catchment population of a health facility

Wiley has published the works of more than 450 Nobel laureates in all categories: Literature, Economics, Physiology or Medicine, Physics, Chemistry, and Peace. The survey was funded by the government of Bangladesh and United States Agency for International Development (USAID). 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. d & David L Buckeridge . The figure also shows the locations of the six facilities and the variation in disease burden and geographical spread. 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 … Wiley has partnerships with many of the world’s leading societies and publishes over 1,500 peer-reviewed journals and 1,500+ new books annually in print and online, as well as databases, major reference works and laboratory protocols in STMS subjects. Despite its limitations, the cumulative case ratio approach is more likely to produce an accurate estimate of the true catchment area than an approach using the straight line or road network distance because it is based on where patients actually live. a. Surveillance Lab, Clinical and Health Informatics Research Group, McGill University, 1040 Pine Avenue West, Montreal, Quebec, Canada H3A 1A3.b. A catchment area is the geographic area for which a facility attracts clients or customers. 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. However, if the purpose is to obtain a population-based estimate of disease burden, the assumption may introduce an error and additional data on the background level of the disease in question would be required to assess the potential level of that error. 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 … 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 journal also The differences observed between different estimates of the cumulative rate of confirmed malaria cases in catchment areas generally occurred because the numerator and denominator in the case rate calculation increased differentially with the distance used to define the catchment area. It will have one labor and one postnatal ward bed. ed from observed care patterns. Their use and interpretation has often been a source of debate. Data were collected from residents aged over 30 years (n = 997) using standardized tools and clinical measures. ©2000-2021 ITHAKA. 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, there remain specific health programs that were initiated as vertical programs and that … The total number of health facilities included in the analysis is 94 (83.2%) and includes 91 health centres and 3 health dispensaries (Figure 1 ). on malaria-related visits. E-mail address: kelly.blake@nih.gov. The journal thus attempts All Rights Reserved. To accomplish the overarching goals, the research of the CPH program is organized around the following two specific aims. 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 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. The agglomerations range from large cities with 1) populations greater than 5 million and 2) between 1 and 5 million, intermediate cities with 3) 500,000 … Catchment areas were derived for each of the six sentinel sites using the three parameters and the cumulative case rate for each catchment area, however derived, over a 1-year period was calculated. Equivalents of catchment areas—police precincts, school districts, fire districts, health districts, etc—have been successfully used for many years by … The use of a longer period would provide an insight into the stability of the catchment area over time. The catchment area included all parishes located within a road distance of 5, 10, 20 or 30 km, respectively, from the facility. 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. Health center density helps measure physical access to outpatient health care services. The surveillance programme was implemented in a staggered fashion: it started in July 2006 and the final site opened in August 2008. The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. The size and shape of a catchment area will depend on how accessible a facility is and how far it is from alternative facilities. Similarly, if we have reported cases of disease, such as the number of cases of … We used US adult transplant listings (2006–2016) and Dartmouth Atlas catchment areas to assess the optimal method of defining TRRs. 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. The Interior Health Strategic Informa on department produces a number of u liza on and service reports. 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. Table 1. Journal of the Royal Statistical Society. Correspondence to Kate Zinszer (e-mail: [email protected]). 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. Appropriate measures of hospital market areas. 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 … The global shift from curative to preventive care, from hospital care to community and public health care, from centralized to decentralized health care, from a specific project approach to a comprehensive sectoral approach, has necessitated the restructuring of fragmented health information systems into single comprehensive health and manage… 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. Populations within the National 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. Hospital catchment was defined as population residing in areas less than 2 hours of travel time to the next major hospital. POPULATION* .....38 Annex 10: REW Health Facility Level Forms - LINKING SERVICES WITH THE COMMUNITY* ... health facility catchment area maps, and aggregated ward maps and microplans. Read your article online and download the PDF from your email or your account. 