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Linking Static Spatial Microsimulation Modelling to Meso-scale Models: The Relationship Between Access to GP Services and Long-Term Illness

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Spatial Microsimulation: A Reference Guide for Users

Part of the book series: Understanding Population Trends and Processes ((UPTA,volume 6))

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Abstract

This chapter aims to improve the applicability of the data created by a microsimulation model, not by increasing the complexity of the simulation framework, but by integrating the newly created data within a meso-level, spatial interaction framework. Spatial microsimulation modelling is a means of synthetically creating geographically referenced micro-data. With increases in computational power and increased access to spatially referenced micro-data, spatial microsimulation has been used extensively over the last decade to inform health policy. However, the complex dynamics which underlie health-care markets require both meso- and micro-level tools to formulate appropriate and effective health policies. In particular, there is a need to understand, estimate or predict how meso-level interactions such as access to services are going to impact on individuals and areas. To ensure that these meso-level interactions are accounted for, this chapter incorporates data from a spatial interaction model and spatial microsimulation models to account for the impact on access to GPs on individual’s health. Such an analysis provides policymakers with information on both demand for and supply of health-care services, thus allowing them to shape future service provision and target existing health resources in a more efficient and effective manner.

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References

  • Alborz, A., McNally, R., & Glendinning, C. (2005). Access to healthcare for people with learning disabilities: Mapping the issues and reviewing the evidence. Journal of Health Service Resource Policy, 10(3), 173–182.

    Article  Google Scholar 

  • Asthana, S., Brigham, P., & Gibson, A. (2002). Health resource allocation in England: What case can be made for rurality. Plymouth: Rural Health Allocation Forum and the University of Plymouth.

    Google Scholar 

  • Ballas, D., & Clarke, G. P. (2001). Modelling the local impacts of national social policies: A spatial microsimulation approach. Environment and Planning C: Government and Policy, 19(4), 587–606.

    Article  Google Scholar 

  • Ballas, D., Clarke, G. P., & Dewhurst, J. (2006). Modelling the socio-economic impacts of major job loss or gain at the local level: A spatial microsimulation framework. Spatial Economic Analysis, 1(1), 127–146.

    Article  Google Scholar 

  • Bertuglia, C. S. (1994). Modelling the city: Performance, policy and planning. Routledge: London.

    Google Scholar 

  • Birkin, M., & Clarke, G. P. (1991). Spatial interaction in geography. Geography Review, 4, 16–24.

    Google Scholar 

  • Caldwell, S., & Keister, L. (1996). Wealth in America: Family stock ownership and accumulation, 1960–1995. In G. P. Clarke (Ed.), Microsimulation for urban and regional policy analysis (pp. 88–116). London: Pion.

    Google Scholar 

  • Campbell, N., Elliott, A., Sharp, L., Ritchie, L., Cassidy, J., & Little, J. (2000). Rural factors and survival from cancer: analysis of Scottish cancer registrations. British Journal of Cancer, 82, 1863–1866.

    Article  Google Scholar 

  • Clarke, G. P., Eyre, H., & Guy, C. (2002). Deriving indicators of access to food retail provision in British cities: Studies of Cardiff, Leeds and Bradford. Urban Studies, 39(11), 2041–2060.

    Article  Google Scholar 

  • Centrol Statistical Office. (2001). Quarterly national health survey 2001. Dublin: CSO.

    Google Scholar 

  • Department of Health and Children. (2001). Primary care a new direction. Dublin: Department of Health and Children, Government of Ireland.

    Google Scholar 

  • Dorling, D., Mitchell, R., & Pearce, J. (2007). The global impact of income inequality on health by age: An observational study. British Medical Journal, 335, 873–875.

    Article  Google Scholar 

  • Hynes, S., Morrissey, K., O’Donoghue, C., & Clarke, G. (2009). Building a static farm level spatial microsimulation model for rural development and agricultural policy analysis in Ireland. International Journal of Environmental Technology and Management, 8, 282–299.

    Google Scholar 

  • Jones, A., Haynes, R., Sauerzapf, B., Crawford, M., Zhao, H., & Forman, D. (2008). Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer. European Journal of Cancer, 44(9), 992–999.

    Article  Google Scholar 

  • Jones, A., Haynes, R., Sauerzapf, B., Crawford, M., & Forman, D. (2010). Geographical access to healthcare in Northern England and post mortem diagnosis of cancer. Journal of Public Health, 32(1), 1–6.

    Article  Google Scholar 

  • Jordon, H., Roderick, P., Martin, D., & Barnett, S. (2004). Distance, rurality and the need for care: Access to health services in SW England. International Journal of Health Geographies, 3, 21–30.

    Article  Google Scholar 

  • Kelleher, C., Harrington, J., & Friel, S. (2002). Measures of self-reported morbidity according to age, gender and general medical services eligibility in the national survey of lifestyle. Attitudes and Nutrition, Irish Journal of Medical Science, 171, 134–137.

    Article  Google Scholar 

  • Liu, S., & Zhu, X. (2004). An integrated GIS approach to accessibility analysis. Transactions in GIS, 8(1), 45–62.

