Evidence map›Paper›PMID 37047999›Full record

ArticleInternational journal of environmental research and public health2023

Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review.

Michele LeBlanc, Tomoko McGaughey, Paul A Peters

Abstract readScoping Review
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Michele LeBlancSchool of Nursing, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.ORCID 0000-0001-8773-5824
Tomoko McGaugheyDepartment of Health Sciences, Carleton University, Ottawa, ON K1S 5B6, Canada.ORCID 0000-0001-5789-7785
Paul A PetersDepartment of Health Sciences, Carleton University, Ottawa, ON K1S 5B6, Canada.ORCID 0000-0001-5225-2005

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A small proportion of health care users are recognized to use a significantly higher proportion of health system resources, largely due to systemic, inequitable access and disproportionate health burdens. These high-resource health system users are routinely characterized as older, with multiple comorbidities, and reduced access to adequate health care. Geographic trends also emerge, with more rural and isolated regions demonstrating higher rates of high-resource use than others. Despite known geographical discrepancies in health care access and outcomes, health policy and research initiatives remain focused on urban population centers. To alleviate mounting health system pressure from high-resource users, their characteristics must be better understood within the context in which i arises. To examine this, a scoping review was conducted to provide an overview of characteristics of high-resource users in rural and remote communities in Canada and Australia. In total, 21 papers were included in the review. Using qualitative thematic coding, primary findings characterized rural high-resource users as those of an older age; with increased comorbid conditions and condition severity; lower socioeconomic status; and elevated risk behaviors.

Indexed as

Health Services AccessibilityRural Health ServicesAustraliaCanadaHumansRural PopulationUrban Populationhealth carehealth care costshealthcare inequalitieshealth services researchpublic health systems researchrural health

Identifiers

PMID37047999
PMCPMC10094250

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.