ArticleBMC health services research2006
The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status.
Article in BMC health services research, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding the effects of socioeconomic status along the breast cancer continuum in Australian women: a systematic review of evidence.International journal for equity in health · 2017Pooled it
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- Health care utilization and health-related quality of life of injury patients: comparison of educational groups.BMC health services research · 2021Article
- Study On Potential Factors Of Patient Satisfaction: Based On Exploratory Factor Analysis.Patient preference and adherence · 2019Article
- What is the most important factor affecting patient satisfaction - a study based on gamma coefficient.Patient preference and adherence · 2019Article
- Inequalities in the utilization of health care services in a transition European country: results from the national population health survey.International journal of public health · 2018Article
- Health service use and costs in the last 6 months of life in elderly decedents with a history of cancer: a comprehensive analysis from a health payer perspective.British journal of cancer · 2016Article
- Article
- Resource use, costs and quality of end-of-life care: observations in a cohort of elderly Australian cancer decedents.Implementation science : IS · 2015Observational
- Is socioeconomic status associated with utilization of health care services in a single-payer universal health care system?International journal for equity in health · 2014Article
- What limits the utilization of health services among the rural population in the Dabie Mountains- evidence from Hubei province, China?BMC health services research · 2014Article
- Challenging the perceptions of cancer service provision for the disadvantaged: evaluating utilisation of cancer support services in Western Australia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012Article
- A Literature Review on Care at the End-of-Life in the Emergency Department.Emergency medicine international · 2012Article
- A multilevel study of the determinants of area-level inequalities in colorectal cancer survival.BMC cancer · 2010Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to investigate groups of patients with a relatively homogenous health status to evaluate the degree to which use of the Australian hospital system is affected by socio-economic status, locational accessibility to services and patient payment classification.
methodRecords of all deaths occurring in Western Australia from 1997 to 2000 inclusive were extracted from the WA mortality register and linked to records from the hospital morbidity data system (HMDS) via the WA Data Linkage System. Adjusted incidence rate ratios of hospitalisation in the last, second and third years prior to death were modelled separately for five underlying causes of death.
resultsThe independent effects of socioeconomic status on hospital utilisation differed markedly across cause of death. Locational accessibility was generally not an independent predictor of utilisation except in those dying from ischaemic heart disease and lung cancer. Private patient status did not globally affect utilisation across all causes of death, but was associated with significantly decreased utilisation three years prior to death for those who died of colorectal, lung or breast cancer, and increased utilisation in the last year of life in those who died of colorectal cancer or cerebrovascular disease.
conclusionIt appears that the Australian hospital system may not be equitable since equal need did not equate to equal utilisation. Further it would appear that horizontal equity, as measured by equal utilisation for equal need, varies by disease. This implies that a 'one-size-fits-all' approach to further improvements in equity may be over simplistic. Thus initiatives beyond Medicare should be devised and evaluated in relation to specific areas of service provision.
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