| Inequalities in rural health care: differences in surgical intervention between metropolitan and rural Western Australia. | |
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MedLine Citation:
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PMID: 15932434 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To compare surgical procedure rates between metropolitan and rural/remote residents in Western Australia (WA). METHODS: The WA Data Linkage System was used to identify all patients who underwent a procedure for cataract, ureteric calculi or urinary outflow obstruction symptoms for the time periods 1981-2000, 1981-1997 and 1981-1995, respectively. Age-standardized procedure rates were calculated and Poisson regression modelling was used to estimate effects of locality of residence and demographic covariates. RESULTS: Overall, rural/remote patients underwent first-time procedures for cataract (IRR 0.92; 95% CI 0.90-0.94), ureteric calculi (0.76; 0.72-0.80), or urinary outflow obstruction (0.71; 0.69-0.74) less frequently than patients in the metropolitan area. They were also significantly less likely to undergo multiple procedures for cataracts (0.90; 0.88-0.91) and ureteric calculi (0.69; 0.67-0.73). CONCLUSION: A distinctly reduced level of surgical intervention was found in rural patients for three generally non-life threatening conditions. The reasons for this require further investigation. |
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Authors:
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Jonathon Q Ng; Sonjâ E Hall; C D'Arcy J Holman; James B Semmens |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: ANZ journal of surgery Volume: 75 ISSN: 1445-1433 ISO Abbreviation: ANZ J Surg Publication Date: 2005 May |
Date Detail:
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Created Date: 2005-06-03 Completed Date: 2005-09-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101086634 Medline TA: ANZ J Surg Country: Australia |
Other Details:
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Languages: eng Pagination: 265-9 Citation Subset: IM |
Affiliation:
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Centre for Health Services Research, School of Population Health, The University of Western Australia, Crawley, WA 6009, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cataract Extraction / statistics & numerical data* Female Health Services Accessibility* Humans Male Medical Record Linkage Middle Aged Poisson Distribution Rural Health Services / statistics & numerical data* Rural Population / statistics & numerical data Transurethral Resection of Prostate / statistics & numerical data* Urban Population / statistics & numerical data Urinary Calculi / surgery* Western Australia |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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