Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Ossi kotavaara: Multimodal accessibility of primary health care and social services

124 views

Published on

Geospatial data in health and welfare research -seminar in Helsinki 23rd October 2018.

Published in: Healthcare
  • Hello! I can recommend a site that has helped me. It's called ⇒ www.WritePaper.info ⇐ So make sure to check it out!
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Buying a car at auction is easy once you know how. I will buy my next car there again. ✄✄✄ https://w.url.cn/s/Av0YfS8
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • As a student athlete I’m always on the grind at basketball practice and I’ve been really short on time all through high school. I usually order a research paper or English essay here and there. The website is called ⇒ www.HelpWriting.net ⇐ and they really help me out, man. Don’t know where I’d be without it.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD FULL BOOKS, INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD FULL BOOKS, INTO AVAILABLE FORMAT ......................................................................................................................... ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ,DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/yyxo9sk7 } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

Ossi kotavaara: Multimodal accessibility of primary health care and social services

  1. 1. Multimodal accessibility of primary health care and social services Ossi Kotavaara1, Timo Pohjosenperä2 1Geography Research Unit, 2Oulu Business School University of Oulu Geospatial data in health and welfare research 23.10.2018 Helsinki Low carbon logistics in local social and health care services
  2. 2. BASELINE Northern Ostrobothnia: 411 889 inhabitants / 391 365 reaches health center by car in 20 min Greater* Oulu region: 261 420 inhabitants / 208 138 reaches health center by bus in 30 min Travels in Oulu: 5 % bus / 16 % walk / 19 % bike / 60 % car Oulu bus trips: 13168 / Feb 2018 / weekday 06-11 *Oulu, Kempele, Hailuoto, Ii, Liminka, Lumijoki, Muhos, Tyrnävä, Utajärvi University of Oulu / Geography Reserach Unit / Geoinformatics
  3. 3. RESEARCH BACKGROUND • The Finnish healthcare system is reorganization, new service providers are accessing to emerging markets and public authorities are responsible for adequate service network. • Adequate and equal access to services are key factors for good-quality health care. • Locally available services will also reduce the need for passenger car travels and also CO² emissions, if public transport may be easily used. University of Oulu / Geography Reserach Unit / Geoinformatics
  4. 4. SERVICE ACCESSIBILITY / LOCATION-ALLOCATION IN NORTHERN OSTROBOTHNIA • Measuring accessibility and optimising service locations / GIS based computations / Bus and car travels • Primary level services / Maternity and child health clinics / children / Health centres (primary health care) / all users / Dentits / all users • Future needs of elderly health care / Emergency 24/7 and suplementary services / Primary health care hospitals and hospital wards University of Oulu / Geography Reserach Unit / Geoinformatics
  5. 5. MEASURING TRANSPORT ACCESSIBILITY BY GEOGRAPHIC INFORMATION SYSTEMS (GIS) ‘Accessibility... ...is the extent to which the land-use transport system enables (groups of) individuals or goods to reach activities or destinations by means of a (combination of) transport mode(s).’ Geurs & Ritseman van Eck (2001: 19) University of Oulu / Geography Reserach Unit / Geoinformatics
  6. 6. ACCESSIBILITY BY CAR
  7. 7. ACCESSIBILITY BY PUBLIC TRANSPORT
  8. 8. ACCESSIBILITY BY BUS AND CAR IN GREATER OULU REGION AND NORTHERN OSTROBOTHNIA University of Oulu / Geography Reserach Unit / Geoinformatics Car Bus
  9. 9. BUS TRAVELS / FEBRUARY WEEKDAY 06-11 AM AVERAGE / GREATER OULU REGION
  10. 10. PROFILING BUS USERS (OULU REGION / FEBRUARY 2018) University of Oulu / Geography Reserach Unit / Geoinformatics User groups by age (%) (N) Children 20,0 179 969 Youth & Students 38,8 348 807 Adults 41,1 369 264 Sum 100 898 040 Ticket types (%) (N) Season ticket 58,3 523 528 Value ticket (card) 24,0 215 431 Single ticket 11,9 106 982 School (childred) 5,8 52 099
  11. 11. P-MEDIAN / MINIMIZE IMPEDANCE / MOST EFFICIENT TRAVEL PATTERN • P-median (i.e. minimize impedance) reduces the overall distance the public needs to travel to reach the chosen facilities • Locating facilities with minimizing the overall need of traveling / Minimize Impedance chooses facilities such that the sum of weighted impedances (demand allocated to a facility multiplied by the impedance to the facility) is minimized / The minimize impedance is ordinarily regarded as more equitable than other problem types for locating some public-sector facilities such as libraries, regional airports, museums, department of motor vehicles offices, and health clinics. University of Oulu / Geography Reserach Unit / Geoinformatics