    Article  Google Scholar 

  • Longley, P., & Batty, M. (2001). Advanced spatial analysis: The CASA book of GIS. Redlands: ESRI Press.

    Google Scholar 

  • Lymer, S., Brown, L., Yap, M., & Harding, A. (2008). Regional disability estimates for New South Wales in 2001 using spatial microsimulation. Applied Spatial Analysis and Policy, 1(2), 99–116.

    Article  Google Scholar 

  • Lymer, S., Brown, L., Harding, A., & Yap, M. (2009). Predicting the need for aged care services at the small area level: the CAREMOD spatial microsimulation model. International Journal of Microsimulation, 2(2), 27–42.

    Google Scholar 

  • Mackenbach, J. (2006). Health inequalities: Europe in profile. Brussels: European Commission. www.ec.europa.eu/health/ph_determinants/socio_economics/documents/ev_060302_rd06_en.pdf. Accessed 8 Nov 2008.

  • Madden, D. (2008). Health and income poverty in Ireland, 2003–2006 (Health, Econometrics and Data Group (HEDG) Working Papers 08/14). HEDG, c/o Department of Economics, University of York.

    Google Scholar 

  • McDaid, D., Wiley, M., Maresso, A., & Mossialos, E. (2009). Ireland: Health system review. Health Systems in Transition, 11(4), 1–268.

    Google Scholar 

  • McGregor, P., McKee, P., & O’Neill, C. (2008). The role of non-need factors in individual GP utilisation analysis and their implications for the pursuance of equity: A cross-county comparison. European Journal of Health Economics, 9(1), 147–156.

    Article  Google Scholar 

  • Mitchell, R., Dorling, D., & Shaw, M. (2002). Population production and modelling mortality – An application of geographic information systems in health inequalities research. Health and Place, 8(1), 15–24.

    Article  Google Scholar 

  • Morrissey, K., Clarke, G., Ballas, D., Hynes, S., & O’Donoghue, C. (2008). Analysing access to GP services in rural Ireland using micro-level analysis. Area, 40(3), 354–364.

    Article  Google Scholar 

  • Morrissey, K., Hynes, S., Clarke, G., & O’Donoghue, C. (2010). Examining the factors associated with depression at the small area level in Ireland using spatial microsimulation techniques. Irish Geography, 43(1), 1–22.

    Article  Google Scholar 

  • Safaei, J. (2007). Income and health inequality across Canadian provinces. Health and Place, 13, 629–638.

    Article  Google Scholar 

  • Sassi, F., & Hurst, J. (2008). The prevention of lifestyle-related chronic diseases: An economic framework (OECD Health Working Paper 32). www.oecd.org/dataoecd/57/14/40324263.pdf. Accessed 12 Dec 2008.

  • Shaw, M., Smith, G., Thomas, B., & Dorling, D. (2008). The Grim Reapers road Map: An atlas of mortality in Britain. Bristol: The Policy Press, Health and Society Series: University of Bristol.

    Google Scholar 

  • Smith, D., Clarke, G. P., Ransley, J., & Cade, J. (2006). Food access and health: A microsimulation framework for analysis. Studies in Regional Science, 35(4), 909–927.

    Article  Google Scholar 

  • Smith, D., Clarke, G. P., & Harland, K. (2009). Improving the synthetic data generation process in a spatial microsimulation model. Environment and Planning A, 41, 1251–1268.

    Article  Google Scholar 

  • Stillwell & Clarke, G. (2004). Applied GIS and spatial analysis. Chichtester: Wiley.

    Google Scholar 

  • Tay, J., Kelleher, C., Hope, A., Barry, M., Nic, G. S., & Sixsmith, J. (2004). Influence of socio-demographic and neighbourhood factors on self rated health and quality of life in rural communities: findings from the Agriproject in the Republic of Ireland. Journal of Epidemiology and Community Health, 58, 904–911.

    Article  Google Scholar 

  • Tomintz, M., Clarke, G. P., & Rigby, J. (2008). The geography of schooling in Leeds: Estimating individual smoking rates and the implications for the location of stop smoking services. Area, 40(3), 341–353.

    Article  Google Scholar 

  • Vsc CSP Reference Quarterly Household National Survey. (2010). Special module on heath. Dublia: Central Statistics Office.

    Google Scholar 

  • Wilkinson, R. G., & Pickett, K. E. (2006). Income inequality and population health: A review and explanation of the evidence. Social Science and Medicine, 62, 1768–1784.

    Article  Google Scholar 

  • World Health Organisation. (2000). World health report 2000: Health systems: Improving performance. Washington, DC: WHO.

    Google Scholar 

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Correspondence to Karyn Morrissey .

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Morrissey, K., Clarke, G., O’Donoghue, C. (2012). Linking Static Spatial Microsimulation Modelling to Meso-scale Models: The Relationship Between Access to GP Services and Long-Term Illness. In: Tanton, R., Edwards, K. (eds) Spatial Microsimulation: A Reference Guide for Users. Understanding Population Trends and Processes, vol 6. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4623-7_8

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