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Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts
OBJECTIVE: In face of disparities in access to cancer care, it has been proposed to measure accessibility and to explore policy strategies for mitigating inequality of access. We aimed to determine the accessibility of Swiss paediatric oncology centres. METHODS: We employed spatial accessibility ana...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788087/ https://www.ncbi.nlm.nih.gov/pubmed/35942909 http://dx.doi.org/10.1111/ecc.13679 |
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author | Rauch, Sebastian Rakic, Milenko Hengartner, Heinz Elger, Bernice Rost, Michael |
author_facet | Rauch, Sebastian Rakic, Milenko Hengartner, Heinz Elger, Bernice Rost, Michael |
author_sort | Rauch, Sebastian |
collection | PubMed |
description | OBJECTIVE: In face of disparities in access to cancer care, it has been proposed to measure accessibility and to explore policy strategies for mitigating inequality of access. We aimed to determine the accessibility of Swiss paediatric oncology centres. METHODS: We employed spatial accessibility analysis, calculating driving time to nearest facility. Four data types were used: disaggregated population data, administrative data, street network data and addresses of centres. Besides analysing general accessibility, we compared access of urban versus rural areas and of Swiss citizens versus foreign residents and evaluated designating a new centre to improve accessibility. RESULTS: Overall, 97.4% could reach the nearest centre within 120 min (95.0% < 90 min, 86.5% < 60 min, 48.5% < 30 min). Accessibility could most effectively be improved by a new centre in Sion (city in the southwest of Switzerland). Access in urban areas was better than in rural areas. In urban areas, access of European Union/European Free Trade Association (EU/EFTA) and non‐European residents was better than access of Swiss citizens and residents from non‐EU European countries. CONCLUSION: Access is satisfactory. However, our study presents high‐resolution insights which could serve as points of leverage for policymakers to mitigate inequalities by designating a new centre and to evaluate potential benefits of centralisation. |
format | Online Article Text |
id | pubmed-9788087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97880872022-12-28 Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts Rauch, Sebastian Rakic, Milenko Hengartner, Heinz Elger, Bernice Rost, Michael Eur J Cancer Care (Engl) Original Articles OBJECTIVE: In face of disparities in access to cancer care, it has been proposed to measure accessibility and to explore policy strategies for mitigating inequality of access. We aimed to determine the accessibility of Swiss paediatric oncology centres. METHODS: We employed spatial accessibility analysis, calculating driving time to nearest facility. Four data types were used: disaggregated population data, administrative data, street network data and addresses of centres. Besides analysing general accessibility, we compared access of urban versus rural areas and of Swiss citizens versus foreign residents and evaluated designating a new centre to improve accessibility. RESULTS: Overall, 97.4% could reach the nearest centre within 120 min (95.0% < 90 min, 86.5% < 60 min, 48.5% < 30 min). Accessibility could most effectively be improved by a new centre in Sion (city in the southwest of Switzerland). Access in urban areas was better than in rural areas. In urban areas, access of European Union/European Free Trade Association (EU/EFTA) and non‐European residents was better than access of Swiss citizens and residents from non‐EU European countries. CONCLUSION: Access is satisfactory. However, our study presents high‐resolution insights which could serve as points of leverage for policymakers to mitigate inequalities by designating a new centre and to evaluate potential benefits of centralisation. John Wiley and Sons Inc. 2022-08-09 2022-11 /pmc/articles/PMC9788087/ /pubmed/35942909 http://dx.doi.org/10.1111/ecc.13679 Text en © 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Rauch, Sebastian Rakic, Milenko Hengartner, Heinz Elger, Bernice Rost, Michael Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title | Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title_full | Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title_fullStr | Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title_full_unstemmed | Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title_short | Access to paediatric oncology centres in Switzerland: Disparities across rural–urban and Swiss‐foreigners cohorts |
title_sort | access to paediatric oncology centres in switzerland: disparities across rural–urban and swiss‐foreigners cohorts |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788087/ https://www.ncbi.nlm.nih.gov/pubmed/35942909 http://dx.doi.org/10.1111/ecc.13679 |
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