TY  - JOUR
ID  - iiasa13953
UR  - https://pure.iiasa.ac.at/id/eprint/13953/
IS  - 11
A1  - Mayhew, L.D.
A1  - Leonardi, G.
Y1  - 1982/11//
N2  - This paper explores four different criteria of health-care resource allocation at the urban and regional level. The criteria are linked by a common spatial-interaction model. This model is based on the hypothesis that the number of hospital patients generated in a residential zone i is proportional to the relative morbidity of i, and to the availability of resources in treatment zone j, but is in inverse proportion to the accessibility costs of getting from i to j. The resource-allocation criteria are based on objectives on which there is broad agreement among planners and other actors in a health-care system. These objectives are concerned with allocations that conform to notions of equity, efficiency, and two definitions of accessibility. The allocation criteria give mainly aggregate-level information, and are designed with the long-term regional planning of health-care services in mind. The paper starts by defining the criteria, and describes how they are intended to be employed in a planning context. The allocation rules are then formally derived and linked together mathematically. They are then applied to a region, London, England, which is known to have very complex health-care planning problems. As a result of this application, two of the criteria?equity and efficiency?are selected for further analysis. A new model is built and applied that specifically enables the user to trade off one of these criteria against the other.
PB  - SAGE Publications
JF  - Environment and Planning A
VL  - 14
SN  - 0308-518X
TI  - Equity, efficiency, and accessibility in urban and regional health-care systems
SP  - 1479
AV  - none
EP  - 1507
ER  -