eprintid: 13953 rev_number: 5 eprint_status: archive userid: 5 dir: disk0/00/01/39/53 datestamp: 2016-11-16 15:28:29 lastmod: 2021-08-27 17:28:01 status_changed: 2016-11-16 15:28:29 type: article metadata_visibility: show item_issues_count: 3 creators_name: Mayhew, L.D. creators_name: Leonardi, G. creators_id: 809 creators_id: AL0927 title: Equity, efficiency, and accessibility in urban and regional health-care systems ispublished: pub divisions: prog_hss abstract: 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. date: 1982-11 date_type: published publisher: SAGE Publications id_number: 10.1068/a141479 creators_browse_id: 1441 creators_browse_id: 2112 full_text_status: none publication: Environment and Planning A volume: 14 number: 11 pagerange: 1479-1507 refereed: TRUE issn: 0308-518X coversheets_dirty: FALSE fp7_type: info:eu-repo/semantics/article citation: Mayhew, L.D. & Leonardi, G. (1982). Equity, efficiency, and accessibility in urban and regional health-care systems. Environment and Planning A 14 (11) 1479-1507. 10.1068/a141479 .