Sources of Data
Centers for Disease Control and Prevention. “CDC/ATSDR Social Vulnerability Index (SVI).” Agency for Toxic Substances and Disease Registry, 2020. https://www.atsdr.cdc.gov/placeandhealth/svi/index.html.
- This site has downloadable data pertaining to the social vulnerability index by census tract. I may be able to use this to identify vulnerable populations in Omaha and see if these populations also face inequitable access to medical/health related resources.
Douglas County Health Department. “COVID-19 Vaccinations Dashboard.” Douglas County GIS, n.d. https://dogis.maps.arcgis.com/apps/dashboards/f03f7ff56e06435a8050a565fefe2d4a.
- This dashboard displays various statistics on COVID-19 vaccinations, including the percentages of residents by zip code that received initial and/or follow-up immunizations. While I am having a hard time locating the actual underlying data, I think this resource might still be helpful as I can view the raw numbers in each zip code. This resource would be useful in connecting the creation of medical deserts to the inaccessibility of obtaining immunizations during a recent pandemic.
Douglas County Health Department. “Current and Historic Hospitals.” Douglas County GIS, n.d. https://experience.arcgis.com/experience/13d3208dfc05457c8c4829d5a519a928.
- This digital map contains the pinpointed locations of hospitals and community clinics that no longer exist. This will be useful for showing how the specific locations of health services has changed over time.
Lys, Nataliya. “Hospitals.” ArcGIS Hub, 2024. https://hub.arcgis.com/datasets/f113f28a389c4b0abdc8170d3af3e784_0/explore?location=41.286711%2C-95.855334%2C9.59.
- This online resource pinpoints current hospital locations in the Douglas County area. I could potentially use it to create some sort of Voronoi diagram to show the spatial differences of Omaha communities’ proximity to hospital resources.
Moore, Steven. “OpenStreetMap Medical Facilities for North America.” ArcGIS Hub, 2022. https://hub.arcgis.com/datasets/openstreetmap::openstreetmap-medical-facilities-for-north-america-2/about.
- This ArcGIS map layer pinpoints a wide variety of current medical facilities across all of North America. It may be useful to include as it would be more encompassing than just the locations of hospitals in particular.
Nelson, Robert K., LaDale Winling, et al. “Mapping Inequality: Redlining in New Deal America.” Edited by Robert K. Nelson and Edward L. Ayers. American Panorama: An Atlas of United States History, 2023. https://dsl.richmond.edu/panorama/redlining.
- I plan to use this site to download data pertaining to the redlining map of Omaha. This may help in prefacing how discriminatory housing policy in the 19th century had a cascade of negative effects for communities – one being the potential creation of medical deserts in particular.
Manson, Steven, Jonathan Schroeder, David Van Riper, Katherine Knowles, Tracy Kugler, Finn Roberts, and Steve Ruggles. 2023. “1950 Census Tracts, Population by Race.” IPUMS National Historical Geographic Information System, Accessed March 27, 2023. http://doi.org/10.18128/D050.V18.0.
Manson, Steven, Jonathan Schroeder, David Van Riper, Katherine Knowles, Tracy Kugler, Finn Roberts, and Steve Ruggles. 2023. “1980 Census Tracts, Population by Race.” IPUMS National Historical Geographic Information System, Accessed March 27, 2023. http://doi.org/10.18128/D050.V18.0.
Manson, Steven, Jonathan Schroeder, David Van Riper, Katherine Knowles, Tracy Kugler, Finn Roberts, and Steve Ruggles. 2023. “2010 Census Tracts, Population by Race.” IPUMS National Historical Geographic Information System, Accessed March 27, 2023. http://doi.org/10.18128/D050.V18.0.
Manson, Steven, Jonathan Schroeder, David Van Riper, Katherine Knowles, Tracy Kugler, Finn Roberts, and Steve Ruggles. 2023. “2020 Census Tracts, Population by Race.” IPUMS National Historical Geographic Information System, Accessed March 27, 2023. http://doi.org/10.18128/D050.V18.0.
- I will use these resources to collect census data based on race for the Omaha area, years 1950, 1980, 2010, and 2020. The data can be mapped and used to show demographic change over time and the overall growth of the city as a whole, and it can be used to show where medical services have been located regarding demographic populations over time.
