Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia
Background: Disparities in health service use exist in many sectors of Australia's health system, particularly affecting the most vulnerable people in the population, who are typically those with the greatest healthcare needs. Understanding patterns of health service coverage is critical for ac...
Published in: | The International Journal of Health Planning and Management |
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ftgriffithuniv:oai:research-repository.griffith.edu.au:10072/409341 2024-09-09T19:40:28+00:00 Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia Fox, Haylee Topp, Stephanie M Lindsay, Daniel Callander, Emily 2021 http://hdl.handle.net/10072/409341 https://doi.org/10.1002/hpm.3277 English eng Wiley The International Journal of Health Planning and Management Fox, H; Topp, SM; Lindsay, D; Callander, E, Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia, The International Journal of Health Planning and Management, 2021 http://hdl.handle.net/10072/409341 0749-6753 doi:10.1002/hpm.3277 open access Public health Policy and administration Health economics Political economy and social change Health services and systems Science & Technology Life Sciences & Biomedicine Health Policy & Services Public Environmental & Occupational Health Health Care Sciences & Services Journal article 2021 ftgriffithuniv https://doi.org/10.1002/hpm.3277 2024-06-19T00:00:19Z Background: Disparities in health service use exist in many sectors of Australia's health system, particularly affecting the most vulnerable people in the population, who are typically those with the greatest healthcare needs. Understanding patterns of health service coverage is critical for acknowledging the underlying, systemic drivers including racialised practices that inhibit the uptake of health services for certain population groups. This study aims to determine whether there are disparities in health service utilisation between socioeconomic, geographic and ethnic groups of mothers who experience hypertension, diabetes and mental health conditions. Methods: This study utilised a linked administrative healthcare dataset containing data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n = 186,789), plus their resultant babies (n = 189,909). The study compared health service utilisation for mothers with maternal health conditions between population groups. Results: The results of this study showed a broad trend of inequitable health service utilisation, with mothers who experienced the greatest healthcare needs—First Nations, rural and remote and socio-economically disadvantaged mothers—being less likely to access health services and in some cases when care was accessed, fewer services being utilised during the perinatal period. Conclusion: Access to health care during the perinatal period is a reflection of Australia's general health system strengths and weaknesses, in particular a failure of the government to translate national and state policy intent into acceptable and accessible care in rural and remote areas, for First Nations women and for mothers experiencing socio-economic disadvantage. No Full Text Article in Journal/Newspaper First Nations Griffith University: Griffith Research Online Queensland The International Journal of Health Planning and Management 36 6 2182 2198 |
institution |
Open Polar |
collection |
Griffith University: Griffith Research Online |
op_collection_id |
ftgriffithuniv |
language |
English |
topic |
Public health Policy and administration Health economics Political economy and social change Health services and systems Science & Technology Life Sciences & Biomedicine Health Policy & Services Public Environmental & Occupational Health Health Care Sciences & Services |
spellingShingle |
Public health Policy and administration Health economics Political economy and social change Health services and systems Science & Technology Life Sciences & Biomedicine Health Policy & Services Public Environmental & Occupational Health Health Care Sciences & Services Fox, Haylee Topp, Stephanie M Lindsay, Daniel Callander, Emily Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
topic_facet |
Public health Policy and administration Health economics Political economy and social change Health services and systems Science & Technology Life Sciences & Biomedicine Health Policy & Services Public Environmental & Occupational Health Health Care Sciences & Services |
description |
Background: Disparities in health service use exist in many sectors of Australia's health system, particularly affecting the most vulnerable people in the population, who are typically those with the greatest healthcare needs. Understanding patterns of health service coverage is critical for acknowledging the underlying, systemic drivers including racialised practices that inhibit the uptake of health services for certain population groups. This study aims to determine whether there are disparities in health service utilisation between socioeconomic, geographic and ethnic groups of mothers who experience hypertension, diabetes and mental health conditions. Methods: This study utilised a linked administrative healthcare dataset containing data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n = 186,789), plus their resultant babies (n = 189,909). The study compared health service utilisation for mothers with maternal health conditions between population groups. Results: The results of this study showed a broad trend of inequitable health service utilisation, with mothers who experienced the greatest healthcare needs—First Nations, rural and remote and socio-economically disadvantaged mothers—being less likely to access health services and in some cases when care was accessed, fewer services being utilised during the perinatal period. Conclusion: Access to health care during the perinatal period is a reflection of Australia's general health system strengths and weaknesses, in particular a failure of the government to translate national and state policy intent into acceptable and accessible care in rural and remote areas, for First Nations women and for mothers experiencing socio-economic disadvantage. No Full Text |
format |
Article in Journal/Newspaper |
author |
Fox, Haylee Topp, Stephanie M Lindsay, Daniel Callander, Emily |
author_facet |
Fox, Haylee Topp, Stephanie M Lindsay, Daniel Callander, Emily |
author_sort |
Fox, Haylee |
title |
Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
title_short |
Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
title_full |
Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
title_fullStr |
Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
title_full_unstemmed |
Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia |
title_sort |
ethnic, socio-economic and geographic inequities in maternal health service coverage in australia |
publisher |
Wiley |
publishDate |
2021 |
url |
http://hdl.handle.net/10072/409341 https://doi.org/10.1002/hpm.3277 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
The International Journal of Health Planning and Management Fox, H; Topp, SM; Lindsay, D; Callander, E, Ethnic, socio-economic and geographic inequities in maternal health service coverage in Australia, The International Journal of Health Planning and Management, 2021 http://hdl.handle.net/10072/409341 0749-6753 doi:10.1002/hpm.3277 |
op_rights |
open access |
op_doi |
https://doi.org/10.1002/hpm.3277 |
container_title |
The International Journal of Health Planning and Management |
container_volume |
36 |
container_issue |
6 |
container_start_page |
2182 |
op_container_end_page |
2198 |
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1809909776252928000 |