Geographical access to critical care services in Scotland

Philip Emerson, Naomi Dodds, David R Green, Jan O Jansen

Research output: Contribution to journalArticle

3 Citations (Scopus)
13 Downloads (Pure)

Abstract

Background
Critical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units.

Methods
This was a descriptive, geographical analysis of population access to ‘intermediate’ and ‘definitive’ critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data.

Results
Ninety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.
Original languageEnglish
Pages (from-to)6-14
Number of pages9
JournalJournal of the Intensive Care Society
Volume19
Issue number1
Early online date13 Jul 2017
DOIs
Publication statusPublished - 1 Feb 2018

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Scotland
Critical Care
Aircraft
Population
Intensive Care Units
Intermediate Care Facilities
Ambulances
Health
Emergency Medical Services
Hospital Emergency Service

Keywords

  • GIS
  • Scotland
  • Critical Care
  • Intensive Care
  • access

Cite this

Geographical access to critical care services in Scotland. / Emerson, Philip; Dodds, Naomi; Green, David R; Jansen, Jan O.

In: Journal of the Intensive Care Society, Vol. 19, No. 1, 01.02.2018, p. 6-14.

Research output: Contribution to journalArticle

Emerson, Philip ; Dodds, Naomi ; Green, David R ; Jansen, Jan O. / Geographical access to critical care services in Scotland. In: Journal of the Intensive Care Society. 2018 ; Vol. 19, No. 1. pp. 6-14.
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AB - BackgroundCritical illness requires specialist and timely management. The aim of this study was to create a geographic accessibility profile of the Scottish population to emergency departments and intensive care units.MethodsThis was a descriptive, geographical analysis of population access to ‘intermediate’ and ‘definitive’ critical care services in Scotland. Access was defined by the number of people able to reach services within 45 to 60 min, by road and by helicopter. Access was analysed by health board, rurality and as a country using freely available geographically referenced population data.ResultsNinety-six percent of the population reside within a 45-min drive of the nearest intermediate critical care facility, and 94% of the population live within a 45-min ambulance drive time to the nearest intensive care unit. By helicopter, these figures were 95% and 91%, respectively. Some health boards had no access to definitive critical care services within 45 min via helicopter or road. Very remote small towns and very remote rural areas had poorer access than less remote and rural regions.

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