Distance to Radiotherapy and Demand - Projection of the Effects of Establishing New Radiotherapy Facilities in Poland by 2025

• Autorzy: Adam, Michał Czerwiński
• Języki publikacji: EN

Abstrakty

EN

In 2015, the Ministry of Health of the Republic of Poland introduced the Polish strategic plan for radiotherapy development and investment. Given that radiotherapy utilisation depends on the distance a patient must travel to undergo the treatment, the main goal of the plan was to increase equitable access to radiotherapy in Poland by establishing new facilities in new locations by 2025. This study constitutes the first step towards an economic evaluation of this plan by adopting spatial interaction models to project the expected increase in the demand for radiotherapy (3%). Moreover, it adds to the current research on the relation between distance and demand for healthcare services in the following ways. First, it flags the importance of using spatial econometrics to healthcare utilisation studies in the presence of spatial autocorrelation. Furthermore, it proposes a quantitative method for assessing the expected impact of establishing new facilities on utilisation. Finally, it formally confirms the dependence between radiotherapy utilisation and distance in Poland, which has been previously shown to exist in other countries. (original abstract)

Słowa kluczowe

EN

Health care; Demand for medical services; Spatial econometrics

PL

Opieka zdrowotna; Popyt na usługi medyczne; Ekonometria przestrzenna

• Czasopismo: Ekonomia / Uniwersytet Warszawski
• Rocznik: 2017
• Tom: 4
• Numer: nr 51
• Strony: 40--52

