ArticleSocial psychiatry and psychiatric epidemiology2023
Inequity in psychiatric healthcare use in Australia.
Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The Role of Culture, Religion, and Spirituality on the Mental Health of Africans in Australia.Journal of immigrant and minority health · 2026Review
- The Impact of Telepsychiatry on Spatial Equity of Medicare-Reimbursed Private Psychiatric Service Utilisation Across States and Territories in Australia (2005-2023): A Time Series Analysis.The Australian journal of rural health · 2026Article
- Disparities in mental health service use in Australia: Analysis of the National Study of Mental Health and Wellbeing (2020-2022).The Australian and New Zealand journal of psychiatry · 2026Review
- Health system governance and pharmaceutical policy in Australia and Qatar: a comparative overview of access, reform, and equity.Journal of pharmaceutical policy and practice · 2026Article
- Therapy, Pills and Unmet Needs for Financial Reasons: Socioeconomic Inequalities and Inequities in Access to Mental Health Care in Spain 2014-2020.Applied health economics and health policy · 2025Article
- More or less equal? Trends in horizontal equity in mental health care utilization in Stockholm county, Sweden (2006-2022). Repeated survey-registry linked studies.International journal for equity in health · 2025Article
- An equity indicator for assessing mental healthcare access: a national population case study.Epidemiology and psychiatric sciences · 2024Article
- Geographic variation in the utilisation of specialist healthcare for patients with severe mental illness in Norway: a population-based registry study.Research in health services & regions · 2023Article
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Authors and funding
5 authors.
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Abstract
backgroundDespite recent substantial mental healthcare reforms to increase the supply of healthcare, mental health inequality in Australia is rising. Understanding of the level of inequity (unmet need gap) in psychiatric service use in Australia's mixed public-private health care system is lacking.
objectiveTo present a novel method to measure inequity in the delivery of psychiatric care.
methodsData came from wave 9 (year 2009, n = 11,563) and wave 17 (year 2017, n = 16,194) of the Household, Income and Labour Dynamics in Australia (HILDA) survey. Multiple logistic regression was employed to estimate the psychiatric care utilisation compared to its need and the Gini index was used to estimate the standardised distribution of utilisation to measure the extent of inequity.
resultsThe results show the inequity indices (need-standardised Gini) in psychiatric care utilisation were significant and found to be 0.066 and 0.096 in 2009 and 2017, respectively, for all individuals. In 2009, the inequity indices were found to be 0.051 and 0.078 for males and females, respectively, and 0.045 and 0.068 for rural and urban residents, respectively. In 2017, the indices were calculated to be 0.081 and 0.109 for males and females, respectively, and 0.086 and 0.097 for rural and urban residents, respectively.
conclusionsThis study showed a marked increase in unmet needs in psychiatric care utilisation since 2009. There is a greater need to develop policies to improve equity in psychiatric care utilisation in Australia.
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