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南澳大利亚州 3 种辅助医疗职业的地理分布:获取途径和劣势概述。

Geographical distribution of 3 allied health professions in South Australia: A summary of access and disadvantage.

机构信息

Department of Rural Health, Allied Health & Human Performance, University South Australia, Whyalla and Mount Barker, SA, Australia.

Deakin Rural Health, Faculty of Health, Deakin University, Warrnambool, Vic., Australia.

出版信息

Aust J Rural Health. 2021 Oct;29(5):721-728. doi: 10.1111/ajr.12816. Epub 2021 Oct 12.

DOI:10.1111/ajr.12816
PMID:34636104
Abstract

OBJECTIVE

To describe the distribution of 3 allied health professionals-occupational therapists, physiotherapists and podiatrists-in South Australia stratified by the Modified Monash Model and the Index of Relative Socio-Economic Disadvantage.

DESIGN

A descriptive data linkage cross-sectional study.

SETTING

The state of South Australia, Australia.

PARTICIPANTS AND MAIN OUTCOME MEASURES

Distribution of the 3 registered allied health professional groups stratified by Modified Monash Model and Index of Relative Socio-Economic Disadvantage.

RESULTS

The largest proportion of the 3 allied health professional groups (occupational therapists, physiotherapists and podiatrists) were found in areas classified as Modified Monash 1 and Modified Monash 2 (86.5%). The lowest proportion of allied health professionals were found in Modified Monash 7. The largest number of allied health professionals per 10 000 population was found in areas classified as Modified Monash 1 and Modified Monash 2. The lowest number of allied health professionals per 10 000 population was found in Modified Monash 7 areas. The largest number of allied health professionals per 10 000 population was found in areas with Index of Relative Socio-Economic Disadvantage quintile 2, while the lowest number of allied health professionals per 10 000 population was found in areas with Index of Relative Socio-Economic Disadvantage quintile 1.

CONCLUSIONS

The distribution of allied health professionals according to geographical remoteness, socio-economic disadvantage and per 10 000 population varies widely in South Australia. The number of allied health professionals per 10 000 population was lowest in rural and remote/very remote areas, explaining the typically poor access to allied health services for communities in these areas. The number of allied health professionals per 10 000 population according to Index of Relative Socio-Economic Disadvantage was variable within the context of both urban and rural areas.

摘要

目的

描述在南澳大利亚州,根据改良莫纳什模式和相对社会经济劣势指数,对 3 种联合健康专业人员(职业治疗师、物理治疗师和足病医生)的分布情况进行分层描述。

设计

描述性数据链接的横断面研究。

地点

澳大利亚南澳大利亚州。

参与者和主要结果测量

根据改良莫纳什模式和相对社会经济劣势指数对 3 个注册联合健康专业群体的分布情况进行分层。

结果

在改良莫纳什 1 区和改良莫纳什 2 区(86.5%)发现,3 种联合健康专业人员(职业治疗师、物理治疗师和足病医生)比例最大。在改良莫纳什 7 区发现的联合健康专业人员比例最低。每 10000 人中有最多联合健康专业人员的地区被归类为改良莫纳什 1 和改良莫纳什 2。每 10000 人中有最少联合健康专业人员的地区是改良莫纳什 7 区。在相对社会经济劣势五分位数 2 的地区,每 10000 人中有最多的联合健康专业人员,而在相对社会经济劣势五分位数 1 的地区,每 10000 人中有最少的联合健康专业人员。

结论

根据地理位置偏远程度、社会经济劣势和每 10000 人人口数量,南澳大利亚州的联合健康专业人员分布情况差异很大。在农村和偏远/非常偏远地区,每 10000 人拥有的联合健康专业人员数量最少,这解释了这些地区的社区通常难以获得联合健康服务。根据相对社会经济劣势指数,每 10000 人拥有的联合健康专业人员数量在城市和农村地区都存在差异。

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