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mnl_vs_fca_paper_highlights.tex
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\documentclass[]{elsarticle} %review=doublespace preprint=single 5p=2 column
%%% Begin My package additions %%%%%%%%%%%%%%%%%%%
\usepackage[hyphens]{url}
\journal{Journal of Transport Geography} % Sets Journal name
\usepackage{lineno} % add
\linenumbers % turns line numbering on
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\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}
\usepackage{graphicx}
%%%%%%%%%%%%%%%% end my additions to header
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bookmarks=true,
pdfauthor={},
pdftitle={Accessibility to Primary Care Physicians: Comparing Floating Catchments with a Utility-based Approach},
colorlinks=false,
urlcolor=blue,
linkcolor=magenta,
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\urlstyle{same} % don't use monospace font for urls
\setcounter{secnumdepth}{0}
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% Pandoc citation processing
% Pandoc header
\begin{document}
\begin{frontmatter}
\title{Accessibility to Primary Care Physicians: Comparing Floating
Catchments with a Utility-based Approach}
\author[Some University]{Author One}
\ead{Some Email}
\author[Some University]{Author One\corref{1}}
\ead{Some Email}
\author[Some University]{Author One}
\ead{Some Email}
\author[Some University]{Author One}
\ead{Some Email}
\address[Some University]{Address}
\cortext[1]{Corresponding Author}
\begin{abstract}
Floating Catchment Area (FCA) methods are a popular choice for
modelling accessibility to healthcare services because of their
ability to consider both supply and demand. However, FCA methods do
not fully consider aspects of travel and choicemaking behaviour as the
only behavioural component is the impedance function. FCA approaches
also tend to assign population demand to clinics and levels-of-service
to population zones in an overlapping manner that has been shown to
bias results by inflating/deflating supply and demand. While the
adjustments proposed in the recent ``Balanced FCA'' method can rectify
this, it apportions population and levels of service in a fractional
manner. In response, this research proposes a utility-based measure of
healthcare accessibility based on a multinomial logit (MNL)
destination choice model that avoids the multiple-counting issue in
FCA methods and considers several additional behavioural aspects that
define the appeal of clinics in addition to the travel time required
to reach them, including their capacity and level of crowding.
Comparisons of the MNL approach with the original and balanced FCA
models using data for the City of Hamilton, Canada, suggests that
while the accessibility patterns produced by each method are broadly
similar, some key differences exist in the calculated accessibilities
and their spatial patterns. The MNL model in particular estimates
higher accessibilities in suburban and rural areas. Based on these
findings, we argue that both the Balanced FCA and MNL approaches offer
merit for planning and policy.
\end{abstract}
\begin{keyword} healthcare accessibility place-based
accessibility utility-based accessibility destination choice
model accessibility analysis\end{keyword}
\end{frontmatter}
\hypertarget{highlights}{%
\section{Highlights}\label{highlights}}
\begin{itemize}
\tightlist
\item
Develops a multinomial logit based method for healthcare accessibility
\item
Compares floating catchment-based with utility-based accessibility
\item
Balanced floating catchment method corrects for inflation of supply
and demand
\item
Utility-based approach accounts for more aspects of travel behaviour
\item
Each method has merit for health planning and policy
\end{itemize}
\end{document}