Racial Differences in Geographic Access to Medical Care as Measured by Patient Report and Geographic Information Systems.

ABSTRACT:

Background

Geographic access-the travel burden required to reach medical care-is an important aspect of care. Studies, which typically rely on geographic information system (GIS) calculated travel times, have found some evidence of racial disparities in spatial access to care. However, the validity of these studies depends on the accuracy of travel times by patient race.

Objectives

To determine if there are racial differences when comparing patient-reported and GIS-calculated travel times.

Research design

Data came from the Philadelphia Area Prostate Cancer Access Study (P Access), a cohort study of men diagnosed with localized prostate cancer. We conducted cross-sectional analysis of 2136 men using multivariable linear mixed-effects models to examine the effect of ra

SUBMITTER: Wong MS 

PROVIDER: S-EPMC5554077 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature