Highlighting the Importance of Big Data Management and Analysis for Various Applications pp 141-155 | Cite as
Understanding Health Service Delivery Using Spatio-Temporal Patient Mobility Data
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Abstract
This research aims to identify and analyze mobility patterns and trends across eighty-one provinces in Turkey to understand spatio-temporal characteristics of health-service areas at the national level. In the study we focus on classification of mobility characteristics of different health administration areas with a comprehensive spatial and temporal perspective. We identified four major clusters in addition to several smaller and isolated ones. Statistical tests show that groups identified by clustering patient mobility data correlate, in a statistically significant manner, with all but one of the basic health-care indicators considered. Our analysis identifies several important patterns revealing the level of effectiveness of Turkish health-care delivery in certain regions.
Keywords
Data analysis for health-care Patient mobility Patient mobility analysis Health service delivery Turkish health-care system Clustering Gandy nomogramNotes
Acknowledgment
This research was sponsored by the Scientific and Technological Research Council of Turkey (TUBITAK) under the International Doctoral Research Fellowship Programme (Grant number: 1059B141400289). The content is solely the responsibility of the authors and does not necessarily represent the official views of TUBITAK.
We would like to express our sincere thanks and appreciation to both the Republic of Turkey Social Security Institution and the Karacadağ Development Agency for providing us the patient mobility data for our research.
References
- 1.Plsek PE, Greenhalgh T. The challenge of complexity in health care. Br Med J. 2001;323(7313):625–8.CrossRefGoogle Scholar
- 2.Wilson T, Holt T. Complexity and clinical care. Br Med J. 2001;323(7314):685–8.CrossRefGoogle Scholar
- 3.Martyn C. Complexity and healthcare: an introduction. Br Med J. 2003;326(7382):228.CrossRefGoogle Scholar
- 4.Institution of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: The National Academies Press; 2001.Google Scholar
- 5.Victoor A, Delnoij D, Friele R, Rademakers J. Determinants of patient choice of healthcare providers: a scoping review. BMC Health Serv Res. 2012;12(1):272.CrossRefGoogle Scholar
- 6.Stange KC. The problem of fragmentation and the need for integrative solutions. Ann Fam Med. 2009;7(2):100–3.CrossRefGoogle Scholar
- 7.Andritsos DA, Tang CS. The impact of cross-border patient movement on the delivery of healthcare services. Int J Prod Econ. 2013;145(2):702–12.CrossRefGoogle Scholar
- 8.Patient mobility. 2012. [http://www.euractiv.com/health/patient-mobility/article-148956].
- 9.Directive 2011/24/EU of The European Parliament and of the Council [http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1396269481289&uri=CELEX:32011L0024].
- 10.Rosenmöller M, McKee M, Baeten R. Patient mobility in the European union: learning from experience. Copenhagen: WHO Regional Office for Europe; 2006.Google Scholar
- 11.Paolella G. Pediatric health mobility: is it only an Italian problem? Transl Med UniSa. 2012;4:57–61.Google Scholar
- 12.Fattore G, Petrarca G, Torbica A. Traveling for care: inter-regional mobility for aortic valve substitution in Italy. Health Policy. 2014;117(1):90–7.CrossRefGoogle Scholar
- 13.Lippi Bruni M, Nobilio L, Ugolini C. The analysis of a cardiological network in a regulated setting: a spatial interaction approach. Health Econ. 2008;17(2):221–33.CrossRefGoogle Scholar
- 14.Messina G, Forni S, Collini F, Quercioli C, Nante N. Patient mobility for cardiac problems: a risk-adjusted analysis in Italy. BMC Health Serv Res. 2013;13(1):56.CrossRefGoogle Scholar
- 15.Cantarero D. Health care and patients’ migration across Spanish regions. Eur J Health Econ. 2006;7(2):114–6.CrossRefGoogle Scholar
- 16.Messina G, Vigiani N, Lispi L, Nante N. Patient migration among the Italian regions in 2003. Ital J Public Health. 2008;5(1) doi: 10.2427/5854.
- 17.Levaggi R, Zanola R. Patients’ migration across regions: the case of Italy. Appl Econ. 2004;36(16):1751–7.CrossRefGoogle Scholar
- 18.Mafrolla E, D’Amico E. Patients’ mobility as an indicator for (in) efficiency: a panel data analysis on Italian health care authorities. Heal Econ Rev. 2013;3(1):1–13.CrossRefGoogle Scholar
- 19.Gandy R, Franci A, Gurrieri C, McClelland B. Demonstrating access to public services diagrammatically. Int J Public Adm. 2011;34(8):516–27.CrossRefGoogle Scholar
- 20.Gandy R. A graphical representation of the inter-relationship between districts. Hosp Health Serv Rev. 1979;75(2):50.Google Scholar
- 21.Aarons LR, Balachandar S, Horie Y. The mixing of cohesive granular materials featuring a large size range in the absence of gravity. Powder Technol. 2013;235:18–26.CrossRefGoogle Scholar
- 22.2003–2015 Tableau Software [www.tableausoftware.com].
- 23.Statistical Package R. A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2009.Google Scholar
- 24.Mooi E, Sarstedt M. Cluster analysis. A concise guide to market research. Berlin, Germany: Springer-Verlag; 2011.CrossRefGoogle Scholar
- 25.Turkey Specialized Planning Required Health Services, 2011–2023 [http://www.tkhk.gov.tr/DB/8/743_DB_8_turkiye-de-ozellikli-planlama-gerektiren-saglik-hizmetleri-].
- 26.Turkish Statistical Institute [http://www.turkstat.gov.tr].