PMID: 15368819Sep 17, 2004Paper

Are socio-economically disadvantaged Australians making more or less use of the Enhanced Primary Care Medicare Benefit Schedule item numbers?

Australian Health Review : a Publication of the Australian Hospital Association
David WilkinsonJohn Best

Abstract

We aimed to examine the relationship between levels of socio-economic disadvantage (measured by the Socio Economic Indexes for Areas [SEIFA] used by the Australian Bureau of Statistics) and uptake of the Enhanced Primary Care (EPC) item numbers on the Medicare Benefits Schedule. Health services are often less likely to reach those that most need them and so it is important to monitor whether disadvantaged communities are accessing EPC The rates of health assessments, care plans and case conferences are similar in each SEIFA quartile (from advantaged to disadvantaged populations), favouring the more disadvantaged quartiles in some cases. These national trends are not observed in each state and territory. For all EPC services combined, the lowest number of doctors that provide EPC services are found in the 2 most disadvantaged quartiles, yet more EPC services are provided in these quartiles, due to the higher mean and median number of services provided by general practitioners in these quartiles. Overall, populations living in the most disadvantaged quartiles have similar or higher levels of EPC uptake, apparently due, at least in part, to greater than average use of EPC services by general practitioners in these areas.

Citations

Sep 3, 2010·The American Journal of Tropical Medicine and Hygiene·Wenbiao HuKerrie Mengersen
Apr 28, 2007·Australian and New Zealand Journal of Public Health·Julie E BylesVirginia L Wheway
Jan 25, 2018·Health Economics, Policy, and Law·Stephen Duckett
Jun 18, 2017·Australian Journal of Primary Health·Xenia Dolja-GoreJulie E Byles

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