A catchment area in human geography, is the area from which a location, such as a city, service or institution, attracts a population that uses its services and economic opportunities. Catchment areas may be defined based on from where people are naturally drawn to a location (for example, a labour catchment area [1] ) or as established by governments or organizations such as education authorities or healthcare providers, for the provision of services.
Governments and community service organizations often define catchment areas for planning purposes and public safety such as ensuring universal access to services like fire departments, police departments, ambulance bases and hospitals. In business, a catchment area is used to describe the influence from which a retail location draws its customers. [2] Airport catchment areas can inform efforts to estimate route profitability. [3] A health catchment area is of importance in public health, and healthcare planning, as it helps in resource allocation, service delivery, and accessibility assessment.
A catchment area can be defined relative to a location, and based upon a number of factors, including distance, travel time, geographic boundaries or population within the catchment.
Catchment areas generally fall under two categories, those that occur organically, i.e., "de facto" catchment area, and a place people are naturally drawn to, such as a large shopping centre. A catchment area in terms of a place people are drawn to could be a city, service or institution.
Catchment area boundaries can be modeled using geographic information systems (GIS). [4] There can be large variability in the services provided within different catchment areas in the same region depending upon how and when those catchments were established. [5] They are usually contiguous but can overlap when they describe competing services. [6] For example, the boundaries of catchment areas can also vary by travel time, whereby 1-hour is indicative of daily commuting time and a 3-hour cut-off reflecting essential, but less frequent services. [7]
GIS technology has allowed for the modeling of catchment areas, and in particular those relating to urban areas. Based on travel time between rural areas and cities of different sizes, the urban–rural catchment areas (URCAs) is a global GIS dataset that allows for comparison across countries, such as the distribution of population along the rural–urban continuum. [8] Functional economic areas (FEAs), also called larger urban zone or functional urban areas, are catchment areas of commuters or commuting zones. [9] A limitation of the URCA and FEA is that the models link locations to a single urban center of reference, even though there may be multiple centers of reference for varying activities. [10]
Catchment areas may be established for the provision of services. For example, a school catchment area is the geographic area from which students are eligible to attend a local school. When a facility's capacity can only service a specific volume, the catchment may be used to limit a population's ability to access services outside that area. [11] In the case of a school catchment area, children may be unable to enroll in a school outside their catchment to prevent the school's services being exceeded.
GIS can also inform for the establishment of health care or hospital catchment areas. [4] Such catchment areas can also define the epidemiological disease burdens [12] or forecast hospital needs amid a disease outbreak. [13] They are used to evaluate population health outcomes, especially for diseases like cancer and chronic conditions. Understanding the catchment area helps health systems optimize service coverage, measure healthcare utilization, and identify underserved regions. [14]
Health catchment areas are often employed in research to study the relationship between geographical factors and healthcare outcomes. For example, they are used in cancer research to understand the distribution of cases and ensure that healthcare resources are equitably distributed. [14] They are also used in epidemiological studies to assess the reach and impact of healthcare interventions. [15] One challenge in defining catchment areas is that they may not accurately reflect patient behavior or health-seeking patterns, particularly in areas where patients have access to multiple health facilities. [16]
Overlapping catchment areas can be used to determine city–regions, reflecting the interconnectedness of urban centers. The Nature Cities article “Worldwide Delineation of Multi-Tier City–Regions” maps the catchment areas of urban centers across four tiers—town, small, intermediate, and large city—based on travel time using a global travel friction grid, acknowledging that individuals may rely on multiple centers for various needs, with larger centers offering a wider range of activities. [7] The dataset, classifying over 30,000 urban centers into the four tiers, is publicly available. [17]
A census tract, census area, census district or meshblock is a geographic region defined for the purpose of taking a census. Sometimes these coincide with the limits of cities, towns or other administrative areas and several tracts commonly exist within a county. In unincorporated areas of the United States these are often arbitrary, except for coinciding with political lines.
Health in China is a complex and multifaceted issue that encompasses a wide range of factors, including public health policy, healthcare infrastructure, environmental factors, lifestyle choices, and socioeconomic conditions.Although China has made significant progress in improving public health and life expectancy, many challenges remain, including air pollution, food safety concerns, a growing burden of non-communicable diseases such as diabetes and cardiovascular disease, and an aging population. In order to improve the situation, the Chinese Government has adopted a series of health policies and initiatives, such as the Healthy China 2030 program, investment in the development of primary health-care facilities and the implementation of public health campaigns.
Healthcare in Canada is delivered through the provincial and territorial systems of publicly funded health care, informally called Medicare. It is guided by the provisions of the Canada Health Act of 1984, and is universal. The 2002 Royal Commission, known as the Romanow Report, revealed that Canadians consider universal access to publicly funded health services as a "fundamental value that ensures national health care insurance for everyone wherever they live in the country."
Community health refers to non-treatment based health services that are delivered outside hospitals and clinics. Community health is a subset of public health that is taught to and practiced by clinicians as part of their normal duties. Community health volunteers and community health workers work with primary care providers to facilitate entry into, exit from and utilization of the formal health system by community members as well as providing supplementary services such as support groups or wellness events that are not offered by medical institutions.
City region is a term used by urbanists, economists and urban planners to refer to how one or more core cities are linked to a hinterland by functional ties, such as economic, housing-market, commuting, marketing or retail catchment factors. This concept emphasizes the importance of these functional relationships in understanding urban areas and their surrounding regions, often providing more insightful perspectives than the arbitrary boundaries assigned to administrative bodies.
