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Health
service use
The ALSWH regularly
collects information about how women rate their access to
health care services, including questions about how often
they visit the doctor, their access to female GPs, the number
of GPs from which to choose, their satisfaction with the GP
consultation, and their preference for a female GP.
ALSWH
findings have indicated that continuity of GP care was generally
better in non-urban areas, especially for women living in
large rural centres, however, being able to see their GP of
choice was more difficult for women living in non-urban areas.(1)
Many women living in regional areas report lower access to
female doctors, and this may reduce their willingness to seek
help for some conditions which may be treatable (see Table).
Although lower ratings were strongly associated with increasing
degree of remoteness, there were some improvements over time
in ratings for women in Outer Regional areas.(2) Programs
to attract and retain doctors in regional areas should include
a special focus on access to female doctors.
Percentage
of mid-age women rating their access to a female GP access
as excellent, very good or good, by year and area of residence.
References
1. Young
AF, Dobson AJ. (2003). The decline in bulk billing and the
rising out-of-pocket costs for general practice consultations
in rural areas of Australia, 1995-2001. Medical Journal
of Australia, 178, 122-126.
2. Young AF, Dolja-Gore X. (2007) Access to health services
for mid-aged women in rural Australia: evidence of improvement?
Proceedings of 9th National Rural Health Conference. Albury:
National Rural Health Alliance (CD-ROM).
For
further information on health service use, see our other publications:
Reports
- ALSWH.
Rural women and health service use. Summary report
prepared for the Australian Government Department of Health
and Ageing. Australian Longitudinal Study on Women’s
Health, University of Newcastle & University of Queensland.
April 2005.
Papers
- Young
AF, Byles JE & Dobson AJ. Women’s satisfaction
with general practice consultations. Medical Journal
of Australia, 1998; 168: 386-389.
- Young
AF, Dobson AJ & Byles J. Access and equity in the provision
of general practitioner services in Australia. Australian
and New Zealand Journal of Public Health, 2000; 24(5):
474-480.
- Young
AF, Dobson AJ & Byles JE. Health services research using
linked records: Who consents and what is the gain? Australian
and New Zealand Journal of Public Health, 2001; 25(5):
417-420.
- Hussain
R, Schofield M & Loxton D. Cosmetic surgery history
and health service use in midlife: Women’s Health
Australia. Medical Journal of Australia, 2002;
176: 576-579.
- Young
AF & Dobson AJ. The decline in bulk billing and increase
in out-of-pocket costs for general practice consultations
in rural areas of Australia, 1995-2001. Medical Journal
of Australia, 2003; 178: 122-126.
- Byles
J, Young A, & Wheway V. Annual health assessments for
Older Australian Women: uptake and equity. Australian
and New Zealand Journal of Public Health, 2007; 31:
170-173.

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