| Inequitable provision of optimal services for patients with chronic heart failure: a national geo-mapping study. | |
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MedLine Citation:
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PMID: 17309416 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the location and accessibility of current Australian chronic heart failure (CHF) management programs and general practice services with the probable distribution of the population with CHF. DESIGN AND SETTING: Data on the prevalence and distribution of the CHF population throughout Australia, and the locations of CHF management programs and general practice services from 1 January 2004 to 31 December 2005 were analysed using geographic information systems (GIS) technology. OUTCOME MEASURES: Distance of populations with CHF to CHF management programs and general practice services. RESULTS: The highest prevalence of CHF (20.3-79.8 per 1000 population) occurred in areas with high concentrations of people over 65 years of age and in areas with higher proportions of Indigenous people. Five thousand CHF patients (8%) discharged from hospital in 2004-2005 were managed in one of the 62 identified CHF management programs. There were no CHF management programs in the Northern Territory or Tasmania. Only four CHF management programs were located outside major cities, with a total case load of 80 patients (0.7%). The mean distance from any Australian population centre to the nearest CHF management program was 332 km (median, 163 km; range, 0.15-3246 km). In rural areas, where the burden of CHF management falls upon general practitioners, the mean distance to general practice services was 37 km (median, 20 km; range, 0-656 km). CONCLUSION: There is an inequity in the provision of CHF management programs to rural Australians. |
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Authors:
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Robyn A Clark; Andrea Driscoll; Justin Nottage; Skye McLennan; David M Coombe; Errol J Bamford; David Wilkinson; Simon Stewart |
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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: The Medical journal of Australia Volume: 186 ISSN: 0025-729X ISO Abbreviation: Med. J. Aust. Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-02-20 Completed Date: 2007-03-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 169-73 Citation Subset: IM |
Affiliation:
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Faculty of Health Sciences, University of South Australia, Adelaide, SA. simon.stewart@baker.edu.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Australia / epidemiology Demography Family Practice / statistics & numerical data Health Services Accessibility / statistics & numerical data* Heart Failure / epidemiology*, therapy Humans Middle Aged Needs Assessment / statistics & numerical data Population Groups / statistics & numerical data Prevalence Professional Practice Location / statistics & numerical data Regional Medical Programs / statistics & numerical data Rural Health / statistics & numerical data Urban Health / statistics & numerical data |
| Comments/Corrections | |
Comment In:
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Med J Aust. 2007 Sep 3;187(5):318-9; author reply 319
[PMID:
17767445
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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