IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i7p5385-d1115378.html
   My bibliography  Save this article

Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review

Author

Listed:
  • Michele LeBlanc

    (School of Nursing, University of British Columbia, Vancouver, BC V6T 1Z4, Canada)

  • Tomoko McGaughey

    (Department of Health Sciences, Carleton University, Ottawa, ON K1S 5B6, Canada)

  • Paul A. Peters

    (Department of Health Sciences, Carleton University, Ottawa, ON K1S 5B6, Canada)

Abstract

A small proportion of health care users are recognized to use a significantly higher proportion of health system resources, largely due to systemic, inequitable access and disproportionate health burdens. These high-resource health system users are routinely characterized as older, with multiple comorbidities, and reduced access to adequate health care. Geographic trends also emerge, with more rural and isolated regions demonstrating higher rates of high-resource use than others. Despite known geographical discrepancies in health care access and outcomes, health policy and research initiatives remain focused on urban population centers. To alleviate mounting health system pressure from high-resource users, their characteristics must be better understood within the context in which i arises. To examine this, a scoping review was conducted to provide an overview of characteristics of high-resource users in rural and remote communities in Canada and Australia. In total, 21 papers were included in the review. Using qualitative thematic coding, primary findings characterized rural high-resource users as those of an older age; with increased comorbid conditions and condition severity; lower socioeconomic status; and elevated risk behaviors.

