Use of health services by remote dwelling Aboriginal infants in tropical northern Australia: a retrospective cohort study

Sarah Bar-Zeev, Sue Kruske, Lesley M Barclay, Naor Bar-Zeev, Jonathan Carapetis, Sue Kildea

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    Abstract

    Background: Australia is a wealthy developed country. However, there are significant disparities in health outcomes for Aboriginal infants compared with other Australian infants. Health outcomes tend to be worse for those living in remote areas. Little is known about the health service utilisation patterns of remote dwelling Aboriginal infants. This study describes health service utilisation patterns at the primary and referral level by remote dwelling Aboriginal infants from northern Australia.

    Results: Data on 413 infants were analysed. Following birth, one third of infants were admitted to the regional hospital neonatal nursery, primarily for preterm birth. Once home, most (98%) health service utilisation occurred at the remote primary health centre, infants presented to the centre about once a fortnight (mean 28 presentations per year, 95%CI 26.4-30.0). Half of the presentations were for new problems, most commonly for respiratory, skin and gastrointestinal symptoms. Remaining presentations were for reviews or routine health service provision. By one year of age 59% of infants were admitted to hospital at least once, the rate of hospitalisation per infant year was 1.1 (95%CI 0.9-1.2).

    Conclusions: The hospitalisation rate is high and admissions commence early in life, visits to the remote primary health centre are frequent. Half of all presentations are for new problems. These findings have important implications for health service planning and delivery to remote dwelling Aboriginal families.
    Original languageEnglish
    Pages (from-to)1-8
    Number of pages8
    JournalBMC Pediatrics
    Volume12
    Issue number19
    DOIs
    Publication statusPublished - 2012

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