ArticleBMC pediatrics2012
Use of health services by remote dwelling Aboriginal infants in tropical northern Australia: a retrospective cohort study.
Article in BMC pediatrics, 2012. 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.
- Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature.BMC health services research · 2020Pooled it
- Trial
- Article
- Observational
- Perspectives of health service providers in delivering best-practice care for Aboriginal mothers and their babies during the postnatal period.BMC pregnancy and childbirth · 2023Article
- Health services for aboriginal and Torres Strait Islander children in remote Australia: A scoping review.PLOS global public health · 2023Article
- Models and Interventions to Promote and Support Engagement of First Nations Women with Maternal and Child Health Services: An Integrative Literature Review.Children (Basel, Switzerland) · 2022Article
- Emergency Department Presentations by Children in Remote Australia: A Population-based Study.Global pediatric health · 2021Article
- Primary Health Care for Aboriginal Australian Women in Remote Communities after a Pregnancy with Hyperglycaemia.International journal of environmental research and public health · 2020Article
- Review of Aboriginal child health services in remote Western Australia identifies challenges and informs solutions.BMC health services research · 2019Review
- Rural and remote health research: Does the investment match the need?The Australian journal of rural health · 2018Article
- Article
- The quality of health services provided to remote dwelling aboriginal infants in the top end of northern Australia following health system changes: a qualitative analysis.BMC pediatrics · 2017Observational
- Observational
- Article
- Fine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997-2007: a longitudinal study.Environment international · 2014Article
- Improving Aboriginal maternal and infant health services in the 'Top End' of Australia; synthesis of the findings of a health services research program aimed at engaging stakeholders, developing research capacity and embedding change.BMC health services research · 2014Article
- Adherence to management guidelines for growth faltering and anaemia in remote dwelling Australian Aboriginal infants and barriers to health service delivery.BMC health services research · 2013Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAustralia is a wealthy developed country. However, there are significant disparities in health outcomes for Aboriginal infants compared with other Australian infants. Health outcomes tend to be worse for those living in remote areas. Little is known about the health service utilisation patterns of remote dwelling Aboriginal infants. This study describes health service utilisation patterns at the primary and referral level by remote dwelling Aboriginal infants from northern Australia.
resultsData on 413 infants were analysed. Following birth, one third of infants were admitted to the regional hospital neonatal nursery, primarily for preterm birth. Once home, most (98%) health service utilisation occurred at the remote primary health centre, infants presented to the centre about once a fortnight (mean 28 presentations per year, 95%CI 26.4-30.0). Half of the presentations were for new problems, most commonly for respiratory, skin and gastrointestinal symptoms. Remaining presentations were for reviews or routine health service provision. By one year of age 59% of infants were admitted to hospital at least once, the rate of hospitalisation per infant year was 1.1 (95%CI 0.9-1.2).
conclusionsThe hospitalisation rate is high and admissions commence early in life, visits to the remote primary health centre are frequent. Half of all presentations are for new problems. These findings have important implications for health service planning and delivery to remote dwelling Aboriginal families.
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