Comparing private and public transport access to diabetic health services across inner, middle, and outer suburbs of Melbourne, Australia

Madill, R, Badland, H, Mavoa, S and Giles-Corti, B 2018, 'Comparing private and public transport access to diabetic health services across inner, middle, and outer suburbs of Melbourne, Australia', BMC Health Services Research, vol. 18, no. 1, pp. 1-13.


Document type: Journal Article
Collection: Journal Articles

Title Comparing private and public transport access to diabetic health services across inner, middle, and outer suburbs of Melbourne, Australia
Author(s) Madill, R
Badland, H
Mavoa, S
Giles-Corti, B
Year 2018
Journal name BMC Health Services Research
Volume number 18
Issue number 1
Start page 1
End page 13
Total pages 13
Publisher BioMed Central Ltd.
Abstract Background: Melbourne, Australia is experiencing rapid population growth, with much of this occurring in metropolitan outer suburban areas, also known as urban growth areas. Currently little is known about differences in travel times when using private and public transport to access primary and secondary services across Melbourne's urban growth areas. Plan Melbourne Refresh, a recent strategic land use document has called for a 20 min city, which is where essential services including primary health care, can be accessed within a 20 min journey. Type 2 diabetes mellitus (T2DM) is a major chronic condition in Australia, with some of Melbourne's growth areas having some of the highest prevalence across Australia. This study explores travel times to diabetic health care services for populations residing in inner, middle and outer suburbs of metropolitan Melbourne. Method: Geographic information systems (GIS) software were used to map the location of selected diabetic primary and secondary health care service providers across metropolitan inner, middle, outer established, outer urban growth and outer fringe areas of Melbourne. An origin-destination matrix was used to estimate travel distances from point of origin (using a total of approximately 50,000 synthetic residential addresses) to the closest type of each diabetic health care service provider (destinations) across Melbourne. ArcGIS was used to estimate travel times for private transport and public transport; comparisons were made by area. Results: Our study indicated increased travel times to diabetic health services for people living in Melbourne's outer growth and outer fringe areas compared with the rest of Melbourne (inner, middle and outer established). Compared with those living in inner city areas, the median time spent travelling to diabetic services was between 2.46 and 23.24 min (private motor vehicle) and 12.01 and 43.15 min (public transport) longer for those living in outer suburban areas. Irrespective
Subject Epidemiology
Urban and Regional Planning not elsewhere classified
Keyword(s) Accessibility
GIS
Health equity
Private vehicle
Public transport
Urban growth areas
DOI - identifier 10.1186/s12913-018-3079-9
Copyright notice © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License
ISSN 1472-6963
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