© The Trustees of the University of Pennsylvania • Site Design: PMACS Web Team
© The Trustees of the University of Pennsylvania • Site Design: PMACS Web Team
Eberhart MG, Voytek CD, Hillier A, Metzger DS, Blank MB, Brady KA
Decisions regarding where patients access HIV care are not well understood. The purpose of this analysis was to examine differences in travel distance to care among persons receiving care in Philadelphia. A multi-stage sampling design was utilized to identify 400 potential participants. 65 % (260/400) agreed to be interviewed. Participants were asked questions about medical care, supportive services, and geographic location. Distances were calculated between residence and care location. 46.3 % travelled more than three miles beyond the nearest facility. Uninsured travelled further (6.9 miles, 95 % CI 3.9-9.8) than persons with public insurance (3.3 miles, 2.9-3.6). In multivariate analyses, no insurance (20/260) was associated with increased distance (p = 0.0005) and Hispanic ethnicity was associated with decreased distance (p = 0.0462). Persons without insurance travel further but insurance status alone does not explain the variability in distance travelled to care. In Philadelphia, Hispanic populations, and providers that may be most accessible to them, are spatially contained.
Developed by Dr. Amy Hiller of the Penn School of Design for training undergraduate and graduate students in introductory Arc GIS, this manual is meant to be a complement, rather than substitute, for ArcView software manuals, ESRI training products, or the ArcView help options. Particularly helpful to people new to GIS who may be intimidated by conventional software manuals, this manual focuses on the basic tools and functions that users new to GIS should konw how to use. Those who master these basic functions shoulud have the skills to learn about additional tools, using the ArcView help menus, or just exploring additional menu options, toolbars and buttons. This manual is used for teaching people in the social sciences and public health including Robert Wood Johnson clinical scholars and for Penn's GIS and Public Health Institute that is offered ever summer. Click more details below to download for free.
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© The Trustees of the University of Pennsylvania • Site Design: PMACS Web Team
© The Trustees of the University of Pennsylvania • Site Design: PMACS Web Team