Does health service utilisation vary by remoteness? South Australian population data and the Accessibility and Remoteness Index of Australia

Eckert, Kerena; Taylor, Anne; Wilkinson, David

doi:10.1111/j.1467-842x.2004.tb00024.x

Cited by 39 publications

(23 citation statements)

References 15 publications

(7 reference statements)

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“…The lack of evidence for significant differences in prevalence across ARIA categories does not mean that differences do not exist. Similar non‐significant findings have been reported from self‐reported health service utilisation research using the ARIA index, despite the fact that certain groups experience higher mortality and morbidity and would be expected to access services more frequently 25 , 26 …”

Section: Discussionsupporting

confidence: 75%

How does mental health status relate to accessibility and remoteness?

Eckert

Taylor

Wilkinson

et al. 2004

Medical Journal of Australia

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Objective: To determine whether mental illness is associated with accessibility and remoteness. Design: A cross‐sectional, population‐based, computer‐assisted telephone interview survey, stratified by Accessibility and Remoteness Index of Australia (ARIA) categories. Setting: Secondary analysis of data collected from 2545 South Australian adults in October and November 2000. Outcome measures: Psychological distress and depression as determined by the Kessler 10 Psychological Distress Scale, the SF‐12 measure of health status, and self‐reported mental illness diagnosed by a doctor in the previous 12 months. Results: Overall, mental illness prevalence estimates were similar using the three measures of psychological distress (10.5%), clinical depression (12.9%) and self‐reported mental health problem (12.7%). For each measure, there was no statistically significant variation in prevalence across ARIA categories, except for a lower than expected prevalence of depression (7.7%) in the “accessible” category. There was no trend suggesting higher levels of mental illness among residents of rural and remote regions. Conclusions: The prevalence rates of psychological distress, depression and self‐reported mental illness are high. However, we found no evidence that the prevalence of these conditions varies substantially across ARIA categories in South Australia. This finding may challenge existing stereotypes about higher levels of mental illness outside metropolitan Australia.

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Section: Discussionsupporting

confidence: 75%

How does mental health status relate to accessibility and remoteness?

Eckert

Taylor

Wilkinson

et al. 2004

Medical Journal of Australia

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“…During the last decade researchers and policy makers alike have begun addressing a range of issues regarding rural mental health needs, 38,39 service utilisation 40 and accessibility. 36 In addition, Judd and her colleagues argue for the importance of developing a research agenda to better understand the range of mental health problems faced by rural communities.…”

Section: The Changing Complexion and Agenda For Rural And Community Mmentioning

confidence: 99%

Natural disasters, climate change and mental health considerations for rural Australia

Morrissey

Reser

2007

Australian J Rural Health

109

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“…20 A timely diagnosis and clear pathway into mental health care [21][22][23] can reduce the severity and duration of the disorder. 24,25 People living in rural communities are more likely to rely on GPs for services compared to people living in major cities 5 but a lower number of GPs per capita in rural areas [26][27][28][29] makes this reliance problematic. Government mental health initiatives such as the Better Access Scheme (BAS) have contributed to addressing the increasing rates of mental illness in Australia by improving the availability of services.…”

Section: Introductionmentioning

confidence: 99%

Mental health service use: Is there a difference between rural and non-rural women in service uptake?

Dolja‐Gore

Loxton

DʼEste

et al. 2014

Aust J Rural Health

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This study examines differences in uptake of the Medicare items rolled out in 2006 under the 'Better Access Scheme' (BAS) between rural and non-rural Australian women. It compares differences in women's uptake of the BAS services by area of residence (ARIA+) across time using the Australian Longitudinal Study of Women's Health (ALSWH) survey data linked to Medicare data. Women aged 28-33 years at the time the BAS was introduced that responded to the self-reported question on depression/anxiety and consented to linkage of their survey data with Medicare data (n=4,316). Participants were grouped by ARIA+ according to BAS use, diagnoses of anxiety/depression but no BAS use and other eligible women. Across all areas, women born 1973-1978 with a self-reported diagnosis of depression/anxiety or having treatment under the BAS had a significantly lower mean mental health score compared to other women. Significantly more women living in non-rural areas had used at least one service provided under the BAS initiative compared to women in outer regional, inner regional or remotes areas (21% versus 18% versus 13% versus 7%, respectively), and across all areas, 12% of women reported having a diagnosis of depression/anxiety but not been treated under the BAS. While there is a gradual uptake of the new BAS services, a large percentage of women who have a diagnosis of depression/anxiety have not been treated under the BAS. The data suggest that women in urban areas have been better able to take up the services compared to non-urban women.

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Does health service utilisation vary by remoteness? South Australian population data and the Accessibility and Remoteness Index of Australia

Cited by 39 publications

References 15 publications

How does mental health status relate to accessibility and remoteness?

How does mental health status relate to accessibility and remoteness?

Natural disasters, climate change and mental health considerations for rural Australia

Mental health service use: Is there a difference between rural and non-rural women in service uptake?

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