Inequitable provision of optimal services for patients with chronic heart failure : a national geo-mapping study

Clark, Robyn A., Driscoll, Andrea, Nottage, Justin, McLennan, Skye, Coombe, David M., Bamford, Errol J., Wilkinson, David and Stewart, Simon 2007, Inequitable provision of optimal services for patients with chronic heart failure : a national geo-mapping study, Medical journal of Australia, vol. 186, no. 4, pp. 169-174.

Attached Files
Name Description MIMEType Size Downloads

Title Inequitable provision of optimal services for patients with chronic heart failure : a national geo-mapping study
Author(s) Clark, Robyn A.
Driscoll, AndreaORCID iD for Driscoll, Andrea
Nottage, Justin
McLennan, Skye
Coombe, David M.
Bamford, Errol J.
Wilkinson, David
Stewart, Simon
Journal name Medical journal of Australia
Volume number 186
Issue number 4
Start page 169
End page 174
Total pages 6
Publisher Australasian Medical Publishing Company
Place of publication Sydney, N.S.W.
Publication date 2007
ISSN 0025-729X
Summary Objective : To compare the location and accessibility of current Australian chronic heart failure (CHF) management programs and general practice services with the probable distribution of the population with CHF. Design and setting : Data on the prevalence and distribution of the CHF population throughout Australia, and the locations of CHF management programs and general practice services from 1 January 2004 to 31 December 2005 were analysed using geographic information systems (GIS) technology. Outcome measures : Distance of populations with CHF to CHF management programs and general practice services. Results : The highest prevalence of CHF (20.3–79.8 per 1000 population) occurred in areas with high concentrations of people over 65 years of age and in areas with higher proportions of Indigenous people. Five thousand CHF patients (8%) discharged from hospital in 2004–2005 were managed in one of the 62 identified CHF management programs. There were no CHF management programs in the Northern Territory or Tasmania. Only four CHF management programs were located outside major cities, with a total case load of 80 patients (0.7%). The mean distance from any Australian population centre to the nearest CHF management program was 332 km (median, 163 km; range, 0.15–3246 km). In rural areas, where the burden of CHF management falls upon general practitioners, the mean distance to general practice services was 37 km (median, 20 km; range, 0–656 km). Conclusion : There is an inequity in the provision of CHF management programs to rural Australians.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2007, Australasian Medical Publishing Company
Persistent URL

Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 51 times in TR Web of Science
Scopus Citation Count Cited 52 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 470 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Thu, 19 Sep 2013, 12:54:12 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