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Masanneck L, Räuber S, Schroeter CB, Lehnerer S, Ziemssen T, Ruck T, Meuth SG, Pawlitzki M. Driving time-based identification of gaps in specialised care coverage: An example of neuroinflammatory diseases in Germany. Digit Health 2023; 9:20552076231152989. [PMID: 36762020 PMCID: PMC9903011 DOI: 10.1177/20552076231152989] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 01/03/2023] [Indexed: 01/28/2023] Open
Abstract
Objective Due to the growing complexity in monitoring and treatment of many disorders, disease-specific care and research networks offer patients certified healthcare. However, the networks' ability to provide health services close to patients' homes usually remains vague. Digital Health Technologies (DHTs) help to provide better care, especially if implemented in a targeted manner in regions undersupplied by specialised networks. Therefore, we used a car travel time-based isochrone approach to identify care gaps using the example of the neuroinflammation-focused German healthcare and research networks for multiple sclerosis (MS), myasthenia gravis (MG), myositis and immune-mediated neuropathy. Methods Excellence centres were mapped, and isochrones for 30, 60, 90 and 120 minutes were calculated. The resulting geometric figures were aggregated and used to mask the global human settlement population grid 2019 to estimate German inhabitants that can reach centres within the given periods. Results While 96.48% of Germans can drive to an MS-focused centre within one hour, coverage is lower for the rare disease networks for MG (48.3%), myositis (43.1%) and immune-mediated neuropathy (56.7%). Within 120 minutes, more than 80% of Germans can reach a centre of any network. Besides the generally worse covered rural regions such as North-Eastern Germany, the rare disease networks also show network-specific regional underrepresentation. Conclusion An isochrone-based approach helps identify regions where specialised care is hard to reach, which might be especially troublesome in the case of an often disabled patient collective. Patient care could be improved by focusing deployments of disease-specific DHTs on these areas.
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Affiliation(s)
- Lars Masanneck
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany,Hasso Plattner Institute, University of Potsdam, Potsdam, Germany
| | - Saskia Räuber
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany
| | - Christina B Schroeter
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany
| | - Sophie Lehnerer
- Department of Neurology with Experimental Neurology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany,Department of Neurology with Experimental Neurology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, NeuroCure Clinical Research Center, Berlin, Germany,Centre for Stroke Research Berlin, Charité – Universitätsmedizin Berlin, Berlin, Germany,Berlin Institute of Health at Charité – Universitätsmedizin Berlin, Digital Health Center, Berlin, Germany
| | - Tjalf Ziemssen
- Department of Neurology, University Hospital Carl Gustav Carus, Dresden, Germany
| | - Tobias Ruck
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany
| | - Sven G. Meuth
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany
| | - Marc Pawlitzki
- Department of Neurology, Medical Faculty University Hospital Düsseldorf, Düsseldorf, Germany,Marc Pawlitzki, Department of Neurology, Heinrich-Heine University Duesseldorf, Moorenstraße 5, D-40225 Duesseldorf, Germany.
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Hierink F, Boo G, Macharia PM, Ouma PO, Timoner P, Levy M, Tschirhart K, Leyk S, Oliphant N, Tatem AJ, Ray N. Differences between gridded population data impact measures of geographic access to healthcare in sub-Saharan Africa. COMMUNICATIONS MEDICINE 2022; 2:117. [PMID: 36124060 PMCID: PMC9481590 DOI: 10.1038/s43856-022-00179-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 09/01/2022] [Indexed: 12/04/2022] Open
Abstract
Background Access to healthcare is imperative to health equity and well-being. Geographic access to healthcare can be modeled using spatial datasets on local context, together with the distribution of existing health facilities and populations. Several population datasets are currently available, but their impact on accessibility analyses is unknown. In this study, we model the geographic accessibility of public health facilities at 100-meter resolution in sub-Saharan Africa and evaluate six of the most popular gridded population datasets for their impact on coverage statistics at different administrative levels. Methods Travel time to nearest health facilities was calculated by overlaying health facility coordinates on top of a friction raster accounting for roads, landcover, and physical barriers. We then intersected six different gridded population datasets with our travel time estimates to determine accessibility coverages within various travel time thresholds (i.e., 30, 60, 90, 120, 150, and 180-min). Results Here we show that differences in accessibility coverage can exceed 70% at the sub-national level, based on a one-hour travel time threshold. The differences are most notable in large and sparsely populated administrative units and dramatically shape patterns of healthcare accessibility at national and sub-national levels. Conclusions The results of this study show how valuable and critical a comparative analysis between population datasets is for the derivation of coverage statistics that inform local policies and monitor global targets. Large differences exist between the datasets and the results underscore an essential source of uncertainty in accessibility analyses that should be systematically assessed.
