Skip to main content

Table 1 Methodological developments in the 2SFCA family

From: Gravity models for potential spatial healthcare access measurement: a systematic methodological review

Category

Advancement

Studies

Formula†

Purpose

Complexity

Data requirements

Distance Decay within Catchment Area

Introduction of distance decay within the catchment area

First study:

• E2SFCA Luo & Qi, 2009 [12]

Development within category:

• McGrail & Humphreys, 2009 [72]

• Dai, 2010 [67]

• Schuurman et al., 2010 [32]

• Plachkinova et al., 2018 [73]

• Jin et al., 2019 [33]

• Tao et al., 2020 [34]

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{r}{\sum }_{i \in \{{d}_{ij}\le {d}_{r}\}}{P}_{i}*{W}_{r}}\)

\({A}_{i}^{*}= {\sum }_{r}{\sum }_{j \in \{{d}_{ij}\le {d}_{r}\}}{R}_{j}*{W}_{r}\)

Approximating Reality

Moderate increase of modeling complexity

No additional data required

Variable Catchment Area Sizes

Variable catchment size definition

First study:

• V2SFCA Luo & Whippo, 2012 [13]

Development within category:

• McGrail & Humphreys, 2014 [35]

• Jamtsho et al., 2015 [68]

• Ni et al., 2015 [74]

• Kim et al., 2018 [36]

• Tao et al., 2018 [37]

• Bozorgi et al., 2021 [75]

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{i \in \{{d}_{ij}\le {d}_{x}({P}_{i})\}}{P}_{i}*f({d}_{ij},\beta )}\)

\({A}_{i}^{*}={\sum }_{j \in \{{d}_{ij}\le {d}_{x}({R}_{j})\}}{R}_{j}*f({d}_{ij},\beta )\)

Approximating Reality

Slight increase of modeling complexity

May require additional data

Outcome Unit Modification

Outcome unit modification to relative terms

First study:

• SPAR Wan, Zhan et al., 2012 [38]

Development within category:

–

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{P}_{i}*f({d}_{ij},\beta )}\)

\({A}_{i}^{*}= {\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{R}_{j}*f({d}_{ij},\beta )\)

\({A}_{i}^{SPAR}= \frac{{A}_{i}^{*}}{{A}_{\varnothing }}\)

Correcting Methodology

No increase of modeling complexity

No additional data required

Provider Competition

Correcting demand overestimation by introducing a provider competition-based selection weight

First study:

• 3SFCA Wan, Zou et al., 2012 [39]

Development within category:

• Luo, 2014 [40]

• Tang et al., 2017 [43]

• Paez et al., 2019 [44]

• Matthews et al., 2020 [76]

• Jang, 2021 [41]

• Shen et al., 2021 [42]

\({Prob}_{ij}= \frac{f\left({d}_{ij}, \beta \right)}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}f\left({d}_{ij}, \beta \right)}\)

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{P}_{i}*f\left({d}_{ij},\beta \right)*{Prob}_{ij}}\)

\({A}_{i}^{*}= {\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{R}_{j}*f({d}_{ij},\beta )\)

Correcting Methodology

High increase of modeling complexity

No additional data required

Local & Global Distance Decay

Correcting for sub-optimally configured healthcare system by modeling local and global distance decay

First study:

• M2SFCA Delamater, 2013 [45]

Development within category:

• Bauer & Groneberg, 2016 [46]

\({R}_{j}=\frac{{S}_{j}*f({d}_{ij},\beta )}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{P}_{i}*f({d}_{ij},\beta )}\)

\({A}_{i}^{*}= {\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{R}_{j}*f({d}_{ij},\beta )\)

Correcting Methodology

Slight increase of modeling complexity

No additional data required

Subgroup-Specific Access

Subgroup-specific access measure for selective population-provider pairing

First study:

• Subgroup-specific 2SFCA Wang, 2007 [47]

Development within category:

• Xiao et al., 2021 [48]

• Yang et al., 2021 [69]

• Shao & Luo, 2022 [49]

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{P}_{i}*f({d}_{ij},\beta )}\)

\({A}_{i}^{*}= {\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{R}_{j}*f({d}_{ij},\beta )\)

\({AG}_{i}^{*}={A}_{i}^{*}\)

\(*\frac{{\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{SG}_{j}*f({d}_{ij},\beta )}{{\sum }_{j \in \{{d}_{ij}\le {d}_{0}\}}{S}_{j}*f({d}_{ij},\beta )}/\frac{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{PG}_{i}*f({d}_{ij},\beta )}{{\sum }_{i \in \{{d}_{ij}\le {d}_{0}\}}{P}_{i}*f({d}_{ij},\beta )}\)

