Revealing the role of subjective geographic proximity in the use of medical services: a quantitative case study in a French metropolitan suburb

Révéler le rôle de la proximité géographique subjective dans l’utilisation des services médicaux: une étude de cas quantitative dans une banlieue métropolitaine française

Alexis Pokrovsky (), Romain Aeberhardt, Sandra Charreire Petit and Damien Talbot
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Alexis Pokrovsky: LIRSA - Laboratoire interdisciplinaire de recherche en sciences de l'action - CNAM - Conservatoire National des Arts et Métiers [CNAM]
Romain Aeberhardt: Centre de Recherche en Économie et STatistique (CREST)
Sandra Charreire Petit: RITM - Réseaux Innovation Territoires et Mondialisation - Université Paris-Saclay

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Abstract: Planning or organizing health services across territories relies mainly on density models and metric management which do not match the complexity of spatial behaviors of individuals. Thus, unexpected behaviors may be observed, leading to misalignment with the initial plan. Our paper addresses this issue by analyzing the influence of some socioeconomic factors on the venues of inhabitants to hospital facilities within a Groupement Hospitalier de Territoire, by essence an organisation of medical resources within a defined territory. By comparing the patterns in a situation of comparable choice between two hospital facilities located at a nearby distance within the same GHT, we measure some counter intuitive variances, revealing a perception of proximity that diverges from pure distance and is statistically correlated to two main variables: the level of deprivation and a perceived boundary that matches the frontier of the administrative department. We thus evidence some factors supporting cognitive dimension of proximity that ought to be integrated in the future programming of patient's parcourse.

Keywords: Context; Subjectivity; Space Health Proximity Context Subjectivity; Space; Health; Proximity (search for similar items in EconPapers)
Date: 2022
New Economics Papers: this item is included in nep-geo
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Published in Journal de gestion et d'économie de la santé, 2022, 4, pp.294-313

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