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Examining access to GP services in rural Ireland using microsimulation analysis
Author(s) -
Morrissey Karyn,
Clarke Graham,
Ballas Dimitris,
Hynes Stephen,
O'Donoghue Cathal
Publication year - 2008
Publication title -
area
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.958
H-Index - 82
eISSN - 1475-4762
pISSN - 0004-0894
DOI - 10.1111/j.1475-4762.2008.00844.x
Subject(s) - irish , logit , microsimulation , mixed logit , differential (mechanical device) , logistic regression , health care , regional science , econometrics , public economics , relation (database) , computer science , actuarial science , business , geography , economics , economic growth , data mining , transport engineering , engineering , machine learning , philosophy , linguistics , aerospace engineering
This paper analyses the effect accessibility has on General Practitioner (GP) utilisation rates at the sub‐national level for Ireland. Specifically, the aim of this paper is to estimate whether there is an urban–rural differential in GP utilisation rates. We do this by simulating micro‐level healthcare data. Using this synthetic data, simple logit models are employed to estimate the likelihood that individuals in different jurisdictions will attend a GP surgery. These individual logit estimates are then inputted into a spatial interaction model to highlight areas with low GP accessibility given their health status. The policy implications of these results are discussed in relation to both the healthcare literature and current Irish healthcare policy.