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Referral patterns and proximity to palliative care inpatient services by level of socio-economic disadvantage. A national study using spatial analysis.

Journal Article


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Abstract


  • Background

    A range of health outcomes at a population level are related to differences in levels of social

    disadvantage. Understanding the impact of any such differences in palliative care is

    important. The aim of this study was to assess, by level of socio-economic disadvantage,

    referral patterns to specialist palliative care and proximity to inpatient services.

    Methods

    All inpatient and community palliative care services nationally were geocoded (using

    postcode) to one nationally standardised measure of socio-economic deprivation – Socio-

    Economic Index for Areas (SEIFA; 2006 census data). Referral to palliative care services and

    characteristics of referrals were described through data collected routinely at clinical

    encounters. Inpatient location was measured from each person’s home postcode, and

    stratified by socio-economic disadvantage.

    Results

    This study covered July – December 2009 with data from 10,064 patients. People from the

    highest SEIFA group (least disadvantaged) were significantly less likely to be referred to a

    specialist palliative care service, likely to be referred closer to death and to have more

    episodes of inpatient care for longer time.

    Physical proximity of a person’s home to inpatient care showed a gradient with increasing

    distance by decreasing levels of socio-economic advantage.

    Conclusion

    These data suggest that a simple relationship of low socioeconomic status and poor access to

    a referral-based specialty such as palliative care does not exist. Different patterns of referral

    and hence different patterns of care emerge.

Publication Date


  • 2012

Citation


  • D. Currow, S. Allingham, S. Bird, P. Yates, J. Lewis, J. Dawber & K. Eagar, "Referral patterns and proximity to palliative care inpatient services by level of socio-economic disadvantage. A national study using spatial analysis.", BMC Health Services Research 12 424 (2012) 1-7.

Scopus Eid


  • 2-s2.0-84869863537

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1190&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/186

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 1

End Page


  • 7

Volume


  • 12

Issue


  • 424

Place Of Publication


  • United Kingdom

Abstract


  • Background

    A range of health outcomes at a population level are related to differences in levels of social

    disadvantage. Understanding the impact of any such differences in palliative care is

    important. The aim of this study was to assess, by level of socio-economic disadvantage,

    referral patterns to specialist palliative care and proximity to inpatient services.

    Methods

    All inpatient and community palliative care services nationally were geocoded (using

    postcode) to one nationally standardised measure of socio-economic deprivation – Socio-

    Economic Index for Areas (SEIFA; 2006 census data). Referral to palliative care services and

    characteristics of referrals were described through data collected routinely at clinical

    encounters. Inpatient location was measured from each person’s home postcode, and

    stratified by socio-economic disadvantage.

    Results

    This study covered July – December 2009 with data from 10,064 patients. People from the

    highest SEIFA group (least disadvantaged) were significantly less likely to be referred to a

    specialist palliative care service, likely to be referred closer to death and to have more

    episodes of inpatient care for longer time.

    Physical proximity of a person’s home to inpatient care showed a gradient with increasing

    distance by decreasing levels of socio-economic advantage.

    Conclusion

    These data suggest that a simple relationship of low socioeconomic status and poor access to

    a referral-based specialty such as palliative care does not exist. Different patterns of referral

    and hence different patterns of care emerge.

Publication Date


  • 2012

Citation


  • D. Currow, S. Allingham, S. Bird, P. Yates, J. Lewis, J. Dawber & K. Eagar, "Referral patterns and proximity to palliative care inpatient services by level of socio-economic disadvantage. A national study using spatial analysis.", BMC Health Services Research 12 424 (2012) 1-7.

Scopus Eid


  • 2-s2.0-84869863537

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1190&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/186

Has Global Citation Frequency


Number Of Pages


  • 6

Start Page


  • 1

End Page


  • 7

Volume


  • 12

Issue


  • 424

Place Of Publication


  • United Kingdom