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Presenting current research on spatial epidemiology, this book covers topics such as exposure, chronic disease, infectious disease, accessibility to health care settings and new methods in Geographical Information Science and Systems. For epidemiologists, and for the management and administration of health care settings, it is critical to understand the spatial dynamics of disease. For instance, it is crucial that hospital administrators develop an understanding of the flow of patients over time, especially during an outbreak of a particular disease, so they can plan for appropriate levels of staffing and to carry out adaptive prevention measures. Furthermore, understanding where and why a disease occurs at a certain geographic location is vital for decision makers to formulate policy to increase the accessibility to health services (either by prevention, or adding new facilities). Spatial epidemiology relies increasingly on new methodologies, such as clustering algorithms, visualization and space-time modelling, the domain of Geographic Information Science. Implementation of those techniques appears at an increasing pace in commercial Geographic Information Systems, alongside more traditional techniques that are already part of such systems. This book provides the latest methods in GI Science and their use in health related problems.
.."in many developing countries, there are large differences in economic conditions and the standard of living between regions, and even between communities within the same region. In many countries, poverty has a clear geographic dimension, since the poor are often concentrated in pockets of poverty. Therefore, the design of poverty alleviation policies must also have a signficant spatial component." Although development projects are carefully designed and meticulously evaluated for cost effectiveness and benefits, too many of them are not sufficiently targeted geographically. The growing availability and use of spatial data, organized in a computer system such as a geographical information system (GIS), makes it more feasible to analyze the impact of projects in specific locales and to achieve more effective targeting. 'Geographical Targeting for Poverty Alleviation' introduces the basic concepts of a GIS. It also demonstrates how to organize geographic and nongeographic data. In addition, it presents different methods for using the data of the Household Income and Expenditure Survey, together with other surveys and the population census, to provide estimates for the standard of living and the incidence of poverty incidence in different geographical areas of a country. Ultimately, these estimates should be used to establish guidelines for targeting poverty alleviation projects. This publication illustrates different GIS applications for identifying the project's target population, determining the project's spatial 'sphere of influence' or deciding where to locate public facilities. This publication is of interest to task managers, economists, development researchers, and geographers.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
To what extent can we have truly universal, comprehensive and timely health services, equally available to all? Access to Health Care considers the meaning of 'access' in health care and examines the theoretical issues that underpin these questions. Contributors draw on a range of disciplinary perspectives to investigate key aspects of access, including: · geographical accessibility of services · socio-economic equity of access · patients' help-seeking behaviour · organisational problems and access · methods for evaluating access. Access is considered in both a UK and international context. The book includes chapters on contrasting health policies in the United States and European Union. Access to Health Care provides both health care researchers as well as health professionals, managers and policy analysts, with a clear and wide-ranging overview of topical and controversial questions in health policy and health services organization and delivery.
Contains an inventory of evaluation reports produced by and for selected Federal agencies, including GAO evaluation reports that relate to the programs of those agencies.