TY - JOUR
KW - Analgesics, Opioid
KW - Catchment Area, Health
KW - Health Services Accessibility
KW - Humans
KW - opioid-related disorders
KW - South Carolina
KW - Geographic information systems (GIS)
KW - access to care
KW - catchment area
KW - Opioids
KW - spatial accessibility
AU - P. Bozorgi
AU - J. M. Eberth
AU - J. P. Eidson
AU - D. E. Porter
A1 - 
AB - Opioid dependence and opioid-related mortality have been increasing in recent years in the United States. Available and accessible treatments may result in a reduction of opioid-related mortality. This work describes the geographic variation of spatial accessibility to opioid treatment programs (OTPs) and identifies areas with poor access to care in South Carolina. The study develops a new index of access that builds on the two-step floating catchment area (2SFCA) method, and has three dimensions: a facility attractiveness index, defined by services rendered incorporated into the Huff Model; a facility catchment area, defined as a function of facility attractiveness to account for variable catchment size; and a Social Vulnerability Index (SVI) to account for nonspatial factors that mitigate or compound the impacts of spatial access to care. Results of the study indicate a significant variation in access to OTPs statewide. Spatial access to OTPs is low across the entire state except for in a limited number of metropolitan areas. The majority of the population with low access (85%) live in areas with a moderate-to-high levels of social vulnerability. This research provides more realistic estimates of access to care and aims to assist policymakers in better targeting disadvantaged areas for OTP program expansion and resource allocation.
AD - Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.; South Carolina Department of Health and Environmental Control (SCDHEC), Columbia, SC 29201, USA.; Rural and Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29210, USA.; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.; South Carolina Department of Health and Environmental Control (SCDHEC), Columbia, SC 29201, USA.; Department of Environmental Health Sciences, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
BT - International journal of environmental research and public health
C5 - Healthcare Disparities; Measures; Opioids & Substance Use
CP - 8
DO - 10.3390/ijerph18084246
IS - 8
JF - International journal of environmental research and public health
LA - eng
M1 - Journal Article
N2 - Opioid dependence and opioid-related mortality have been increasing in recent years in the United States. Available and accessible treatments may result in a reduction of opioid-related mortality. This work describes the geographic variation of spatial accessibility to opioid treatment programs (OTPs) and identifies areas with poor access to care in South Carolina. The study develops a new index of access that builds on the two-step floating catchment area (2SFCA) method, and has three dimensions: a facility attractiveness index, defined by services rendered incorporated into the Huff Model; a facility catchment area, defined as a function of facility attractiveness to account for variable catchment size; and a Social Vulnerability Index (SVI) to account for nonspatial factors that mitigate or compound the impacts of spatial access to care. Results of the study indicate a significant variation in access to OTPs statewide. Spatial access to OTPs is low across the entire state except for in a limited number of metropolitan areas. The majority of the population with low access (85%) live in areas with a moderate-to-high levels of social vulnerability. This research provides more realistic estimates of access to care and aims to assist policymakers in better targeting disadvantaged areas for OTP program expansion and resource allocation.
PY - 2021
SN - 1660-4601; 1661-7827; 1660-4601
SP - 4246. doi: 10.3390/ijerph18084246
T1 - Facility Attractiveness and Social Vulnerability Impacts on Spatial Accessibility to Opioid Treatment Programs in South Carolina
T2 - International journal of environmental research and public health
TI - Facility Attractiveness and Social Vulnerability Impacts on Spatial Accessibility to Opioid Treatment Programs in South Carolina
U1 - Healthcare Disparities; Measures; Opioids & Substance Use
U2 - 33923748
U3 - 10.3390/ijerph18084246
VL - 18
VO - 1660-4601; 1661-7827; 1660-4601
Y1 - 2021
Y2 - Apr 16
ER -