Openly accessible

Comparison of general and cardiac care-specific indices of spatial access in Australia

Versace, Vincent, Coffee, Neil T., Franzon, Julie, Turner, Dorothy, Lange, Jarrod, Taylor, Danielle and Clark, Robyn 2019, Comparison of general and cardiac care-specific indices of spatial access in Australia, PloS one, vol. 14, no. 7, doi: 10.1371/journal.pone.0219959.

Attached Files
Name Description MIMEType Size Downloads

Title Comparison of general and cardiac care-specific indices of spatial access in Australia
Author(s) Versace, VincentORCID iD for Versace, Vincent orcid.org/0000-0002-8514-1763
Coffee, Neil T.
Franzon, Julie
Turner, Dorothy
Lange, Jarrod
Taylor, Danielle
Clark, Robyn
Journal name PloS one
Volume number 14
Issue number 7
Article ID e0219959
Total pages 13
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2019-07
ISSN 1932-6203
1932-6203
Keyword(s) Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
REMOTENESS INDEX
HEALTH
ACCESSIBILITY
SURVIVAL
SERVICES
SYSTEMS
CANCER
Summary © 2019 Versace et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Objective To identity differences between a general access index (Accessibility/ Remoteness Index of Australia; ARIA+) and a specific acute and aftercare cardiac services access index (Cardiac ARIA). Research design and methods Exploratory descriptive design. ARIA+ (2011) and Cardiac ARIA (2010) were compared using cross-tabulations (chi-square test for independence) and map visualisations. All Australian locations with ARIA+ and Cardiac ARIA values were included in the analysis (n = 20,223). The unit of analysis was Australian locations. Results Of the 20,223 locations, 2757 (14% of total) had the highest level of acute cardiac access coupled with the highest level of general access. There were 1029 locations with the poorest access (5% of total). Approximately two thirds of locations in Australia were classed as having the highest level of cardiac aftercare. Locations in Major Cities, Inner Regional Australia, and Outer Regional Australia accounted for approximately 98% of this category. There were significant associations between ARIA+ and Cardiac ARIA acute (χ2 = 25250.73, df = 28, p<0.001, Cramer’s V = 0.559, p<0.001) and Cardiac ARIA aftercare (χ2 = 17204.38, df = 16, Cramer’s V = 0.461, p<0.001). Conclusions Although there were significant associations between the indices, ARIA+ and Cardiac ARIA are not interchangeable. Systematic differences were apparent which can be attributed largely to the underlying specificity of the Cardiac ARIA (a time critical index that uses distance to the service of interest) compared to general accessibility quantified by the ARIA + model (an index that uses distance to population centre). It is where the differences are located geographically that have a tangible impact upon the communities in these locations–i.e. peri-urban areas of the major capital cities, and around the more remote regional centres. There is a strong case for specific access models to be developed and updated to assist with efficient deployment of resources and targeted service provision. The reasoning behind the differences highlighted will be generalisable to any comparison between general and service-specific access models.
Language eng
DOI 10.1371/journal.pone.0219959
Indigenous content off
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, Versace et al.
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30128825

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 1 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 21 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Tue, 01 Oct 2019, 14:16:09 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.