Objective: To determine whether measurement of access to existing child health clinics, and modelled location of new clinics, was affected by the spatial definitions of the target population. Method: Populations requi...
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Objective: To determine whether measurement of access to existing child health clinics, and modelled location of new clinics, was affected by the spatial definitions of the target population. Method: Populations requiring childhood screening services were defined as located at individual households, and at geographic and population-weighted centroids of small and large areas. Straight-line and network distances were measured and compared from these origins to varying numbers of existing clinics. The same origins were used to model sets of locations for new clinics, and access levels were again compared. Results: Travel distances for 82,499 annual baby-visits to 140 existing clinics were between 136,000 km and 84,000 km, depending on origin definition. An analysis based on small area centroid data was as accurate as one based on household data. Planning solutions for new clinics located on the basis of few large areas, with populations centred at spatially defined centroids, resulted in poorer access for the population (231,000 km of travel) than one based on many small areas with populations centred at population weighted centroids (194,000 km of travel). Implications: Public access to health facilities will be improved if decisions about their locations are aided by the application of spatial analysis techniques based on small area definitions.
Abstract: Rural communities have a disproportionate need for rehabilitative services, partly attributable to an aging population and higher incidence of occupational injuries. Despite increased need, many rural commun...
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Abstract: This study sought to describe the volume of use, mix of patients, origin and destination of runs, times and distances to care, and the volume of clinical services provided in a rural emergency medical servic...
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Palliative care is a service available to many Australians subject to location and varying criteria. This paper seeks to identify some of the issues that hamper the provision of this sophisticated service to Aborigine...
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Palliative care is a service available to many Australians subject to location and varying criteria. This paper seeks to identify some of the issues that hamper the provision of this sophisticated service to Aborigines living in remote parts of the Northern Territory. The paucity of literary sources of information demonstrates the need for research to be carried out in this field.
NHS Direct - the nurse-led 24-hour telephone helpline - is the flagship initiative of the 'New NHS'. The scheme is already available ta over 19 million people, and is planned to serve 60% of England by the end...
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NHS Direct - the nurse-led 24-hour telephone helpline - is the flagship initiative of the 'New NHS'. The scheme is already available ta over 19 million people, and is planned to serve 60% of England by the end of 1999 and the whole of the country by the end of 2000.(1) It is intended to revolutionise how and when people access the NHS, particularly out-of-hours. The present government has recently also signalled that NHS Direct should play a key role in rebuilding accessibility to NHS dentistry.(2) yet many dentists ore unaware of its existence, and within the profession there has been little debate regarding its actual or likely future impact on how people access dental care. This article briefly describes the concept and early experiences of: NHS Direct, and speculates about its potential impact on how people access dental care.
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