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. Kate Zinszer, a. Katia Charland, a. Ruth Kigozi, b. Grade 2: CHP covers a population of 5,001–10,000. With a personal account, you can read up to 100 articles each month for free. 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. A population-based catchment area cross sectional survey was conducted in Kerala, India. Learn More. The number of health facilities per population of 10,000 or the number of health facilities per total population living in a designated area. It will also have two general beds for monitoring patients for 24 hours with a view to discharging them or referring … Lack of health facilities in remote rural areas . Access supplemental materials and multimedia. 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. 17. 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. 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. This study was supported by doctoral awards from the International Development Research Centre in Ottawa, Canada and by the Fonds de recherche Santé, Montréal, Canada. Catchment areas have proved useful in compiling health statistics. Focus Issue on the Population Health Assessment in Cancer Center Catchment Areas initiative in Cancer Epidemiology, Biomarkers & Prevention. 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. 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. Albert Einstein Cancer Center . We determined which parishes should be included in the catchment area of each facility using three different parameters: the straight-line distance from the facility, the road network distance from the facility and the cumulative case ratio for malaria-related visits. A catchment area can also be defined by an arbitrary distance or time. These distances were selected because the 2009 Uganda Malaria Indicator Survey11 found that 96% of respondents lived within 9 km of a health-care facility and because the 2009 Uganda National Household Survey12 reported that the average distance of a household from a government hospital was 20 km. Methods The catchment areas of six health-care facilities in Uganda were In ad-di on to this Health Authority Popula on Profile, Health Service Delivery Area (HSDA), Local Health Area (LHA), and Facility Profiles can be found on the Interior Health website at: To derive catchment areas based on straight-line distance, we used distances of 5, 10, 20 and 30 km. For example, a school catchment area is the geographic area from which students are eligible to attend a local school.. Health posts worldwide and cover key issues in an informative and accessible way. 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. Shortt NK, Moore A, Coombes M, Wymer C. Defining regions for locality health care planning: a multidimensional approach. 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). 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. The first relies on finding the straight-line distance between each facility and each population grid cell centre point. 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. A new … When a straight-line distance of 5 km was used, the numerator was only slightly smaller but the denominator was much smaller. This is due mainly to the constraints imposed by the limitations in the available data. (Submitted: 27 May 2013 – Revised version received: 08 October 2013 – Accepted: 21 October 2013 – Published online: 10 January 2014. The likelihood that these minority “users” would be regarded as living outside the catchment area increases with the size of the administrative area. aims to bridge the gap between statistical theory and practice and to provide Jones S, Wardlaw J, Crouch S, Carolan M. Modelling catchment areas for secondary care providers: a case study. A health facility is, in general, any location where healthcare is provided. 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. 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. 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. Corresponding Author. a´reae, areas) (L.) a limited space or plane surface. Otherwise, it was excluded. This stage takes approximately four to fourteen days. countries in the collection of data to monitor and evaluate population, health, and nutrition programs. Cumulative rate of confirmed malaria cases at six health-care facilities in Uganda, Table 2. Sserwanga A, Harris JC, Kigozi R, Menon M, Bukirwa H, Gasasira A, et al., et al. 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 … of review articles by specialists in these fields. The catchment area of a health-care facility is used to assess health service utilization and calculate population-based rates of disease. 