Geographic Access to Cancer Treatment in Japan: Results From a Combined Dataset of the Patient Survey and the Survey of Medical Institutions in 2011

Journal of Epidemiology
Hirokazu TanakaKota Katanoda

Abstract

There has been no nationwide analysis of travel time for hospital admission in Japan. Factors associated with travel time are also unknown. This study aimed to describe the distribution of travel time for hospital admission of cancer patients and identify underlying factors. The individual data from the Patient Survey in 2011 were linked to those from the Survey of Medical Institutions in the same year, and GIS data were used to calculate driving travel time between the addresses of medical institutions and the population centers of municipalities where patients lived. Proportions of patients with travel time exceeding versus not exceeding 45 minutes were calculated. To analyze the data with consideration of both individual factors of patients and geographical characteristics of areas where patients lived, multilevel logistic model analysis was performed. The analysis included 50,845 cancer inpatients. The majority of the cancer patients (approximately 80%) were admitted to hospitals located less than a 45-minute drive from their residences. The travel time tended to be longer for younger patients. The proportion of patients with travel time ≥45 minutes was lower among those with stomach or colorectal cancer (approximately 15%)...Continue Reading

References

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Sep 3, 2011·Lancet·Naoki IkegamiYasuki Kobayashi
Sep 11, 2013·Journal of Pain and Symptom Management·Yuya IseYoshiyuki Kizawa
Dec 7, 2014·Health Policy·Daisuke KobayashiYuichi Imanaka

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Citations

Sep 12, 2019·International Journal of Cancer. Journal International Du Cancer·Simone LeydenUNKNOWN International Neuroendocrine Cancer Alliance (INCA)
Mar 24, 2021·Current Oncology Reports·Teodora Kolarova, Catherine Bouvier

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