THE MULTIPLE LOCATION TIME WEIGHTED INDEX: USING PATIENT ACTIVITY SPACES TO CALCULATE PRIMARY CARE SERVICE AREAS

Geographic health planning analyses, such as service area calculations, are hampered by a lack of patient-specific geographic data. Using the limited patient address information in patient management systems, planners analyze patient origin based on home address. But activity space research done sparingly in public health and extensively in non-health related arenas uses multiple addresses per person when analyzing accessibility. Also, health care access research has shown that there are many non-geographic factors that influence choice of provider. Most planning methods, however, overlook non-geographic factors influencing choice of provider, and the limited data mean the analyses can only be related to home address. This research attempted to determine to what extent geography plays a part in patient choice of provider and to determine if activity space data can be used to calculate service areas for primary care providers. During Spring 2008, a convenience sample of 384 patients of a locally-funded Community Health Center in Houston, Texas, completed a survey that asked about what factors are important when he or she selects a health care provider. A subset of this group (336) also completed an activity space log that captured location and time data on the places where the patient regularly goes. Survey results indicate that for this patient population, geography plays a role in their choice of health care provider, but it is not the most important reason for choosing a provider. Other factors for choosing a health care provider such as the provider offering “free or low cost visits”, meeting “all of the patient’s health care needs”, and seeing “the patient quickly” were all ranked higher than geographic reasons. Analysis of the patient activity locations shows that activity spaces can be used to create service areas for a single primary care provider. Weighted activity-space-based service areas have the potential to include more patients in the service area since more than one location per patient is used. Further analysis of the logs shows that a reduced set of locations by time and type could be used for this methodology, facilitating ongoing data collection for activity-space-based planning efforts.

The multiple location time weighted index: Using patient activity spaces to calculate primary care service areas

Geographic health planning analyses, such as service area calculations, are hampered by a lack of patient-specific geographic data. Using the limited patient address information in patient management systems, planners analyze patient origin based on home address. But activity space research done sparingly in public health and extensively in non-health related arenas uses multiple addresses per person when analyzing accessibility. Also, health care access research has shown that there are many non-geographic factors that influence choice of provider. Most planning methods, however, overlook non-geographic factors influencing choice of provider, and the limited data mean the analyses can only be related to home address. This research attempted to determine to what extent geography plays a part in patient choice of provider and to determine if activity space data can be used to calculate service areas for primary care providers. ^ During Spring 2008, a convenience sample of 384 patients of a locally-funded Community Health Center in Houston, Texas, completed a survey that asked about what factors are important when he or she selects a health care provider. A subset of this group (336) also completed an activity space log that captured location and time data on the places where the patient regularly goes. ^ Survey results indicate that for this patient population, geography plays a role in their choice of health care provider, but it is not the most important reason for choosing a provider. Other factors for choosing a health care provider such as the provider offering "free or low cost visits", meeting "all of the patient's health care needs", and seeing "the patient quickly" were all ranked higher than geographic reasons. ^ Analysis of the patient activity locations shows that activity spaces can be used to create service areas for a single primary care provider. Weighted activity-space-based service areas have the potential to include more patients in the service area since more than one location per patient is used. Further analysis of the logs shows that a reduced set of locations by time and type could be used for this methodology, facilitating ongoing data collection for activity-space-based planning efforts. ^

Sistema migratório Brasil-Portugal: hierarquias geográficas e dinâmicas dos fluxos e contrafluxos populacionais no limiar do século XXI

As migrações constituem um dos pilares da relação entre Brasil e Portugal. Com esta premissa este estudo tem por objetivo compreender a formação, a sustentação no tempo e a configuração atual do sistema migratório luso-brasileiro. Partindo da Geografia da População, dialoga-se tanto com os demais campos da própria ciência geográfica, especialmente a Geografia Política e a Geografia Econômica, como com as demais ciências humanas e sociais, dentre outras a Sociologia e a Antropologia. Adota- se uma periodização que busca articular as migrações e as imaginações geográficas produzidas e produtoras das ordens geopolíticas. Esta perspectiva diacrônica tem como ponto de partida a formação do estado territorial português e, posteriormente, do estado territorial brasileiro. Enfatiza-se, em especial, como homens e mulheres imigrantes brasileiros e portugueses participam das transformações recentes de Portugal e do Brasil, respectivamente. Desde o final da década de 2000 há uma situação em que fluxos e contrafluxos migratórios praticamente se equivalem. Dados quantitativos e qualitativos foram utilizados para demonstrar que portugueses no Brasil e brasileiros em Portugal imigrados a partir de 2000 possuem perfis diferentes quanto à idade, sexo, nível de instrução e inserção no mercado laboral. A análise das semelhanças e divergências entre estes grupos de imigrantes levou à consideração de que enfrentam barreiras e desafios distintos, mas têm em comum sua contribuição para ressignificação de uma relação pretérita e assimétrica, marcada pelo compartilhar de uma população luso-brasileira.

Rural-urban continuum codes for metro and nonmetro counties /

"April 1990"--P. iii.

Beiträge zur Siedelungskunde der Südlichen Rhön und des Fränkischen Saaletals /

Includes bibliographical references.

