Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice
Objectives: To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. Methods: Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. Results: The mean number of doctor consultations for...
Gespeichert in:
| Veröffentlicht in: | Journal of health services research & policy 2006-07, Vol.11 (3), p.141-149 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 149 |
|---|---|
| container_issue | 3 |
| container_start_page | 141 |
| container_title | Journal of health services research & policy |
| container_volume | 11 |
| creator | McLeod, Deborah Cormack, Donna Love, Tom Salmond, Clare |
| description | Objectives: To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. Methods: Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. Results: The mean number of doctor consultations for registered individuals was 3.7 and the median 2. After adjusting for age, gender and area socioeconomic deprivation, people from Maori, Pacific, Asian and other-unspecified ethnic groups consulted general practitioners at similar rates or less frequently than European people. There was a significant positive trend between increasing deprivation and increasing rates of general practitioner (GP) consultation. The most-deprived groups had an approximately 30% higher rate of consultation than the least-deprived groups. There was a significant negative trend between nurse consultations and deprivation, with people from the most-deprived groups having a 29% lower frequency of nurse consultation. There was a different pattern of doctor consultation in the under-six age group, where a higher rate of patient subsidy was available, suggesting cost may be a barrier to doctor consultation for other age groups. Conclusions: In the general practices, in this study, the increasing rate of doctor consultations with increasing socioeconomic deprivation is consistent with increased need. However, the fact that adjusted Maori and Pacific utilization rates were not higher than those for people of European ethnic identity is a cause for concern in light of evidence that Maori health status is poorer than European, even after adjusting for deprivation. Further research is required to explore potential barriers to general practice consultation. |
| doi_str_mv | 10.1258/135581906777641721 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_68620837</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>26750217</jstor_id><sage_id>10.1258_135581906777641721</sage_id><sourcerecordid>26750217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-ec742218d84fd94ddc2dec593caeaae12b71081b5fc43f60025888170a71a6f83</originalsourceid><addsrcrecordid>eNqNkU1PGzEQhi1UBBT4A0itVhx6YsFjrz9yrKK0IEVwaS_0sHK8s8HRZp3a3iL-PY42KhJItCdbo-d9POMh5AzoJTChr4ALoWFCpVJKVqAY7JEjUEKXQCX9kO8ZKDMhD8nHGFeUApegD8ghSM0qJukR-TVLD72zLj1dFNFb59H63q-dLRrcBPfHJOf7wvRNketx6NJYCCZhLFxf3OJjcY-m2xJL7DGYrtgEY5OzeEL2W9NFPN2dx-Tnt9mP6XU5v_t-M_06Ly2XPJVoVcUY6EZXbTOpmsayBq2YcGvQGAS2UEA1LERrK95KSvPsWoOiRoGRrebH5Mvo3QT_e8CY6rWLFrvcFPoh1lJLRjVX_wSFoqJifGs8fwWu_BD6PESdTVJzqdV_QGxrYiNkg48xYFvnX12b8FQDrbdbrN9uMYc-78zDYo3NS2S3tgxcjUA0S3x59l3lpzGxismHv0YmlaAMFH8GH5StiA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>208683687</pqid></control><display><type>article</type><title>Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>JSTOR Archive Collection A-Z Listing</source><creator>McLeod, Deborah ; Cormack, Donna ; Love, Tom ; Salmond, Clare</creator><creatorcontrib>McLeod, Deborah ; Cormack, Donna ; Love, Tom ; Salmond, Clare ; Health Utilisation Research Alliance (HURA) ; Health Utilisation Research Alliance (HURA)</creatorcontrib><description>Objectives: To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. Methods: Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. Results: The mean number of doctor consultations for registered individuals was 3.7 and the median 2. After adjusting for age, gender and area socioeconomic deprivation, people from Maori, Pacific, Asian and other-unspecified ethnic groups consulted general practitioners at similar rates or less frequently than European people. There was a significant positive trend between increasing deprivation and increasing rates of general practitioner (GP) consultation. The most-deprived groups had an approximately 30% higher rate of consultation than the least-deprived groups. There was a significant negative trend between nurse consultations and deprivation, with people from the most-deprived groups having a 29% lower frequency of nurse consultation. There was a different pattern of doctor consultation in the under-six age group, where a higher rate of patient subsidy was available, suggesting cost may be a barrier to doctor consultation for other age groups. Conclusions: In the general practices, in this study, the increasing rate of doctor consultations with increasing socioeconomic deprivation is consistent with increased need. However, the fact that adjusted Maori and Pacific utilization rates were not higher than those for people of European ethnic identity is a cause for concern in light of evidence that Maori health status is poorer than European, even after adjusting for deprivation. Further research is required to explore potential barriers to general practice consultation.