Moorin R E, Holman C D J, Garfield C, Brameld K J
Centre for Health Services Research, School of Population Health, The University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia.
Health Place. 2006 Jun;12(2):131-40. doi: 10.1016/j.healthplace.2004.10.013. Epub 2004 Dec 19.
The aim of this study was to determine if the onset of serious disease triggers a different intra-state migratory response from patterns observed in the healthy population. The analysis was carried out using linked administrative data. The onset of serious disease triggered a reduction in the rate of endocentric migration in remote and rural populations. Urban drift occurred only in people with mental illness in rural locations. Rural and remote communities appear to suffer from an unhealthy selection force, with persons unable to migrate centrally to access services due to the onset of the physical illness they require treatment for.
本研究的目的是确定严重疾病的发作是否会引发与健康人群中观察到的模式不同的州内迁移反应。分析使用了关联的行政数据。严重疾病的发作导致偏远和农村地区向心迁移率下降。城市漂移仅发生在农村地区患有精神疾病的人群中。农村和偏远社区似乎受到一种不健康的选择力量的影响,由于身体疾病发作需要治疗,一些人无法向中心迁移以获得服务。