Secondary Sources
Egede, Leonard E., Rebekah J. Walker, Jennifer A. Campbell, Sebastian Linde, Laura C. Hawks, and Kaylin M. Burgess. 2023. “Modern Day Consequences of Historic Redlining: Finding a Path Forward.” Journal of General Internal Medicine 38(6): pp. 1534-1537. DOI: 10.1007/s11606-023-08051-4.
- This information relates how discriminatory housing policy in the 20th century has left longstanding impacts on particular communities in various areas of health.
Fletcher, Adam F.C. 2015. “A History of Hospitals in North Omaha.” North Omaha History, September 17, 2015. https://northomahahistory.com/2015/09/17/a-history-of-hospitals-and-healthcare-in-north-omaha/.
- This article provides details on the closing of hospitals in North Omaha and the movement of hospitals to other areas of the city, relating this to the overall health and accessibility to medical services today.
Gaynor, Tia S. and Meghan E. Wilson. 2020. “Social Vulnerability and Equity: The Disproportionate Impact of COVID-19.” Public Administration Review 80(5): pp. 832-838. DOI: 10.1111/puar.13264.
- This article could be used in conjunction with the source data I found of social vulnerability index to help better explain what that data is describing.
Gregg, Aaron and Jaclyn Peters. 2023. “Drugstore closures are leaving millions without easy access to a pharmacy.” The Washington Post, October 22, 2023. https://www.washingtonpost.com/business/2023/10/22/drugstore-close-pharmacy-deserts/.
- The information in this article describes how large pharmacy retailers are tending to move out of areas that are largely minority in population. This information could be used in relation to the creation of medical deserts in Omaha/the lack of availability of health services.
Lu, Richard, Suhas Gondi, and Alister Martin. 2021. “Inequity in vaccinations isn’t always about hesitancy, it’s about inaccess.” Association of American Medical Colleges, April 12, 2021. https://www.aamc.org/news/inequity-vaccinations-isn-t-always-about-hesitancy-it-s-about-access.
- This source highlights a common misconception that unequal COVID vaccination is due to hesitancy to actually receive the shot. Instead, a variety of social factors and structural barriers may help to better understand these disparities.
Nguyen, Amanda, Jeroen van Meijgaard, Sara Kim, and Tori Marsh. 2021. “Mapping Healthcare Deserts.” GoodRx, September 2021.
- This paper discusses the various forms that healthcare deserts can take, and it analyses the entirety of the United States in regard to this topic. It provides information on how those in healthcare deserts are likely to face additional health related barriers as well.
Rollston, Rebekah and Sandro Galea. 2020. “COVID-19 and the Social Determinants of Health.” American Journal of Health Promotion 34(6): pp. 687-689. https://doi.org/10.1177/0890117120930536b.
- This journal article offers a variety of social factors that play some sort of role in health and wellness, and it describes the ways in which these things have had particular consequences in the context of the COVID pandemic.
Schleicher, John. 2013. “UNMC History 101: Omaha’s history of hospitals.” University of Nebraska Medical Center. https://www.unmc.edu/newsroom/2013/07/02/unmc-history-101-omahas-history-of-hospitals/.
- This short article discusses some brief history on hospitals in the Omaha area that are no longer in operation.
Smith, Kate. 2021. “Effects of redlining last in Omaha.” ULOOP Inc., February 18, 2021. https://go.gale.com/ps/i.do?p=AONE&u=creighton&id=GALE|A652171801&v=2.1&it=r.
- This news article highlights the generational impacts of redlining in Omaha specifically and puts redlining in context with the city’s tendencies to direct money and services to certain areas over others. It also offers a few statistics on the differences in the amount of COVID cases across Omaha based on zip code.
Ying, Xiaohan, Peter Kahn, and Walter S. Mathis. 2022. “Pharmacy deserts: More than where pharmacies are.” Journal of the American Pharmacists Association 62: pp. 1875-1879. https://doi.org/10.1016/j.japh.2022.06.016.
- This research article describes how healthcare deserts (in particular, pharmacy deserts) don’t only manifest in extremely rural areas. For example, one who may live decently close to a pharmacy may still face barriers in being able to receive its services, such as lacking personal or public transportation access. In short, the considering healthcare deserts bay be much more complex than a “distance” analysis.