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Inequitable Provision of Optimal Services for Patients with Chronic Heart failure: A National Geo-Mapping Study

Clark, Robyn., Driscoll, Andrea., Nottage, Justin., McLennan, Skye., Coombe, David., Bamford, Errol., Wilkinson, David., & Stewart, Simon. (2007) Inequitable Provision of Optimal Services for Patients with Chronic Heart failure: A National Geo-Mapping Study. Medical Journal of Australia, 186(4), pp. 169-173.

Abstract

Objective: To compare the location and accessibility of current Australian chronic heart failure (CHF) management programs and general practice services with the probable distribution of the population with CHF.

Design and setting: Data on the prevalence and distribution of the CHF population throughout Australia, and the locations of CHF management programs and general practice services from 1 January 2004 to 31 December 2005 were analysed using geographic information systems (GIS) technology.

Outcome measures: Distance of populations with CHF to CHF management programs and general practice services.

Results: The highest prevalence of CHF (20.3–79.8 per 1000 population) occurred in areas with high concentrations of people over 65 years of age and in areas with higher proportions of Indigenous people. Five thousand CHF patients (8%) discharged from hospital in 2004–2005 were managed in one of the 62 identified CHF management programs. There were no CHF management programs in the Northern Territory or Tasmania. Only four CHF management programs were located outside major cities, with a total case load of 80 patients (0.7%). The mean distance from any Australian population centre to the nearest CHF management program was 332 km (median, 163 km; range, 0.15–3246 km). In rural areas, where the burden of CHF management falls upon general practitioners, the mean distance to general practice services was 37 km (median, 20 km; range, 0–656 km).

Conclusion: There is an inequity in the provision of CHF management programs to rural Australians.

Impact and interest:

25 citations in Scopus
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28 citations in Web of Science®

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ID Code: 44653
Item Type: Journal Article
ISSN: 0025-729X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 25 Aug 2011 08:13
Last Modified: 19 Dec 2012 00:20

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