title: Use of healthcare services in the residence and workplace neighbourhood: the effect of spatial accessibility to healthcare services.
abstract: This study investigated the effect of spatial accessibility to healthcare services (HS) in residential and workplace neighbourhoods on the use of HS. Questionnaire data from the RECORD Study (2007-2008) were merged with administrative healthcare and geographic data. A novel method was developed to assess clustering of visits to HS around the residence/workplace. We found clustered use of HS around the workplace for few participants (11%). Commuting from suburbs to Paris and commuting distance were associated with a higher use of HS around the workplace. No associations were found between the spatial accessibility to and the use of HS.
authors.affiliation: INSERM, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France; Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France.
authors.forename: Ruben
authors.initials: R
authors.lastname: Brondeel
authors.affiliation: Caisse Nationale d'Assurance Maladie des Travailleurs Salariés, 50, avenue du Professeur André Lemierre, 75020 Paris, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Weill
authors.affiliation: Centre d'Investigations Préventives et Cliniques, 6 rue La Pérouse, 75116 Paris, France.
authors.forename: Frédérique
authors.initials: F
authors.lastname: Thomas
authors.affiliation: INSERM, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France; Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Équipe de recherche en épidémiologie sociale, Paris, France.
authors.forename: Basile
authors.initials: B
authors.lastname: Chaix
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D012111:Residence Characteristics; D011795:Surveys and Questionnaires; D017132:Workplace
keywords: Geographic information system; Healthcare use; Spatial access; Spatial clustering analysis; Work neighbourhood