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Affiliation(s)
- Fleur Hierink
- GeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Gianluca Boo
- WorldPop, School of Geography and Environmental Science, University of Southampton, Southampton, UK
- Small Arms Survey, The Graduate Institute, Geneva, Switzerland
| | - Peter M. Macharia
- Population Health Unit, Kenya Medical Research Institute - Wellcome Trust Research Programme, Nairobi, Kenya
- Centre for Health Informatics, Computing and Statistics, Lancaster Medical School, Lancaster University, Lancaster, UK
| | - Paul O. Ouma
- Population Health Unit, Kenya Medical Research Institute - Wellcome Trust Research Programme, Nairobi, Kenya
| | - Pablo Timoner
- GeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Marc Levy
- CIESIN, The Center for International Earth Science Information Network, Columbia University, Palisades, NY USA
| | - Kevin Tschirhart
- CIESIN, The Center for International Earth Science Information Network, Columbia University, Palisades, NY USA
| | - Stefan Leyk
- Department of Geography, University of Colorado in Boulder, Boulder, CO USA
| | - Nicholas Oliphant
- The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland
| | - Andrew J. Tatem
- WorldPop, School of Geography and Environmental Science, University of Southampton, Southampton, UK
| | - Nicolas Ray
- GeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
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The Missing Millions in Maps: Exploring Causes of Uncertainties in Global Gridded Population Datasets. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2022. [DOI: 10.3390/ijgi11070403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Gridded population datasets model the population at a relatively high spatial and temporal granularity by reallocating official population data from irregular administrative units to regular grids (e.g., 1 km grid cells). Such population data are vital for understanding human–environmental relationships and responding to many socioeconomic and environmental problems. We analyzed one very broadly used gridded population layer (GHS-POP) to assess its capacity to capture the distribution of population counts in several urban areas, spread across the major world regions. This analysis was performed to assess its suitability for global population modelling. We acquired the most detailed local population data available for several cities and compared this with the GHS-POP layer. Results showed diverse error rates and degrees depending on the geographic context. In general, cities in High-Income (HIC) and Upper-Middle-Income Countries (UMIC) had fewer model errors as compared to cities in Low- and Middle-Income Countries (LMIC). On a global average, 75% of all urban spaces were wrongly estimated. Generally, in central mixed or non-residential areas, the population was overestimated, while in high-density residential areas (e.g., informal areas and high-rise areas), the population was underestimated. Moreover, high model uncertainties were found in low-density or sparsely populated outskirts of cities. These geographic patterns of errors should be well understood when using population models as an input for urban growth models, as they introduce geographic biases.
