Identifying areas of potential critical healthcare shortages: A case study of spatial accessibility to ICU beds during the COVID-19 pandemic in Florida

• Published in: Transport policy Vol. 110; pp. 478 - 486
• Main Authors: Kim, Kyusik, Ghorbanzadeh, Mahyar, Horner, Mark W., Ozguven, Eren Erman
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01-09-2021
• Subjects: 3SFCA; Access to ICU beds; COVID-19; Space-time assessment; Spatial accessibility; COVID-19; 3SFCA; Access to ICU beds; Space-time assessment; Spatial accessibility
• ISSN: 0967-070X; 1879-310X
• DOI: 10.1016/j.tranpol.2021.07.004

Healthcare resource availability is potentially associated with COVID-19 mortality, and the potentially uneven geographical distribution of resources is a looming concern in the global pandemic. Given that access to healthcare resources is important to overall population health, assessing COVID-19 patients' access to healthcare resources is needed. This paper aims to examine the temporal variations in the spatial accessibility of the U.S. COVID-19 patients to medical facilities, identify areas that are likely to be overwhelmed by the COVID-19 pandemic, and explore associations of low access areas with their socioeconomic and demographic characteristics. We use a three-step floating catchment area method, spatial statistics, and logistic regression to achieve the goals. Findings of this research in the State of Florida revealed that North Florida, rural areas, and zip codes with more Latino or Hispanic populations are more likely to have lower access than other regions during the COVID-19 pandemic. Our approach can help policymakers identify potentially possible low access areas and establish appropriate policy intervention paying attention to those areas during a pandemic.
•The temporal variations in the spatial accessibility of COVID-19 patients to ICU beds in Florida are examined.•A spatial accessibility method, spatial statistics, and a statistical method are performed.•Rural areas are more likely to be a low access area across all time periods.•Areas with more Latino or Hispanic populations are likely to have low access during the early and spreading periods.