Fitting Context

High increase of modeling complexity

Additional data on subgroup-specific provider and population shares required

Multiple Transportation Modes

Multiple transportation modes

First study:

• MM-2SFCA Mao & Nekorchuk, 2013 [14]

Development within category:

• Polzin et al., 2014 [77]

• Langford et al., 2016 [50]

• Ni et al., 2019 [78]

• Tao & Cheng, 2019 [79]

• Zhou et al., 2020 [51]

• Xing & Ng, 2022 [80]

\({R}_{j}=\frac{{S}_{j}}{{\sum }_{n}{\sum }_{\begin{array}{c}i \in \{{d}_{ij\left({M}_{n}\right)}\\ \le {d}_{0{(M}_{n})}\}\end{array}}{P}_{i({M}_{n})}*f({d}_{ij},\beta )}\)

\({A}_{i}^{*}={\sum }_{n}\frac{{P}_{i\left({M}_{n}\right)}}{{P}_{i}}{\sum }_{\begin{array}{c}j \in \{{d}_{ij\left({M}_{n}\right)}\\ \le {d}_{0{(M}_{n})}\}\end{array}}{R}_{j}*f({d}_{ij},\beta )\)

Approximating Reality

High increase of modeling complexity

Additional data on mode-specific distances and mode-specific user shares required

Time-Dependent Access

Dynamic time-varying access measure

First study:

• Spatio-Temporal 2SFCA

• Ma et al., 2018 [52]

Development within category:

• Song et al. 2018 [53]

• Paul & Edwards, 2019 [55]

• Xia et al., 2019 [54]

\({R}_{jt}=\frac{{S}_{j}}{{\sum }_{i \in \{{d}_{ij({T}_{t})}\le {d}_{0}\}}{P}_{i}*f({d}_{ij({T}_{t})},\beta )}\)

\({A}_{it}^{*}= {\sum }_{j \in \{{d}_{ij({T}_{t})}\le {d}_{0}\}}{R}_{j}*f({d}_{ij({T}_{t})},\beta )\)

Approximating Reality

No increase of modeling complexity

Additional data on time-varying travel time, provider supply or population size required

  1. \({S}_{j}\): healthcare capacity (= supply) at location \(j, {P}_{i}\): demand intensity (= population) location \(i, {d}_{ij}\): distance between population location \(i\) and provider location \(j, {d}_{r}\): threshold distance of catchment area sub-radius \(r, {W}_{r}\): distance decay weight within catchment area sub-radius \(r, {R}_{j}\): provider-to-population ratio at location \(j, {A}_{i}^{*}\): access index at location \(i, \beta\): distance friction parameter, \(f\left(\right)\): general distance decay function, dependent on distance and distance friction, \({d}_{x}\left(\right)\): threshold distance of catchment area, dependent on characteristics of population/provider location, \({A}_{\varnothing }\): mean access index in study area, \({A}_{i}^{SPAR}\): Spatial Access Ratio at location \(i, {Prob}_{ij}\): distance-impedance-based selection weight for population \(i\) and provider \(j\) pair, \({SG}_{j}\): subgroup-specific healthcare capacity (= supply) at location \(j, {PG}_{i}\): subgroup-specific demand intensity (= population) location \(i, {AG}_{i}^{*}\): subgroup-specific access index at location \(i, {P}_{i\left({M}_{n}\right)}\): demand intensity (= population) location \(i\) using transportation mode \(n, {d}_{ij\left({M}_{n}\right)}\): distance between population location and provider location using transportation mode \(n, {d}_{0\left({M}_{n}\right)}\): threshold distance of catchment area for transportation mode \(n, {d}_{ij\left({T}_{t}\right)}\): distance between population location \(i\) and provider location \(j\) at time point \(t, {R}_{jt}\): provider-to-population ratio at location \(j\) at time point \(t, {A}_{it}^{*}\): access index at location i at time point \(t\)
  2. E2SFCA Enhanced Two-Step Floating Catchment Area, V2SFCA Variable Two-Step Floating Catchment Area, SPAR Spatial Access Ratio, 3SFCA Three-Step Floating Catchment Area, M2SFCA Modified Two-Step Floating Catchment Area, Subgroup-specific 2SFCA Subgroup-specific Two-Step Floating Catchment Area, MM-2SFCA Multi-Mode Two-Step Floating Catchment Area
  3. †Formula refers to the methodology proposed in the first study of each category. The formal notation of the methodological developments was harmonized to provide consistency, hence can differ from the notations given in the cited studies