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The shortage-surplus paradox: a literature review of primary health care accessibility


Terry, MM and Terry, DR and Hoang, H and Hannah, C, The shortage-surplus paradox: a literature review of primary health care accessibility, Universal Journal of Public Health, 1, (3) pp. 40-50. ISSN 2331-8880 (2013) [Refereed Article]

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Copyright 2013 Horizon Research Publishing

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DOI: doi:10.13189/ujph.2013.010302


The National Primary Health Care Strategy in Australia recommends primary health care services need to be clinically and culturally appropriate and delivered in a timely and affordable manner. However simultaneously recognised, access is still inequitable in among various population groups and many areas of Australia. Geographical Information System (GIS) have been used to explore geographical health disparities, planning health care service delivery and provide data in a meaningful way to inform public health strategies. Moreover, GIS has also been used to spatially analyse, measure and provide insight into a populationís accessibility to health care services. A literature search was conducted to identify studies which examined primary health care accessibility using GIS techniques among various urban and rural populations. A limited number of studies demonstrated in addition to distance; time; and location, low socioeconomic status, Culturally and Linguistically Diverse (CALD) background among other factors influences health care access. In addition, other factors were identified to impact health care access, which is an individualised process, influenced by individual characteristics, beliefs, attitudes, and an individualís activity space. As health care accessibility becomes more prominent within policy, among practitioners and increasingly researched, it has the potential to move beyond recognising areas of poor accessibility among individuals and communities. With a greater integration of both spatial and aspatial data, the process has the likelihood, to provide greater insight into patient behaviour, public perception, amelioration service quality and improve population health and wellbeing

Item Details

Item Type:Refereed Article
Keywords:Health Care Access, Rural, Spatial Accessibility, Primary Health Care, GIS
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health inequalities
UTAS Author:Terry, MM (Mrs Melissa Terry)
UTAS Author:Terry, DR (Mr Daniel Terry)
UTAS Author:Hoang, H (Dr Ha Hoang)
UTAS Author:Hannah, C (Dr Chona Hannah)
ID Code:87294
Year Published:2013
Deposited By:UTAS Centre for Rural Health
Deposited On:2013-11-12
Last Modified:2014-07-29
Downloads:5 View Download Statistics

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