Global flows of foreign talent: Identity anxieties in Singapore's ethnoscape

This paper draws on Appadurai's (1996) concept of ethnoscapes — the global flow of people or what has become increasingly popularized as the global flow of talent. Singapore has initiated a foreign talent policy to compete for a global pool of talent to make up for its shortfall of indigenous work-force. The rationale for recruiting foreign talent is informed by a nationalist competitive ideology to sustain Singapore in the new knowledge-based economy. This paper examines the competing and dissenting discourses surrounding the foreign talent policy. It argues that the mobility of migratory flow has transformative and disruptive effects at the level of culture and the identity landscape of Singapore, where its discursive cultural boundaries are drawn according to a nationalist framework. Drawing on theories and concepts of ‘diaspora’, ‘hybridity’, and ‘third space’, these are the political and cultural issues that this paper attempts to tease out. [ABSTRACT FROM AUTHOR]

NUEVO ORDEN DE LA GEOGRAFÍA DE LA POBLACIÓN

Este artículo analiza el nuevo orden de la Geografía de la Población, a través de cuatro etapas que hemos definido con el propósito de facilitar su estudio, abordando los contenidos, los principales representantes, los diferentes enfoques teóricos metodológicos y los paradigmas que en la evolución histórica se fueron imponiendo, en cada una de esas cuatro etapas propuestas. Se concluye, que en la actualidad ningún paradigma se impuso a los otros y que cada uno de ellos subsiste con sus respectivos seguidores.También en el artículo se incluye un segundo apartado sobre las Aplicaciones y Aportes (teóricos, metodológicos, laborales) por parte de los geógrafos y otros profesionales a nivel nacional, en el estudio de la población.Un tercer apartado desarrolla los retos que en el campo académico, investigativo y laboral se presentan en el ámbito nacional. El artículo concluye haciendo un llamado de atención sobre el proceso de envejecimiento de la población de Costa Rica que para el 2030 llegará a ser el 14% de la población nacional y el país no está preparado para afrontar ese desafío. Además se enfatiza en la necesidad de investigar los problemas más importantes que tiene la población de nuestro país y no los problemas que a través de fondos externos, a los países ricos les interesa que se investigue.Palabras  claves:  Población, Geografía  de  la  Población,  aplicaciones  en  población,  paradigmas  en población.AbstractThe object of study of  this article  is  to analyze  the new order of population geography  through four steps that we defined for the purpose of this study, addressing the contents, the principal representatives, the different theoretical methodological approaches and paradigms that were imposed in the historical development  in each of  these four proposed steps. It concludes  that at  the present  time no paradigm imposed itself on the others and that each of them subsists with their respective followers. The  article  includes  a  second  aspect  regarding  the  applications  and  contributions  (theoretical, methodological, and working) on the part of geographers and others at the national level in the study of population.A third chapter elaborates on the challenges presented in the academic, investigative and working fields at the national level. The article concludes by calling attention to the aging of the population of Costa Rica, which by the year 2030 will be 14% of the national population, and the country is not ready to face that challenge. It emphasizes the need to investigate the most important problems that the population of our country has and not the problems that through external funds are of interest to the rich countries to be investigated.Key Words: Population, population geography, population characteristics, paradigms in population.

Sketches of Algiers, political, historical, and civil : containing an account of the geography, population, government, revenues, commerce, agriculture, arts, civil institutions, tribes, manners, languages, and recent political history of that country /

Mode of access: Internet.

The Mississippi Valley : its physical geography, including sketches of the topography, botany, climate, geology, and mineral resources ; and of the progress of development in population and material wealth /

Includes index.

The British colonial library, comprising a popular and authentic description of all the colonies of the British empire, their history - physical geography - geology - climate - animal, vegetable, and mineral kingdoms - government - finance - military defence - commerce - shipping -monetary system - religion - population, white and coloured - education and the press - emigration, social state, &c.

Published in 1834-35 under the title: History of the British colonies.

Sketches of Algiers, political, historical, and civil; containing an account of the geography, population, government, revenues, commerce, agriculture, arts, civil institutions, tribes, manners, languages, and recent political history of that country /

Xerox reproduction, 1975, 2 pages to a leaf.

An account of travels into the interior of southern Africa, in the years 1797 and 1798 : including cursory observations on the geology and geography of the southern part of that continent ; the natural history of such objects as occurred in the animal, vegetable, and mineral kingdoms ; and sketches of the physical and moral characters of the various tribes of inhabitants surrounding the settlement of the Cape of Good Hope. To which is annexed, a description of the present state, population, and produce of that extensive colony ; with a map constructed entirely from actual observations made in the course of the travels.

Vol. 2 has title: An account of travels into the interior of Southern Africa; in which is considered, the importance of the Cape of Good Hope to the different European powers, as a naval and military station ; as a territorial acquisition and commercial emporium in time of peace : with a statistical sketch of the whole colony ; comp. from authentic documents.

Outlines of ancient and modern history on a new plan. Embracing biographical notices of illustrious persons and general views of geography, population, politics ... of ancient and modern nations.

I. Ancient history.--II. Modern history.

Blair's outlines of ancient history : on a new plan, embracing biographical notices of illustrious persons, generalviews of the geography, population, politics, religion, military and naval affairs, arts, literature, manners, customs, and society of ancient nations, a chronological table, and a dictionary of proper names that occur in the work.

Mode of access: Internet.