Barefoot doctors were healthcare providers who underwent basic medical training and worked in rural villages in China. They included farmers, folk healers, rural healthcare providers, and recent middle or secondary school graduates who received minimal basic medical and paramedical education. Their purpose was to bring healthcare to rural areas where urban-trained doctors would not settle. They promoted basic hygiene, preventive healthcare, and family planning and treated common illnesses. The name comes from southern farmers, who would often work barefoot in the rice paddies, and simultaneously worked as medical practitioners.
Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequities, and face worse health outcomes than those who are able to access certain resources. It is not equity to simply provide every individual with the same resources; that would be equality. In order to achieve health equity, resources must be allocated based on an individual need-based principle.
Women's health in China refers to the health of women in People's Republic of China (PRC), which is different from men's health in China in many ways. Health, in general, is defined in the World Health Organization (WHO) constitution as "a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity". The circumstance of Chinese women's health is highly contingent upon China's historical contexts and economic development during the past seven decades. A historical perspective on women's health in China entails examining the healthcare policies and its outcomes for women in the pre-reform period (1949-1978) and the post-reform period since 1978.
In medicine, rural health or rural medicine is the interdisciplinary study of health and health care delivery in rural environments. The concept of rural health incorporates many fields, including wilderness medicine, geography, midwifery, nursing, sociology, economics, and telehealth or telemedicine.
Healthcare in Mexico is a multifaceted system comprising public institutions overseen by government departments, private hospitals and clinics, and private physicians. It is distinguished by a unique amalgamation of coverage predominantly contingent upon individuals' employment statuses. Rooted in the Mexican constitution's principles, every Mexican citizen is entitled to cost-free access to healthcare and medication. This constitutional mandate was translated into reality through the auspices of the Instituto de Salud para el Bienestar, abbreviated as INSABI; however, INSABI was discontinued in 2023.
The healthcare reform in China refers to the previous and ongoing healthcare system transition in modern China. China's government, specifically the National Health and Family Planning Commission, plays a leading role in these reforms. Reforms focus on establishing public medical insurance systems and enhancing public healthcare providers, the main component in China's healthcare system. In urban and rural areas, three government medical insurance systems—Urban Residents Basic Medical Insurance, Urban Employee Basic Medical Insurance, and the New Rural Co-operative Medical Scheme—cover almost everyone. Various public healthcare facilities, including county or city hospitals, community health centers, and township health centers, were founded to serve diverse needs. Current and future reforms are outlined in Healthy China 2030.
Healthcare in China has undergone basic changes over the twentieth century and twenty-first century, using both public and private medical institutions and insurance programs. As of 2020, about 95% of the population has at least basic health insurance coverage.
Healthcare in Ghana is mostly provided by the national government, and less than 5% of GDP is spent on healthcare. The healthcare system still has challenges with access, especially in rural areas not near hospitals.
A community health worker (CHW) is a member of a community who provides basic health and medical care within their community, and is capable of providing preventive, promotional and rehabilitation care to that community, typically without formal education equal to that of a nurse, CHO, or doctor. They are chosen within the community to assist a train personnel community health extension worker who is train in college or schools of health. A community health extension worker (CHEW) is a specially trained professional who provides similar preventive, curative and rehabilitative health care and services to people where they live and work. CHEW are trained for three years and they graduate with a diploma, while the JCHEW are trained for two years and graduate with a certificate. Other terms for this type of health care provider include lay health worker, village health worker, community health aide, community health promoter, and health advisor.
The two-step floating catchment area (2SFCA) method is a method for combining a number of related types of information into a single, immediately meaningful, index that allows comparisons to be made across different locations. Its importance lies in the improvement over considering the individual sources of information separately, where none on its own provides an adequate summary.
Healthcare in Malawi and its limited resources are inadequate to fully address factors plaguing the population, including infant mortality and the very high burden of diseases, especially HIV/AIDS, malaria and tuberculosis.
India has a multi-payer universal health care model that is paid for by a combination of public and government regulated private health insurances along with the element of almost entirely tax-funded public hospitals. The public hospital system is essentially free for all Indian residents except for small, often symbolic co-payments in some services. Economic Survey 2022-23 highlighted that the Central and State Governments’ budgeted expenditure on the health sector reached 2.1% of GDP in FY23 and 2.2% in FY22, against 1.6% in FY21. India ranks 78th and has one of the lowest healthcare spending as a percent of GDP. It ranks 77th on the list of countries by total health expenditure per capita.
The United States has many regions which have been described as medical deserts, with those locations featuring inadequate access to one or more kinds of medical services. An estimated thirty million Americans, many in rural regions of the country, live at least a sixty-minute drive from a hospital with trauma care services. Regions with higher rates of Medicaid and Medicare patients, as well those who lack any health insurance coverage, are less likely to live within an hour of a hospital emergency room. Although concentrated in rural regions, health care deserts also exist in urban and suburban areas, particularly in predominantly Black communities in Chicago, Los Angeles and New York City. Racial demographic disparities in healthcare access are also present in rural areas, particularly in Native American communities which experience worse health outcomes and barriers to accessing quality medical care. Limited access to emergency room services, as well as medical specialists, leads to increases in mortality rates and long-term health problems, such as heart disease and diabetes.
Medical desert is a term used to describe regions whose population has inadequate access to healthcare. The term can be applied whether the lack of healthcare is general or in a specific field, such as dental or pharmaceutical. It is primarily used to describe rural areas although it is sometimes applied to urban areas as well. The term is inspired by the analogous concept of a food desert.
The gap in socioeconomic status between racial groups in South Africa has been a key contributor to health disparities, with White South Africans, a minority group, having overall better health outcomes than majority Black South Africans. White South Africans, a minority group, have overall better access and health outcomes than other racial groups in South Africa. Black and Colored South Africans, have poorer overall health outcomes and are disproportionately unable to access the private healthcare system in South Africa.