Using Geographic Information Systems in health disparities research: Access to care considerations. 2023

Tracey T Stansberry, and Liem Tran, and Carole Myers
College of Nursing, University of Tennessee, Knoxville, Tennessee, USA.

In health disparities research, Geographic Information Systems (GIS) provide nurse researchers with powerful tools to incorporate spatial factors, such as access to care and related attributes like socioeconomic and environmental characteristics, into their studies. This article educates nurse scientists about GIS-based research benefits and considerations (focusing on access-to-care factors) and the influence of various access-to-care metrics on research outcomes. We present an overview of GIS in nursing and health disparities research, along with findings from our 2022 study examining access to care's relationship with county-level mortality rates in Tennessee, especially in areas where rural hospitals closed between 2010 and 2019. We highlight three distinct access-to-care measures (Euclidean distances and road network-based travel times based on county and census tract centroids), showcasing how different calculations impact our modeling results. Our results underscore the importance of understanding the choice of access-to-care metrics in GIS-based research to draw valid conclusions.

UI MeSH Term Description Entries
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013714 Tennessee State bounded on the north by Kentucky and Virginia, on the east by North Carolina, on the south by Georgia, Alabama and Mississippi, and on the west by Arkansas and Missouri.
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D040362 Geographic Information Systems Computer systems capable of assembling, storing, manipulating, and displaying geographically referenced information, i.e. data identified according to their locations. Geographical Information Systems,Global Positioning System,Global Positioning Systems,Geographic Information System,Geographical Information System,Information System, Geographic,Information System, Geographical,Information Systems, Geographic,Information Systems, Geographical,Positioning System, Global,Positioning Systems, Global,System, Geographical Information,System, Global Positioning,Systems, Geographical Information,Systems, Global Positioning

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