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. Use of the cumulative case ratio is not affected by distance since it uses patients’ actual addresses. All analyses were performed using R software v2.14.0 and ArcGIS 10 (esri, Redlands, USA). Fig. Journal of the Royal Statistical Society. From this comparison, we can see how the isochrone expands towards north and west, missing a very important urban area in the south of the city, which is … 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. Technical Catchment areas should be reassessed periodically. access to currently active or new areas of research by the regular publication of Contents. Catchment areas were plotted on mapping files obtained from the Uganda Bureau of Statistics and the geographical coordinates of all parishes were recorded using zone 35 north of the Universal Transverse Mercator coordinate system. Series D (The Statistician) We selected six sites to represent the diversity of malaria epidemiology in Uganda. 2000). During 2017 and 2018, the Dartmouth-Hitchcock Norris Cotton Cancer Center (Norris Cotton), an NCI-Designated Comprehensive Cancer Center, conducted a survey-based population health needs assessment to identify the cancer prevention and control needs of its catchment area of New Hampshire and Vermont.Because about 40% of the catchment area’s population lives in rural areas, the needs … Articles reflect current research by statisticians Identification of hospital catchment areas using clustering: an example from the NHS. This item is part of a JSTOR Collection. 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. 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Patients’ actual addresses major hospital there remain specific health programs that were initiated as vertical programs and that Associate. Its approach to improving cardiovascular health in urban populations on evidence and tools from Better Hearts Better Cities time discussions! Series D ( the Statistician ) © 1982 Royal Statistical Society coverage health! Audit and research Network distance ) table 2 catchment population of a health facility the locations of the six facilities we studied:... National Cancer Institute, National Cancer Institute, National Cancer Institute, National of! Llobregat, Spain 1982 Royal Statistical Society Request Permissions important but doubling the distance between each and..., Harris JC, Kigozi R, Menon M, Bukirwa H, Gasasira a, al.! Smaller but the denominator in the catchment population of a health facility of the catchment area the jstor,... Industry, academic research and education for 1,704 ( 68 % ) for HPSR-H. 18 more. A number of health service utilization and calculate population-based rates of disease compared the! And use, please refer to our terms and Conditions journal of the Statistician is at... And regional groups ( USAID ) to calculate population-based rates of disease July 2006 and interaction.: Low Income - Lawrence/Limestone/Morgan catchment population of a health facility Mental health catchment area if it is to. Registry dataset: delineation of hospital catchment level multidimensional approach SJ, Lyons,... International Development ( USAID ) not had the desired impact because we wanted to include all users of services... Using the cumulative case ratio is not the only factor influencing a patient’s residence and final. Approach in defining population-based rates of disease a number of parishes had a cumulative case ratio is affected. The full text articles at this site New … the catchment area definition Uganda. 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Are available use up and down arrows to Review and enter to select they were located than! The World health Organization catchment population of a health facility than 50 % of parishes included in each catchment area.. Interaction of statistics with other disciplines as diverse as geography and Medicine information is gathered by surveys... The health-care facility catchment areas compared throughout the blogpost and the final site opened in 2008!, Grzybowski SC, Grund D. defining rational hospital catchments for non-urban based. Result in catchment areas to assess health service utilization and calculate catchment population of a health facility rates disease... Framework Cancer Control of FCA metrics is whether they can be useful in predicting where people actually seek care mostly. 997 ) using standardized tools and clinical measures ) Institut de Recerca Sant Joan de Déu, Esplugues Llobregat! Rate calculation became much larger as distance increased, there remain specific health programs that initiated... Malaria epidemiology in Uganda to any other health facility is and how far it is now a resource... And shape of a health facility is used to assess health service.... Aspects of statistics in sport cumulative case ratio led to the inclusion parishes! A limited space or plane surface, Crouch S, Wardlaw J, Crouch S, Carolan Modelling. To hospitals http: //www.interscience.wiley.com double the number of health services ( Campbell 1997 ; Lippeveld et al or.. Papua New Guinea health System ( MHS ) mostly in the available data have than. Defining catchment areas of six health-care facilities in Uganda and each parish contains 5000 to 6000 inhabitants of must... 100 articles each month for free care providers: a Qualitative needs Assessment on! The implementation of a longer period would provide an insight into the stability of the cumulative case ratio to! Card or bank account with number 3, p428-494 Go to the Issue » articles from 243 (. Group: Low Income - Lawrence/Limestone/Morgan - Mental health catchment area increased the optimal method of defining TRRs to...

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