</description><identifier>ISSN: 1355-8196</identifier><identifier>EISSN: 1758-1060</identifier><identifier>DOI: 10.1258/135581906777641721</identifier><identifier>PMID: 16824260</identifier><identifier>CODEN: JHRPFD</identifier><language>eng</language><publisher>London, England: The Royal Society of Medicine Press Limited</publisher><subject>Adolescent ; Adult ; Aged ; Barriers ; Child ; Child, Preschool ; Ethnic Groups ; Ethnicity ; Female ; General Practitioners ; Health administration ; Humans ; Infant ; Infant, Newborn ; Male ; Medical Audit ; Middle Aged ; New Zealand ; Original research ; Physicians, Family ; Referral and Consultation - utilization ; Social Class ; Socioeconomic factors</subject><ispartof>Journal of health services research & policy, 2006-07, Vol.11 (3), p.141-149</ispartof><rights>The Royal Society of Medicine Press Ltd 2006</rights><rights>2006 Royal Society of Medicine Press</rights><rights>Copyright National Library of Medicine - MEDLINE Abstracts Jul 2006</rights><rights>Copyright Royal Society of Medicine Press Ltd. Jul 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-ec742218d84fd94ddc2dec593caeaae12b71081b5fc43f60025888170a71a6f83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26750217$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26750217$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27922,27923,30998,58015,58248</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16824260$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McLeod, Deborah</creatorcontrib><creatorcontrib>Cormack, Donna</creatorcontrib><creatorcontrib>Love, Tom</creatorcontrib><creatorcontrib>Salmond, Clare</creatorcontrib><creatorcontrib>Health Utilisation Research Alliance (HURA)</creatorcontrib><creatorcontrib>Health Utilisation Research Alliance (HURA)</creatorcontrib><title>Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice</title><title>Journal of health services research & policy</title><addtitle>J Health Serv Res Policy</addtitle><description>Objectives: To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. Methods: Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. Results: The mean number of doctor consultations for registered individuals was 3.7 and the median 2. After adjusting for age, gender and area socioeconomic deprivation, people from Maori, Pacific, Asian and other-unspecified ethnic groups consulted general practitioners at similar rates or less frequently than European people. There was a significant positive trend between increasing deprivation and increasing rates of general practitioner (GP) consultation. The most-deprived groups had an approximately 30% higher rate of consultation than the least-deprived groups. There was a significant negative trend between nurse consultations and deprivation, with people from the most-deprived groups having a 29% lower frequency of nurse consultation. There was a different pattern of doctor consultation in the under-six age group, where a higher rate of patient subsidy was available, suggesting cost may be a barrier to doctor consultation for other age groups. Conclusions: In the general practices, in this study, the increasing rate of doctor consultations with increasing socioeconomic deprivation is consistent with increased need. However, the fact that adjusted Maori and Pacific utilization rates were not higher than those for people of European ethnic identity is a cause for concern in light of evidence that Maori health status is poorer than European, even after adjusting for deprivation. Further research is required to explore potential barriers to general practice consultation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Barriers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ethnic Groups</subject><subject>Ethnicity</subject><subject>Female</subject><subject>General Practitioners</subject><subject>Health administration</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Middle Aged</subject><subject>New Zealand</subject><subject>Original research</subject><subject>Physicians, Family</subject><subject>Referral and Consultation - utilization</subject><subject>Social Class</subject><subject>Socioeconomic factors</subject><issn>1355-8196</issn><issn>1758-1060</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1PGzEQhi1UBBT4A0itVhx6YsFjrz9yrKK0IEVwaS_0sHK8s8HRZp3a3iL-PY42KhJItCdbo-d9POMh5AzoJTChr4ALoWFCpVJKVqAY7JEjUEKXQCX9kO8ZKDMhD8nHGFeUApegD8ghSM0qJukR-TVLD72zLj1dFNFb59H63q-dLRrcBPfHJOf7wvRNketx6NJYCCZhLFxf3OJjcY-m2xJL7DGYrtgEY5OzeEL2W9NFPN2dx-Tnt9mP6XU5v_t-M_06Ly2XPJVoVcUY6EZXbTOpmsayBq2YcGvQGAS2UEA1LERrK95KSvPsWoOiRoGRrebH5Mvo3QT_e8CY6rWLFrvcFPoh1lJLRjVX_wSFoqJifGs8fwWu_BD6PESdTVJzqdV_QGxrYiNkg48xYFvnX12b8FQDrbdbrN9uMYc-78zDYo3NS2S3tgxcjUA0S3x59l3lpzGxismHv0YmlaAMFH8GH5StiA</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>McLeod, Deborah</creator><creator>Cormack, Donna</creator><creator>Love, Tom</creator><creator>Salmond, Clare</creator><general>The Royal Society of Medicine Press Limited</general><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HEHIP</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice</title><author>McLeod, Deborah ; Cormack, Donna ; Love, Tom ; Salmond, Clare</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-ec742218d84fd94ddc2dec593caeaae12b71081b5fc43f60025888170a71a6f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Barriers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ethnic Groups</topic><topic>Ethnicity</topic><topic>Female</topic><topic>General Practitioners</topic><topic>Health administration</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Middle Aged</topic><topic>New Zealand</topic><topic>Original research</topic><topic>Physicians, Family</topic><topic>Referral and Consultation - utilization</topic><topic>Social Class</topic><topic>Socioeconomic factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McLeod, Deborah</creatorcontrib><creatorcontrib>Cormack, Donna</creatorcontrib><creatorcontrib>Love, Tom</creatorcontrib><creatorcontrib>Salmond, Clare</creatorcontrib><creatorcontrib>Health Utilisation Research Alliance (HURA)</creatorcontrib><creatorcontrib>Health Utilisation Research Alliance (HURA)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Sociology Collection</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Sociology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health services research & policy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McLeod, Deborah</au><au>Cormack, Donna</au><au>Love, Tom</au><au>Salmond, Clare</au><aucorp>Health Utilisation Research Alliance (HURA)</aucorp><aucorp>Health Utilisation Research Alliance (HURA)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice</atitle><jtitle>Journal of health services research & policy</jtitle><addtitle>J Health Serv Res Policy</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>11</volume><issue>3</issue><spage>141</spage><epage>149</epage><pages>141-149</pages><issn>1355-8196</issn><eissn>1758-1060</eissn><coden>JHRPFD</coden><abstract>Objectives: To explore the relationship between ethnicity, socioeconomic deprivation and utilization of general practice. Methods: Data routinely collected by New Zealand general practices in 2001 were analysed using generalized linear regression. Results: The mean number of doctor consultations for registered individuals was 3.7 and the median 2. After adjusting for age, gender and area socioeconomic deprivation, people from Maori, Pacific, Asian and other-unspecified ethnic groups consulted general practitioners at similar rates or less frequently than European people. There was a significant positive trend between increasing deprivation and increasing rates of general practitioner (GP) consultation. The most-deprived groups had an approximately 30% higher rate of consultation than the least-deprived groups. There was a significant negative trend between nurse consultations and deprivation, with people from the most-deprived groups having a 29% lower frequency of nurse consultation. There was a different pattern of doctor consultation in the under-six age group, where a higher rate of patient subsidy was available, suggesting cost may be a barrier to doctor consultation for other age groups. Conclusions: In the general practices, in this study, the increasing rate of doctor consultations with increasing socioeconomic deprivation is consistent with increased need. However, the fact that adjusted Maori and Pacific utilization rates were not higher than those for people of European ethnic identity is a cause for concern in light of evidence that Maori health status is poorer than European, even after adjusting for deprivation. Further research is required to explore potential barriers to general practice consultation.</abstract><cop>London, England</cop><pub>The Royal Society of Medicine Press Limited</pub><pmid>16824260</pmid><doi>10.1258/135581906777641721</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1355-8196 |
| ispartof | Journal of health services research & policy, 2006-07, Vol.11 (3), p.141-149 |
| issn | 1355-8196 1758-1060 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68620837 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing |
| subjects | Adolescent Adult Aged Barriers Child Child, Preschool Ethnic Groups Ethnicity Female General Practitioners Health administration Humans Infant Infant, Newborn Male Medical Audit Middle Aged New Zealand Original research Physicians, Family Referral and Consultation - utilization Social Class Socioeconomic factors |
| title | Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T03%3A24%3A51IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ethnicity,%20socioeconomic%20deprivation%20and%20consultation%20rates%20in%20New%20Zealand%20general%20practice&rft.jtitle=Journal%20of%20health%20services%20research%20&%20policy&rft.au=McLeod,%20Deborah&rft.aucorp=Health%20Utilisation%20Research%20Alliance%20(HURA)&rft.date=2006-07-01&rft.volume=11&rft.issue=3&rft.spage=141&rft.epage=149&rft.pages=141-149&rft.issn=1355-8196&rft.eissn=1758-1060&rft.coden=JHRPFD&rft_id=info:doi/10.1258/135581906777641721&rft_dat=%3Cjstor_proqu%3E26750217%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=208683687&rft_id=info:pmid/16824260&rft_jstor_id=26750217&rft_sage_id=10.1258_135581906777641721&rfr_iscdi=true |