ArticleHealth & social care in the community2022
The determinants of healthcare utilisation in regional, rural and remote South Australia: A cross-sectional study.
Article in Health & social care in the community, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 6 citations in OpenAlex.
- Intersectional inequalities in healthcare utilisation in informal settlements in Freetown, Sierra Leone: a multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA).International journal for equity in health · 2026Article
- Syndromic surveillance systems to detect outbreaks of gastroenteritis in high-income countries: a scoping review.BMC public health · 2026Article
- Household determinants of healthcare utilisation in three informal settlements in Freetown, Sierra Leone: a cross-sectional survey.BMJ open · 2026Article
- Factors Associated with the Timing of Initial Visit to Healthcare Providers for Injured Workers with Low Back Pain Claims: A Multijurisdiction Retrospective Cohort.Journal of occupational rehabilitation · 2026Article
- Training for dementia care and support in rural and remote Australia: appraisals from a nationwide workforce survey.BMC geriatrics · 2025Article
- The determinants of healthcare utilisation in regional, rural and remote South Australia: A cross-sectional study.Health & social care in the community · 2022Article
- The "Iron Triangle" of Healthcare Services: Evaluating an Integrated Healthcare Alliance's Impact on Primary Care in Shenzhen, China.International journal of integrated careArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Accessibility of health services outside metropolitan centres in Australia is sub-optimal. Recognising the barriers and enablers of healthcare access in rural, remote and regional settings is necessary to improving health service access in these disadvantaged populations. Accordingly, this study aimed to examine the determinants of healthcare use in rural, remote and regional South Australia. Cross-sectional survey data were collected from adults living outside metropolitan Adelaide in South Australia between April 2017 and March 2018. Using a multi-modal recruitment campaign, eligible adults were invited to complete the 44-item consumer utilisation, expectations and experiences of healthcare instrument. Independent predictors of health service utilisation (dependent variable) were determined using negative binomial regression. The questionnaire was completed by 3926 predominantly female (52.5%) adults aged ≥50 years (56.7%), residing in regional South Australia (84.5%). Fifteen independent variables were significantly associated with health service utilisation using univariate analyses. Using negative binomial regression analysis, two predisposing factors (sex, remoteness), three enabling factors (income, health literacy, employment), two need factors (health rating, multimorbidity) and two personal health practices (alcohol, diet) were independently and significantly associated with healthcare use. Female sex (OR = 1.436, p < 0.001), good/excellent health rating (OR = 0.589, p < 0.001) and high multimorbidity (OR = 1.408, p < 0.001) were the strongest predictors of health service use. These findings will help inform the development of targeted health promotion and service engagement strategies for regional populations, which in addition to addressing workforce shortages, may help address inequity in health outcomes, particularly for groups engaging with regional healthcare services infrequently.
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