Document Type
Article
Publication Date
3-2022
Publisher
Elsevier
Source Publication
Transportation Research Interdisciplinary Perspectives
Source ISSN
2590-1982
Original Item ID
DOI: 10.1016/j.trip.2022.100550
Abstract
Access to primary health care facilities is a key component of public health, and measuring that access is vital to understanding how to target interventions. Transportation is one dimension of access and measuring distance via multiple modes allows better understanding of how varied populations access health care, particularly those who do not have access to a personal vehicle. This work builds on the 2-Step Floating Catchment Area (2SFCA) method to include travel by car, bus, bicycle, and walking. Travel time data are sourced from OpenStreetMap and transit data incorporates stop and schedule information from the General Transit Feed Specification (GTFS). Open source data analysis tools are used to aid reproducibility in other geographic contexts. Modal weights are assigned to measure the population accessing each facility by each mode. Access values for Milwaukee County in Wisconsin, USA are presented, with clear differences shown among modes accessing primary healthcare. Car access is high and consistent across the county, while biking and walking access are more impacted by distance to destination. Transit access is unequal across the county with some tracts showing no access at all. The highly varied access results by mode emphasize the importance of measuring access and travel by non-car modes, particularly when targeting communities with high rates of no car ownership. Improvement of multimodal access measurement will allow for targeted interventions that account for the availability of modes in each community.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Recommended Citation
Del Conte, Danielle Eden; Locascio, Amanda; Amoruso, Joseph; and McNamara, Margaret L., "Modeling Multimodal Access to Primary Care in an Urban Environment" (2022). Civil and Environmental Engineering Faculty Research and Publications. 363.
https://epublications.marquette.edu/civengin_fac/363
Comments
Published version. Transportation Research Interdisciplinary Perspectives, Vol. 13 (March 2022): 100550. DOI. © 2022 The Authors, published by Elsevier Ltd. Used with permission.