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14 results on '"Xiong, Xuechen"'

13. Using the Fusion Proximal Area Method and Gravity Method to Identify Areas with Physician Shortages

Author

Chao Jin, Xiong Xuechen, Haile Chen, and Li Luo

Subjects
Geographic information system, Medical Doctors, Computer science, Health Care Providers, Medically Underserved Area, lcsh:Medicine, Distribution (economics), Economic shortage, Hospital Residents, Health Services Accessibility, Geographical Locations, 0302 clinical medicine, Medicine and Health Sciences, 030212 general & internal medicine, lcsh:Science, education.field_of_study, Multidisciplinary, Professions, Physical Sciences, Health Resources, 0305 other medical science, Research Article, Gravitation, China, Computer and Information Sciences, Asia, Patients, Population, 03 medical and health sciences, Data visualization, Physicians, Humans, education, Environmental planning, Health policy, Inpatients, Government, Health Care Policy, 030505 public health, business.industry, Data Visualization, lcsh:R, Probability Theory, Probability Distribution, Health Care, People and Places, Geographic Information Systems, Population Groupings, lcsh:Q, business, Mathematics
Abstract

Objectives This paper presents a geographic information system (GIS)-based proximal area method and gravity method for identifying areas with physician shortages. The innovation of this paper is that it uses the appropriate methods to discover each type of health resource and then integrates all these methods to assess spatial access to health resources using population distribution data. In this way, spatial access to health resources for an entire city can be visualized in one neat package, which can help health policy makers quickly comprehend realistic distributions of health resources at a macro level. Methods First, classify health resources according to the trade areas of the patients they serve. Second, apply an appropriate method to each different type of health resource to measure spatial access to those resources. Third, integrate all types of access using population distribution data. Results In case study of Shanghai with the fusion method, areas with physician shortages are located primarily in suburban districts, especially in district junction areas. The result suggests that the government of Shanghai should pay more attention to these areas by investing in new or relocating existing health resources. Conclusion The fusion method is demonstrated to be more accurate and practicable than using a single method to assess spatial access to health resources.

Published
2016

14. Differential Effects of an Integrated Community-Based End-Of-Life Support Team (ICEST) Model for Terminally Ill Older Adults on Spousal and Adult-Children Caregivers.

Author

Chow AYM, Zhang AY, Wong KTC, Chan IKN, Fordjour GA, Xiong X, Lou VW, and Chan CLW

Abstract

Backgrounds: Family caregivers (FCs) play an essential role in delivering home-based end-of-life care. However, little is known about FCs'' experiences when undertaking this role. The integrated community end-of-life support team (ICEST) is a needs-driven, home-based, family-centered care model in Hong Kong. We evaluated its effects on FCs and compared outcomes for spouses and adult children. Method: A multicenter pre-post-test study was conducted. Eligible participants were primary FCs of terminally ill older adults (age ≥ 60) who had a life expectancy of ≤12 months. Baseline (T 0 ) and three-month post-intervention (T 1 ) outcome measures included FCs'' caregiving strain, psychological distress, perceived external support, intimate relationships, and communications regarding care planning. Results: A sample of 628 FCs were enrolled at T 0, and 40.0% completed the T 1 assessments. The ICEST model was effective in reducing caregiving strain, depression, and worries about patients, whilst there were improvements in agreement about care planning with patients, and perceived external supports. At T 0 , spouses held more negative perceptions of caregiving and faced fewer adjustment demands than adult children. Compared with spouses, adult children were more intimate with patients. Between T 0 and T 1 , spouses experienced a greater reduction in worries about patients, than adult children. Conclusions: The ICEST model contributed to better outcomes, individually and relationally, for FCs, regardless of relationship type. Spouses and adult children faced different challenges while delivering home-based end-of-life care. Effective interventions should modify the negative perceptions of caregiving in spousal caregivers and enable adult children to deal with multiple tasks and complex expectations., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Published
2024
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