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The Ratio of the Land Consumption Rate to the Population Growth Rate: A Framework for the Achievement of the Spatiotemporal Pattern in Poland and Lithuania. REMOTE SENSING 2022. [DOI: 10.3390/rs14051074] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Indicator 11.3. 1 of the 2030 sustainable development goals (SDG) 11, i.e., the ratio of the land use to the population growth rate, is currently classified by the United Nations as a Tier II indicator, as there is a globally-accepted methodology for its calculation, but the data are not available, nor are not regularly updated. Recently, the increased availability of remotely sensed data and products allows not only for the calculation of the SDG 11.3. 1, but also for its monitoring at different levels of detail. That is why this study aims to address the interrelationships between population development and land use changes in Poland and Lithuania, two neighboring countries in Central and Eastern Europe, using the publicly available remotely sensed products, CORINE land cover and GHS-POP. The paper introduces a map modelling process that starts with data transformation through GIS analyses and results in the geovisualisation of the LCRPGR (land use efficiency), the PGR (population growth rate), and the LCR (land use rate). We investigated the spatial patterns of the index values by utilizing hotspot analyses, autocorrelations, and outlier analyses. The results show how the indicators’ values were concentrated in both countries; the average value of SDG 11.3. 1, from 2000 to 2018 in Poland amounted to 0.115 and, in Lithuania, to −0.054. The average population growth ratio (PGR) in Poland equaled 0.0132, and in Lithuania, it was −0.0067, while the average land consumption ratios (LCRs) were 0.0462 and 0.0067, respectively. Areas with an increase in built-up areas were concentrated mainly on the outskirts of large cities, whereas outliers of the LCRPGR index were mainly caused by the uncertainty of the source data and the way the indicator is interpreted.
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Balk D, Leyk S, Montgomery MR, Engin H. Global Harmonization of Urbanization Measures: Proceed with Care. REMOTE SENSING 2021; 13:4973. [PMID: 37425228 PMCID: PMC10328085 DOI: 10.3390/rs13244973] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 07/11/2023]
Abstract
By 2050, two-thirds of the world's population is expected to be living in cities and towns, a marked increase from today's level of 55 percent. If the general trend is unmistakable, efforts to measure it precisely have been beset with difficulties: the criteria defining urban areas, cities and towns differ from one country to the next and can also change over time for any given country. The past decade has seen great progress toward the long-awaited goal of scientifically comparable urbanization measures, thanks to the combined efforts of multiple disciplines. These efforts have been organized around what is termed the "statistical urbanization" concept, whereby urban areas are defined by population density, contiguity and total population size. Data derived from remote-sensing methods can now supply a variety of spatial proxies for urban areas defined in this way. However, it remains to be understood how such proxies complement, or depart from, meaningful country-specific alternatives. In this paper, we investigate finely resolved population census and satellite-derived data for the United States, Mexico and India, three countries with widely varying conceptions of urban places and long histories of debate and refinement of their national criteria. At the extremes of the urban-rural continuum, we find evidence of generally good agreement between the national and remote sensing-derived measures (albeit with variation by country), but identify significant disagreements in the middle ranges where today's urban policies are often focused.
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Affiliation(s)
- Deborah Balk
- CUNY Institute for Demographic Research (CIDR), City University of New York, New York, NY 10010, USA
- Marxe School of Public and International Affairs, Baruch College, City University of New York, New York, NY 10010, USA
| | - Stefan Leyk
- Department of Geography, University of Colorado Boulder, Boulder, CO 80309, USA
- Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO 80309, USA
| | - Mark R. Montgomery
- Department of Economics, Stony Brook University, Stony Brook, NY 11794, USA
- Population Council, New York, NY 10017, USA
| | - Hasim Engin
- CUNY Institute for Demographic Research (CIDR), City University of New York, New York, NY 10010, USA
- Center for International Earth Science Network (CIESIN), The Earth Institute, Columbia University, Palisades, NY 10964, USA
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Which Gridded Population Data Product Is Better? Evidences from Mainland Southeast Asia (MSEA). ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2021. [DOI: 10.3390/ijgi10100681] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The release of global gridded population datasets, including the Gridded Population of the World (GPW), Global Human Settlement Population Grid (GHS-POP), WorldPop, and LandScan, have greatly facilitated cross-comparison for ongoing research related to anthropogenic impacts. However, little attention is paid to the consistency and discrepancy of these gridded products in the regions with rapid changes in local population, e.g., Mainland Southeast Asia (MSEA), where the countries have experienced fast population growth since the 1950s. This awkward situation is unsurprisingly aggravated because of national scarce demographics and incomplete census counts, which further limits their appropriate usage. Thus, comparative analyses of them become the priority of their better application. Here, the consistency and discrepancy of the four common global gridded population datasets were cross-compared by combing the 2015 provincial population statistics (census and yearbooks) via error-comparison based statistical methods. The results showed that: (1) the LandScan performs the best both in spatial accuracy and estimated errors, then followed by the WorldPop, GHS-POP, and GPW in MSEA. (2) Provincial differences in estimated errors indicated that the LandScan better reveals the spatial pattern of population density in Thailand and Vietnam, while the WorldPop performs slightly better in Myanmar and Laos, and both fit well in Cambodia. (3) Substantial errors among the four gridded datasets normally occur in the provincial units with larger population density (over 610 persons/km2) and a rapid population growth rate (greater than 1.54%), respectively. The new findings in MSEA indicated that future usage of these datasets should pay attention to the estimated population in the areas characterized by high population density and rapid population growth.
