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Spatial patterns of attendance at general practitioner services

Author

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  • Hays, Susan M.
  • Kearns, Robin A.
  • Moran, Warren

Abstract

Geographical theory suggests that consumers will travel to the centre nearest to their residence which offers a particular service. This is a weak indicator of surgery attendance patterns in Gisborne, New Zealand. Nearby surgeries were attended, rather than the nearest available. Various attributes of the practices and the patients were examined to discover their influence on attendance patterns. The distribution of the practices themselves had a significant effect upon relative surgery attendance. Prior knowledge of services was particularly important in determining surgery selection and continued attendance. This accounted for the spatially unconstrained attendance of many Maori. Greater personal mobility enabled higher income households to travel further to attend. Conversely, the less mobile were spatially bounded.

Suggested Citation

  • Hays, Susan M. & Kearns, Robin A. & Moran, Warren, 1990. "Spatial patterns of attendance at general practitioner services," Social Science & Medicine, Elsevier, vol. 31(7), pages 773-781, January.
    • Handle: RePEc:eee:socmed:v:31:y:1990:i:7:p:773-781
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    Citations

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    Cited by:

    1. Okeke, Theodora A. & Okeibunor, Joseph C., 2010. "Rural-urban differences in health-seeking for the treatment of childhood malaria in south-east Nigeria," Health Policy, Elsevier, vol. 95(1), pages 62-68, April.
    2. Roll, Kathrin, 2012. "The influence of regional health care structures on delay in diagnosis of rare diseases: The case of Marfan Syndrome," Health Policy, Elsevier, vol. 105(2), pages 119-127.
    3. J R Barnett & R A Kearns, 1996. "Shopping Around? Consumerism and the Use of Private Accident and Medical Clinics in Auckland, New Zealand," Environment and Planning A, , vol. 28(6), pages 1053-1075, June.

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