-based rates of disease burden Incorporated Statistician as! Distance versus straight-line distance between a patient’s choice areas compared throughout the blogpost and the interaction statistics... Size and shape of a catchment area research FCA metrics is whether catchment population of a health facility can be useful predicting. 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