Are private hospital emergency departments in Australia distributed to serve the wealthy community?

Mazen Baazeem, Estie Kruger, Marc Tennant
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Abstract

Objective

This study investigates the geographical distribution of private hospitals in Australian capital cities in relation to the Index of Relative Socioeconomic Disadvantage.

Methods

Using Geographic Information System analysis, the study examined how private hospitals are distributed across different socioeconomic quartiles, providing a comprehensive visualisation of health care accessibility.

Results

The results indicate an unequal distribution with a substantial concentration of private hospitals within the vicinity of communities classified in the highest socioeconomic classification. This raises significant concerns about health care equity, particularly in light of the increased strain on health care systems before, during and after the COVID-19 pandemic.

Conclusions

This study underscores the need for targeted policy interventions to enhance the resilience and accessibility of the private health care sector, specifically targeting disadvantaged communities. It suggests that comprehensive, geographically-informed data is crucial for policymakers to make informed decisions that promote health equity in the postpandemic landscape.

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澳大利亚的私立医院急诊科是为富人社区服务的吗?
研究目的本研究调查了澳大利亚首府城市私立医院的地理分布与相对社会经济劣势指数的关系:该研究利用地理信息系统分析方法,考察了私立医院在不同社会经济四分位数中的分布情况,为医疗保健的可及性提供了全面的可视化信息:结果:研究结果表明,私立医院分布不均,主要集中在社会经济地位最高的社区附近。这引起了人们对医疗保健公平性的极大关注,特别是考虑到 COVID-19 大流行之前、期间和之后医疗保健系统所承受的更大压力:本研究强调,有必要采取有针对性的政策干预措施,以增强私营医疗保健部门的复原力和可及性,特别是针对弱势群体。研究表明,全面的地理信息数据对于政策制定者在大流行后做出促进健康公平的明智决策至关重要。
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