Effects of financial disadvantage on use and non-use of after hours care in Australia

Kelaher, Margaret, Dunt, David, Day, Susan and Feldman, Peter 2006, Effects of financial disadvantage on use and non-use of after hours care in Australia, Health policy, vol. 79, no. 1, pp. 16-23, doi: 10.1016/j.healthpol.2005.11.017.

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Title Effects of financial disadvantage on use and non-use of after hours care in Australia
Author(s) Kelaher, Margaret
Dunt, David
Day, Susan
Feldman, Peter
Journal name Health policy
Volume number 79
Issue number 1
Start page 16
End page 23
Publisher Elsevier
Place of publication Amsterdam, Netherlands
Publication date 2006-11
ISSN 0168-8510
Keyword(s) social determinants
health services
after hours
Summary Policy addressing the provision of primary care after hours (AH) is currently in flux because of concerns about equity of access and cost. In this study we examine the effects of socioeconomic disadvantage on access to AH care and episodes of not seeking AH care when needed among users and non-users of AH care. The effects of health on these relationships were also explored. The total sample consisted of 5538 users of AH care and 891 non-users of AH care who were randomly selected for telephone interviews. Factors determining AH care included accessibility that is structural barriers to use of care such as distance and transport, as well as affordability and availability. Logistic regression was used to determine the impact of financial disadvantage on episodes of not seeking AH care. Barriers to use of AH care and household health were subsequently added to the models to assess their impact. The results suggested that there were inequities in access to AH care but these were a function of barriers to AH care use rather than financial disadvantage per se. Accessibility and availability were significant barriers to use of AH clinics among both user and non-user samples. Affordability was only a significant barrier among users of AH care. The study suggests that policy aimed at reducing these barriers may effectively address inequities in AH care but that to be optimally effective policy change would also need to be accompanied by changes in consumer awareness.
Language eng
DOI 10.1016/j.healthpol.2005.11.017
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Elsevier Ireland
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019446

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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