Document Detail


Inequalities in rural health care: differences in surgical intervention between metropolitan and rural Western Australia.
MedLine Citation:
PMID:  15932434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jonathon Q Ng; Sonjâ E Hall; C D'Arcy J Holman; James B Semmens
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  75     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-03     Completed Date:  2005-09-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  IM    
Affiliation:
Centre for Health Services Research, School of Population Health, The University of Western Australia, Crawley, WA 6009, Australia.
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MeSH Terms
Descriptor/Qualifier:
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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