  12. 12. INTEGRATED PUBLIC TRANSPORT AND PASSENGER CAR LOCATION-ALLOCATION / Potential bus users are routed from home locations to all potential service locations via the fastest available transit connections within a defined time period / By applying this connectivity matrix with car travel routing, public transport and car travels may be integrated in the location-allocation analysis. University of Oulu / Geography Reserach Unit / Geoinformatics walk + bus with changes + walk
  13. 13. ROUTING PUBLIC TRANSPORT AND CAR USERS Fastest connections between each residential and service location Bus travels starting on Tue 6. Feb 2018 8:00–8:59 / One-minute intervals / Realistic travel chains / Connectivity matrix for location allocation University of Oulu / Geography Reserach Unit / Geoinformatics walk + bus with changes + walk
  14. 14. DATA FOR CAR AND PUBLIC TRANSPORT ROUTING • Digiroad • Regional and local main streets, collector and feeder streets and private roads allowed for public use… • Travel speed estimates were formulated on the basis of the speed limit data • General Transit Feed Specification (GTFS) of Oulu Region public transports • Scheduled bus connections • Travel chains • 4 km/h was applied for walking • Northern Finland is mainly uncongested  turn penalties / urban delay rates
  15. 15. PUBLIC TRANSPORT AND CAR TRAVEL ESTIMATES BY HOUSEHOLD CAR OWNERSHIP DATA Car ownership data applied in producing raw estimates for the public transport users / Share of households having no car  will updated with bus stop specific data ~216 000 inhabitants divided to ~ 53 000 public transports users ~ 160 000 car users University of Oulu / Geography Reserach Unit / Geoinformatics
  16. 16. DEVELOPING SERVICE NETWORK BY ACCESSIBILITY P-MEDIAN LOCATION-ALLOCATION RESULTS Allocation by bus and car Allocation by car, all users Allocation by bus only
  17. 17. REFERENCES Ahmadi-Javid, A., Seyedi, P., & Syam, S. S. (2017) A survey of healthcare facility location. Computers & Operations Research, 79, 223-263. Baray, J., and Cliquet, G. (2013) Optimizing locations through a maximum covering/p-median hierarchical model: Maternity hospitals in France. Journal of Business Research 66(1), 127-132. ESRI (2012) Algorithms used by Network Analyst. [Online] http://help.arcgis.com/en/arcgisdesktop/10.0/help/index.html#//004700000053000000. [Accessed 18 Jan 2018]. Finnish Road Administration, Digiroad (2017) Description of data objects, Release 2/2017. [Online] Available from: https://www.liikennevirasto.fi/documents/20473/236203/Data_Object_Description_2_2017_ENG.pdf [Accessed 10 Jan 2018]. Huotari, T., Antikainen, H., Keistinen, T. and Rusanen J. (2017) Accessibility of tertiary hospitals in Finland: A comparison of administrative and normative catchment areas. Social Science & Medicine 182: 60-67. Kotavaara, O., Hakkarainen, T., Huotari, T., Keistinen, T. and Rusanen, J. (2015) Mapping Opportunities for Enhancing Effective- ness of Health Care System by GIS Based Ac-cessibility Analyses: Locating Core and Support Services within Long Distances in Northern Finland. In: Proceedings of the 1st ICA European Symposium on Cartography, 2009. Lankila, T., Kotavaara, O., Antikainen, H., Hakkarainen, T. and Rusanen, J. (2016) Sosiaali- ja terveyspalveluverkon kehityskuva 2025 – Paikkatieto- ja saavutettavuusperusteinen tarkastelu. University of Oulu. [Online] Available from: http://www.sitra.fi/julkaisu/2016/sosiaali-ja-terveyspalveluverkon-kehityskuva-2025 [Accessed 11 Dec 2017]. McLafferty, S. L. (2003). GIS and health care. Annual review of public health 24(1), 25-42. Mestre, A. M., and Oliveira, M. D. Barbosa-Póvoa AP (2015) Location–allocation approaches for hospital network planning under uncertainty. European Journal of Operational Research 240(3):791–806 Miller H and Shaw S-L (2001) Geographic Information Systems for Transportation, Principles and Application. Oxford University Press Oulu Public Transport transit data (2017) Oulun joukkoliikenteen liikennöintidata (GTFS) [Online] Available from: https://data.ouka.fi/data/fi/dataset/oulun-liikenteen-liikennointidata-gtfs [Accessed 2 Jan 2018]. Páez A, Scott DM & Morency C. (2012) Measuring accessibility: positive and normative implementations of various accessibility indicators. Journal of Transport Geography 25: 141–153 Polo, G., Acosta, C. M., Ferreira, F., & Dias, R. A. (2015) Location-allocation and accessibility models for improving the spatial planning of public health services. PLoS One 10(3). Rodrigue, J. P., Comtois, C., and Slack, B. (2016) The geography of transport systems. Taylor & Francis. University of Oulu / Geography Reserach Unit / Geoinformatics
  18. 18. CONCLUSIVE DISCUSSION OPENINGS 1. What are the key public transport modes of the near future, affecting social and health service accessibility? / How the general travel pattern changes? 2. What is the probable and desirable user potential of public transports? / Where? By what conditions, systems, incentives or sanctions? 3. Efficiency and equality - where is the balance in spatial trade offs in service network coverage? 4. What are the key services needed to be locally accessible? University of Oulu / Geography Reserach Unit / Geoinformatics
  19. 19. THANKS FOR THE INTEREST! Contact: Ossi Kotavaara Postdoctoral researcher Geography Research Unit ossi.kotavaara@oulu.fi +358 40 727 3618 Low carbon logistics in local social and health care services

×