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Titolo:
Increasingly inequitable distribution of general practitioners in Australia, 1986-96
Autore:
Johnston, G; Wilkinson, D;
Indirizzi:
Univ S Australia, S Australian Ctr Rural & Remote Hlth, Whyalla, SA 5608, Australia Univ S Australia Whyalla SA Australia 5608 h, Whyalla, SA 5608, Australia Univ Adelaide, S Australian Ctr Rural & Remote Hlth, Adelaide, SA 5005, Australia Univ Adelaide Adelaide SA Australia 5005 th, Adelaide, SA 5005, Australia
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
fascicolo: 1, volume: 25, anno: 2001,
pagine: 66 - 70
SICI:
1326-0200(200102)25:1<66:IIDOGP>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
ROBIN-HOOD INDEX; RURAL AUSTRALIA; PHYSICIAN WORKFORCE; SHORTAGE; SELECTION; EDUCATION; NEED;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Wilkinson, D Univ S Australia, S Australian Ctr Rural & Remote Hlth, Nicolson Ave, Whyalla, SA 5608, Australia Univ S Australia Nicolson Ave Whyalla SA Australia 5608 ralia
Citazione:
G. Johnston e D. Wilkinson, "Increasingly inequitable distribution of general practitioners in Australia, 1986-96", AUS NZ J PU, 25(1), 2001, pp. 66-70

Abstract

Objective: To document trends in the distribution of general practitioners(GPs) in Australia between 1986 and 1996, adjusted for community need. Methods: Data on the location of GPs, population size and crude mortality in statistical divisions (SD) were obtained from the Australian Bureau of Statistics Census of Population and Housing in 1986 and 1996. From these data, we calculated measures of distribution equality (number of people sharing each GP in each SD) and distribution equity (number of people sharing each GP divided by the crude mortality rate; the Robin Hood Index), and analysed temporal changes in the distribution of GPs. Results: Nationally the number of people sharing each GP fell 11% from 1,038 in 1986 to 921 in 1996. However, in 41 of 57 SDs (72%, p=0.01) the number of people sharing a GP actually increased over this time, and the averageRobin Hood Index across SDs fell from 0.943 to 0.783 (p=0.004), indicatingincreasingly inequitable distribution. Comparing the Robin Hood index values of all SDs ranked in pairs, the value fell in 53 of 57 (93%, p<0.001) paired SDs over the decade. These patterns demonstrate increasing inequity over the decade. The number of people sharing each GP was consistently and substantially lower in the capital city SDs and the Robin Hood Index values were consistently and substantially higher (overserved) compared with country SDs. Conclusions: Despite there being more GPs per capita in Australia, their distribution became increasingly unequal and inequitable between 1986 and 1996, such that rural and remote areas became increasingly poorly served.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 11:36:17