TY - JOUR A1 - Rauch, Sebastian T1 - Analysing Long Term Spatial Mobility Patterns of Individuals and Large Groups Using 3D–GIS: A Sport Geographic Approach JF - Tijdschrift voor Economische en Sociale Geografie N2 - Individual mobility and human patterns analyses is receiving increasing attention in numerous interdisciplinary studies and publications using the concept of time-geography but is largely unknown to the subdiscipline of sports geography. Meanwhile the visualization and evaluation of large data of individual patterns are still a major challenge. While a qualitative, microscale view on spatial-temporal topics is more common in today's pattern research using mostly 24h time intervals, this work examines a quantitative approach focusing on an extended period of life. This paper presents a combination of time-geographic approaches with 3D-geoinformation systems and demonstrates their value for analysing individual mobility by implementing a path-homogeneity factor (HPA). Using the example of professional athletes, it is shown which groups display greater similarities in their career paths. While a high homogeneity suggests that groups make similar decisions through socially influenced processes, low values allow the assumption that external processes provide stronger, independent individual structures. KW - 3D GIS analysis KW - path analysis KW - individual mobility KW - geovisualization KW - sport geography KW - time geography Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-318551 SN - 0040-747X VL - 113 IS - 3 SP - 257 EP - 272 ER - TY - JOUR A1 - Rauch, Sebastian A1 - Arnold, Louisa A1 - Stuerner, Zelda A1 - Rauh, Juergen A1 - Rost, Michael T1 - A true choice of place of birth? Swiss women’s access to birth hospitals and birth centers JF - PLoS ONE N2 - While the place of birth plays a crucial role for women’s birth experiences, the interest in out-of-hospital births has increased during the Covid-19 pandemic. Related to this, various international policies recommend enabling women to choose where to give birth. We aimed to analyze Swiss women’s choice between birth hospitals and birth centers. Employing spatial accessibility analysis, we incorporated four data types: highly disaggregated population data, administrative data, street network data, addresses of birth hospitals and birth centers. 99.8% of Swiss women of childbearing age were included in the analysis (N = 1.896.669). We modelled car travel times from a woman’s residence to the nearest birth hospital and birth center. If both birth settings were available within 30 minutes, a woman was considered to have a true choice. Only 58.2% of women had a true choice. This proportion varied considerably across Swiss federal states. The main barrier to a true choice was limited accessibility of birth centers. Median travel time to birth hospitals was 9.8 (M = 12.5), to birth centers 23.9 minutes (M = 28.5). Swiss women are insufficiently empowered to exercise their reproductive autonomy as their choice of place of birth is significantly limited by geographical constraints. It is an ethical and medical imperative to provide women with a true choice. We provide high-resolution insights into the accessibility of birth settings and strong arguments to (re-)examine the need for further birth centers (and birth hospitals) in specific geographical areas. Policy-makers are obligated to improve the accessibility of birth centers to advance women’s autonomy and enhance maternal health outcomes after childbirth. The Covid-19 pandemic offers an opportunity to shift policy. KW - Switzerland KW - birth hospitals KW - access Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-300159 VL - 17 IS - 7 ER - TY - JOUR A1 - Stangl, Stephanie A1 - Rauch, Sebastian A1 - Rauh, Jürgen A1 - Meyer, Martin A1 - Müller‐Nordhorn, Jacqueline A1 - Wildner, Manfred A1 - Wöckel, Achim A1 - Heuschmann, Peter U. T1 - Disparities in Accessibility to Evidence-Based Breast Cancer Care Facilities by Rural and Urban Areas in Bavaria, Germany JF - Cancer N2 - Background Breast cancer (BC), which is most common in elderly women, requires a multidisciplinary and continuous approach to care. With demographic changes, the number of patients with chronic diseases such as BC will increase. This trend will especially hit rural areas, where the majority of the elderly live, in terms of comprehensive health care. Methods Accessibility to several cancer facilities in Bavaria, Germany, was analyzed with a geographic information system. Facilities were identified from the national BC guideline and from 31 participants in a proof‐of‐concept study from the Breast Cancer Care for Patients With Metastatic Disease registry. The timeframe for accessibility was defined as 30 or 60 minutes for all population points. The collection of address information was performed with different sources (eg, a physician registry). Routine data from the German Census 2011 and the population‐based Cancer Registry of Bavaria were linked at the district level. Results Females from urban areas (n = 2,938,991 [ie, total of females living in urban areas]) had a higher chance for predefined accessibility to the majority of analyzed facilities in comparison with females from rural areas (n = 3,385,813 [ie, total number of females living in rural areas]) with an odds ratio (OR) of 9.0 for cancer information counselling, an OR of 17.2 for a university hospital, and an OR of 7.2 for a psycho‐oncologist. For (inpatient) rehabilitation centers (OR, 0.2) and genetic counselling (OR, 0.3), women from urban areas had lower odds of accessibility within 30 or 60 minutes. Conclusions Disparities in accessibility between rural and urban areas exist in Bavaria. The identification of underserved areas can help to inform policymakers about disparities in comprehensive health care. Future strategies are needed to deliver high‐quality health care to all inhabitants, regardless of residence. KW - accessibility KW - breast cancer KW - evidence‐based medicine KW - geographic information science KW - health care service research Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239854 VL - 127 IS - 13 SP - 2319 EP - 2332 ER -