Twórcy

autor

Adam, Michał Czerwiński

• University of Warsaw, Poland

Bibliografia

• [1] Akaike, Hirotogu. 1998. "Information theory and an extension of the maximum likelihood method principle". In: Selected Papers of Hirotugu Akaike, eds. Emanuel Parzen, Kunio Tanabe, and Genshiro Kitagawa, 199-213. New York: Springer Science & Business Media.
• [2] Anselin, Luc. 2001. "Spatial Econometrics". In: A Companion to Theoretical Econometrics, ed. Badi H. Baltagi, 310-330. Berlin.
• [3] Athas, William F., Meg Adams-Cameron, William C. Hunt, Andrew Amir-Fazli, and Charles R. Key. 2000. "Travel distance to radiation therapy and receipt of radiotherapy following breast-conserving surgery". Journal of the National Cancer Institute 92(3): 269-271.
• [4] Baade, Peter D., Paramita Dasgupta, Joanne F. Aitken, and Gavin Turell. 2001. "Distance to the closest radiotherapy facility and survival after a diagnosis of rectal cancer in Queensland". Medical Journal of Australia. 195: 350-354.
• [5] Barton, Michael B., Susannah Jacob, Jesmin Shafiq, Karen Wong, Stephen R. Thompson, Timothy P. Hanna, and Geoff P. Delaney. 2014. "Estimating the demand for radiotherapy from the evidence: A review of changes from 2003 to 2012". Radiotherapy and Oncology 112(1): 140-144.
• [6] Bivand, Roger. 2002. "Spatial econometrics functions in R: Classes and methods". Journal of Geographical Systems 4(4): 405-421.
• [7] Borras, Josep M., Yolande Lievens, Michael Barton, Julieta Corral, Jacques Ferlay, Freddie Bray, and Cai Grau. 2016. "How many new cancer patients in Europe will require radiotherapy by 2025? An ESTRO-HERO analysis". Radiotherapy and Oncology. 119(1): 5-11.
• [8] Celaya, Maria O., Judy R. Rees, Jennifer J. Gibson, Bruce L. Riddle, and E. Robert Greenberg. 2006. "Travel distance and season of diagnosis affect treatment choices for women with early-stage breast cancer in a predominantly rural population (United States)". Cancer Causes Control 17(6): 851-856.
• [9] Czerwiński, Adam M., Barbara Więckowska. 2018. "Location-allocation model for external beam radiotherapy as an example of an evidence-based management tool implemented in healthcare sector in Poland". Radiotherapy and Oncology 127(1): 154-160.
• [10] Delaney, Geoff P., Michael B. Barton. 2015. "Evidence-based Estimates of the Demand for Radiotherapy" Clinical Oncology 27(2): 70-76.
• [11] Dziadziuszko, Rafał. 2015. Raport nt. stanu radioterapii w Polsce. Gdańsk.
• [12] Fotheringham, A. Stewart, Morton E. O'Kelly. 1989. "Spatial interaction models: formulations and applications". Kluwer Academic Publishers, Boston.
• [13] Haining, Robert P. 1990. "Spatial data analysis in the social and environmental sciences". Cambridge University Press, Cambridge.
• [14] Jones A.P., R. Haynes, V. Sauerzapf, S.M. Crawford, H. Zhao, and D. Forman. 2008. "Travel time to hospital and treatment for breast, colon, rectum, lung, ovary and prostate cancer". European Journal of Cancer 44: 992-999.
• [15] Kopczewska, Katarzyna. 2013. "The spatial range of local governments: does geographical distance affect governance and public service?" The Annals of Regional Science 51: 793-810.
• [16] Mackillop, W.J., P.A. Groome, J. Zhang-Solomons, Y. Zhou, D. Feldman-Stewart, L. Paszat, P. Dixton, E.J. Holowaty, B.J. Cummings. 1997. "Does a centralized radiotherapy system provide adequate access to care?". Journal of Clinical Oncology 15(3): 1261-1271.
• [17] Ministry of Health of the Republic of Poland. 2015. "Mapy potrzeb zdrowotnych w zakresie onkologii". http://www.mpz.mz.gov.pl/.
• [18] Nattinger, Ann B., Ronald T. Kneusel, Raymond G. Hoffmann, and Mary A. Gilligan. 2001. "Relationship of distance from a radiotherapy facility and initial breast cancer treatment". Journal of the National Cancer Institute 93(17): 1344-1346.
• [19] Pagano, Eva, Daniela Di Cuonzo, Cristina Bona, Illeana Baldi, Pietro Gabrielle, Umberto Ricardi, Paolo Rotta, Oscar Beretto, Silvana Appiano, Franco Merletti, Nereo Segnan, and Giovannio Ciccone. 2007. "Accessibility as a major determinant of radiotherapy underutilization: A population based study". Health Policy 80(3): 483-491.
• [20] Pungalia, Rinaa S., Jane C. Weeks, Bridget A. Neville, and Craig C. Earle. 2006. "Effect of distance to radiation treatment facility on use of radiation therapy after mastectomy in elderly women". International Journal of Radiation Oncology, Biology, Physics 66(1): 56-63.
• [21] Więckowska, Barbara, Adam M. Czerwiński. 2015. "Quantity measures in the assessment of healthcare services in Poland - the examples of oncology and cardiology". In: The use of quantitative methods to assess quality of care and demand for service provision in oncology and cardiology in Poland, ed. Barbara Więckowska, 103-130. Ministry of Health of the Republic of Poland. Warsaw.
• [22] Więckowska, Barbara, Beata Koń, Janusz Dagiel, Filip Urbański. 2015b. "Cancer care in Poland - the results of the predictive model for 2015-2025" In: Medical treatment in Poland - analysis and models, ed. Barbara Więckowska, 281-313. Ministry of Health of the Republic of Poland. Warsaw.
• [23] Więckowska, Barbara, Janusz Dagiel, Beata Koń, Filip Urbański. 2015a. "Sources and quality of cancer epidemiological data in Poland - data analysis methodology". In: Medical treatment in Poland - analysis and models, ed. Barbara Więckowska, 87-108. Ministry of Health of the Republic of Poland. Warsaw.
• [24] Yap, Mei Ling, Eduardo Zubizarreta, Freddie Bray, Jacques Ferlay, and Michael Barton. 2016. "Global Access to Radiotherapy Services: Have We Made Progress During the Past Decade?" Journal of Global Oncology 2(4): 207-215.

Identyfikatory

DOI

https://doi.org/10.2478/ceej-2018-0002