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Burke M, Driscoll A, Lobell DB, Ermon S. Using satellite imagery to understand and promote sustainable development. Science 2021; 371:371/6535/eabe8628. [PMID: 33737462 DOI: 10.1126/science.abe8628] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Accurate and comprehensive measurements of a range of sustainable development outcomes are fundamental inputs into both research and policy. We synthesize the growing literature that uses satellite imagery to understand these outcomes, with a focus on approaches that combine imagery with machine learning. We quantify the paucity of ground data on key human-related outcomes and the growing abundance and improving resolution (spatial, temporal, and spectral) of satellite imagery. We then review recent machine learning approaches to model-building in the context of scarce and noisy training data, highlighting how this noise often leads to incorrect assessment of model performance. We quantify recent model performance across multiple sustainable development domains, discuss research and policy applications, explore constraints to future progress, and highlight research directions for the field.
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Affiliation(s)
- Marshall Burke
- Department of Earth System Science, Stanford University, Stanford, CA, USA. .,Center on Food Security and the Environment, Stanford University, Stanford, CA, USA.,National Bureau of Economic Research, Cambridge, MA, USA
| | - Anne Driscoll
- Center on Food Security and the Environment, Stanford University, Stanford, CA, USA
| | - David B Lobell
- Department of Earth System Science, Stanford University, Stanford, CA, USA.,Center on Food Security and the Environment, Stanford University, Stanford, CA, USA
| | - Stefano Ermon
- Department of Computer Science, Stanford University, Stanford, CA, USA
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High-Resolution Gridded Population Datasets: Exploring the Capabilities of the World Settlement Footprint 2019 Imperviousness Layer for the African Continent. REMOTE SENSING 2021. [DOI: 10.3390/rs13061142] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The field of human population mapping is constantly evolving, leveraging the increasing availability of high-resolution satellite imagery and the advancements in the field of machine learning. In recent years, the emergence of global built-area datasets that accurately describe the extent, location, and characteristics of human settlements has facilitated the production of new population grids, with improved quality, accuracy, and spatial resolution. In this research, we explore the capabilities of the novel World Settlement Footprint 2019 Imperviousness layer (WSF2019-Imp), as a single proxy in the production of a new high-resolution population distribution dataset for all of Africa—the WSF2019-Population dataset (WSF2019-Pop). Results of a comprehensive qualitative and quantitative assessment indicate that the WSF2019-Imp layer has the potential to overcome the complexities and limitations of top-down binary and multi-layer approaches of large-scale population mapping, by delivering a weighting framework which is spatially consistent and free of applicability restrictions. The increased thematic detail and spatial resolution (~10 m at the Equator) of the WSF2019-Imp layer improve the spatial distribution of populations at local scales, where fully built-up settlement pixels are clearly differentiated from settlement pixels that share a proportion of their area with green spaces, such as parks or gardens. Overall, eighty percent of the African countries reported estimation accuracies with percentage mean absolute errors between ~15% and ~32%, and 50% of the validation units in more than half of the countries reported relative errors below 20%. Here, the remaining lack of information on the vertical dimension and the functional characterisation of the built-up environment are still remaining limitations affecting the quality and accuracy of the final population datasets.
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