Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation

Objective: Telehealth and patient travel cost subsidisation are two strategies used to reduce the effects of healthcare access inequity. Despite this shared goal, these programs are usually run independently, and their effects are infrequently compared in evaluation. Understanding how these programs...

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Main Authors: Edwin Phillip Greenup, Daniel Best
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Public Health in Practice
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Online Access:http://www.sciencedirect.com/science/article/pii/S266653522400079X
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author Edwin Phillip Greenup
Daniel Best
author_facet Edwin Phillip Greenup
Daniel Best
author_sort Edwin Phillip Greenup
collection DOAJ
description Objective: Telehealth and patient travel cost subsidisation are two strategies used to reduce the effects of healthcare access inequity. Despite this shared goal, these programs are usually run independently, and their effects are infrequently compared in evaluation. Understanding how these programs are used helps ensure services are delivered efficiently. Methods: Counts of telehealth outpatient service events (TH) (n = 250171) and patient travel subsidy scheme claims (PTSS) (n = 270933) for the 2022-23 financial year were captured. Comparisons of PTSS and TH activity were made by postcode, rurality (The Accessibility/Remoteness Index of Australia (ARIA)) and health jurisdiction (Hospital and Health Service (HHS)). Results: Correlation analysis conducted on PTSS and TH activity revealed a statistically significant, moderate positive correlation (r = 0.449, p < 0.01). TH (coefficient = 0.650, p < 0.001) and rurality (coefficient = 26.208, p = 0.686) also retained their significance. Conclusions: This study established that increases in TH activity is correlated with increases in PTSS, with both programs reporting greater activity as rurality increases.
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spelling doaj-art-ec5e0222f1394c92bb7440f9f1dc7a3c2024-12-12T05:23:27ZengElsevierPublic Health in Practice2666-53522024-12-018100542Reduction of healthcare access inequity using telehealth and patient travel cost subsidisationEdwin Phillip Greenup0Daniel Best1Corresponding author. Clinical Excellence Queensland, Department of Health Level 2, 15 Butterfield Street, Herston Q, 4006, Australia.; Clinical Excellence Queensland, Queensland Health, Brisbane, AustraliaClinical Excellence Queensland, Queensland Health, Brisbane, AustraliaObjective: Telehealth and patient travel cost subsidisation are two strategies used to reduce the effects of healthcare access inequity. Despite this shared goal, these programs are usually run independently, and their effects are infrequently compared in evaluation. Understanding how these programs are used helps ensure services are delivered efficiently. Methods: Counts of telehealth outpatient service events (TH) (n = 250171) and patient travel subsidy scheme claims (PTSS) (n = 270933) for the 2022-23 financial year were captured. Comparisons of PTSS and TH activity were made by postcode, rurality (The Accessibility/Remoteness Index of Australia (ARIA)) and health jurisdiction (Hospital and Health Service (HHS)). Results: Correlation analysis conducted on PTSS and TH activity revealed a statistically significant, moderate positive correlation (r = 0.449, p < 0.01). TH (coefficient = 0.650, p < 0.001) and rurality (coefficient = 26.208, p = 0.686) also retained their significance. Conclusions: This study established that increases in TH activity is correlated with increases in PTSS, with both programs reporting greater activity as rurality increases.http://www.sciencedirect.com/science/article/pii/S266653522400079XTelehealthTelemedicinePatient travelRural and remote Care
spellingShingle Edwin Phillip Greenup
Daniel Best
Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
Public Health in Practice
Telehealth
Telemedicine
Patient travel
Rural and remote Care
title Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
title_full Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
title_fullStr Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
title_full_unstemmed Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
title_short Reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
title_sort reduction of healthcare access inequity using telehealth and patient travel cost subsidisation
topic Telehealth
Telemedicine
Patient travel
Rural and remote Care
url http://www.sciencedirect.com/science/article/pii/S266653522400079X
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