Understanding patient access patterns for primary health-care services for Aboriginal and Islander people in Queensland: a geospatial mapping approach

Panaretto, K.S., Dellit, A., Hollins, A., Wason, G., Sidhom, C., Chilcott, K., Malthouse, D., Andrews, S., Mein, J., Ahkee, B., and McDermott, R. (2017) Understanding patient access patterns for primary health-care services for Aboriginal and Islander people in Queensland: a geospatial mapping approach. Australian Journal of Primary Health, 23 (1). pp. 37-45.

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Abstract

This paper explores the patterns of patients' accessing six Aboriginal and Islander Community Controlled Health Services (AICCHSs) in Queensland. Between August 2011 and February 2014, 26199 patients made at least one visit over a 2-year period prior to at least one of six Queensland AICCHS - one urban service (RA 1) in south-east Queensland, and five services in regional towns (RA 3) in Far North Queensland. Geospatial mapping of addresses for these registered patients was undertaken. The outcomes analysed included travel times to, the proportion of catchment populations using each AICCHS and an assessment of alternative mainstream general practice availability to these patients was made. In brief, the use of AICCHS was higher than Australian Bureau of Statistics census data would suggest. Approximately 20% of clients travel more than 30min to seek Aboriginal Health services, but only 8% of patients travelled longer than 60min. In the major city site, many other general practitioner (GP) services were bypassed. The data suggest Aboriginal and Islander patients in Queensland appear to value community-controlled primary care services. The number of Indigenous clients in regional locations in the Far North Queensland registered with services is often higher than the estimated resident population numbers.

Item ID: 46125
Item Type: Article (Refereed Research - C1)
Keywords: community-controlled primary health care, Indigenous, travel times
Additional Information:

Journal compilation © La Trobe University 2016 Open Access.

ISSN: 1836-7399
Funders: Centre of Research Excellence for Prevention of Chronic Conditions in Rural and Remote High-risk Populations (CRE), Samson Institute for Health Research (SIHR), University of South Australia (USA)
Date Deposited: 21 Oct 2016 02:07
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 100%
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