Suggested Citation

  • Michele LeBlanc & Tomoko McGaughey & Paul A. Peters, 2023. "Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review," IJERPH, MDPI, vol. 20(7), pages 1-14, April.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5385-:d:1115378
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/7/5385/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/20/7/5385/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Béland, François & Lemay, Anne & Boucher, Marcel, 1998. "Patterns of visits to hospital-based emergency rooms," Social Science & Medicine, Elsevier, vol. 47(2), pages 165-179, July.
    2. Sara J T Guilcher & Susan E Bronskill & Jun Guan & Walter P Wodchis, 2016. "Who Are the High-Cost Users? A Method for Person-Centred Attribution of Health Care Spending," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-15, March.
    3. Simon Quilty & Lisa Wood & Sophie Scrimgeour & Geordan Shannon & Elisha Sherman & Bruce Lake & Richard Budd & Paul Lawton & Mary Moloney, 2019. "Addressing Profound Disadvantages to Improve Indigenous Health and Reduce Hospitalisation: A Collaborative Community Program in Remote Northern Territory," IJERPH, MDPI, vol. 16(22), pages 1-12, November.
    4. Weinhold, Ines & Gurtner, Sebastian, 2014. "Understanding shortages of sufficient health care in rural areas," Health Policy, Elsevier, vol. 118(2), pages 201-214.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ryuichi Ohta & Yoshinori Ryu & Daisuke Kataoka & Chiaki Sano, 2021. "Effectiveness and Challenges in Local Self-Governance: Multifunctional Autonomy in Japan," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    2. Fredens, Mia & Terkildsen, Morten Deleuran & Bollerup, Stina & Albæk, Jens & Nissen, Nina Konstantin & Winther, Susanne & Grønkjær, Mette & Rasmussen, Maja Kjær & Benthien, Kirstine Skov & Toft, Ulla , 2020. "The national implementation of 'Proactive Health Support' in Denmark since 2017: Expectations and challenges for the telephone-based self-management program," Health Policy, Elsevier, vol. 124(7), pages 674-678.
    3. Myung Ja Kim & Eunhee Lee, 2020. "How to Reduce Excessive Use of the Health Care Service in Medical Aid Beneficiaries: Effectiveness of Community-Based Case Management," IJERPH, MDPI, vol. 17(7), pages 1-10, April.
    4. Nagesh Shukla & Biswajeet Pradhan & Abhirup Dikshit & Subrata Chakraborty & Abdullah M. Alamri, 2020. "A Review of Models Used for Investigating Barriers to Healthcare Access in Australia," IJERPH, MDPI, vol. 17(11), pages 1-19, June.
    5. Rodney P Jones, 2020. "Would the United States Have Had Too Few Beds for Universal Emergency Care in the Event of a More Widespread Covid-19 Epidemic?," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    6. Weinhold, Ines & Wende, Danny & Schrey, Christopher & Militzer-Horstmann, Carsta & Schang, Laura & Sundmacher, Leonie, 2022. "Assessing patients’ acceptable and realised distances to determine accessibility standards for the size of catchment areas in outpatient care," Health Policy, Elsevier, vol. 126(11), pages 1180-1186.
    7. Nicodemo, Catia & Orso, Cristina E. & Tealdi, Cristina, 2023. "Overseas GPs and Prescription Behaviour in England," IZA Discussion Papers 15884, Institute of Labor Economics (IZA).
    8. Pedro Gerber Machado & Arnaldo Walter & Michelle Cristina Picoli & Cristina Gerber João, 2017. "Potential impacts on local quality of life due to sugarcane expansion: a case study based on panel data analysis," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 19(5), pages 2069-2092, October.
    9. Gansel, Yannis & Danet, François & Rauscher, Catherine, 2010. "Long-stay inpatients in short-term emergency units in France: A case study," Social Science & Medicine, Elsevier, vol. 70(4), pages 501-508, February.
    10. Donna L. Schminkey & Xiaoyue Liu & Sandra Annan & Erika Metzler Sawin, 2019. "Contributors to Health Inequities in Rural Latinas of Childbearing Age: An Integrative Review Using an Ecological Framework," SAGE Open, , vol. 9(1), pages 21582440188, January.
    11. Bernard Baffour & Sumonkanti Das & Mu Li & Alice Richardson, 2024. "The Utility of Socioeconomic and Remoteness Indicators in Understanding the Geographical Variation in the Regional Prevalence of Early Childhood Vulnerability in Australia," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 17(4), pages 1791-1827, August.
    12. Trevor A Lentz & Jeffrey S Harman & Nicole M Marlow & Jason M Beneciuk & Roger B Fillingim & Steven Z George, 2019. "Factors associated with persistently high-cost health care utilization for musculoskeletal pain," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-23, November.
    13. Man Li & Renyao Zhong & Shanwen Zhu & Lauren C. Ramsay & Fen Li & Peter C. Coyte, 2018. "Access to Community Living Infrastructure and Its Impact on the Establishment of Community-Based Day Care Centres for Seniors in Rural China," IJERPH, MDPI, vol. 15(6), pages 1-12, June.
    14. Edyta Pilka & W. Wiktor Jedrzejczak & Krzysztof Kochanek & Malgorzata Pastucha & Henryk Skarzynski, 2021. "Assessment of the Hearing Status of School-Age Children from Rural and Urban Areas of Mid-Eastern Poland," IJERPH, MDPI, vol. 18(8), pages 1-11, April.
    15. Claudia T. Matthaeus-Kraemer & Norman Rose & Melissa Spoden & Mathias W. Pletz & Konrad Reinhart & Carolin Fleischmann-Struzek, 2023. "Urban–Rural Disparities in Case Fatality of Community-Acquired Sepsis in Germany: A Retrospective Cohort Study," IJERPH, MDPI, vol. 20(10), pages 1-12, May.
    16. Takahara, Tsuyoshi, 2022. "Quality competition, location choice, and ownership conversion in the healthcare market," Economic Modelling, Elsevier, vol. 115(C).
    17. Romany McGuffog & Jamie Bryant & Kade Booth & Felicity Collis & Alex Brown & Jaquelyne T. Hughes & Catherine Chamberlain & Alexandra McGhie & Breanne Hobden & Michelle Kennedy, 2023. "Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies," IJERPH, MDPI, vol. 20(5), pages 1-21, February.
    18. Poulin, Laura I.L. & Skinner, Mark W. & Hanlon, Neil, 2020. "Rural gerontological health: Emergent questions for research, policy and practice," Social Science & Medicine, Elsevier, vol. 258(C).
    19. Haylee Fox & Stephanie M. Topp & Daniel Lindsay & Emily Callander, 2021. "Ethnic, socio‐economic and geographic inequities in maternal health service coverage in Australia," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(6), pages 2182-2198, November.
    20. Gavin M Rudge & Mohammed A Mohammed & Sally C Fillingham & Alan Girling & Khesh Sidhu & Andrew J Stevens, 2013. "The Combined Influence of Distance and Neighbourhood Deprivation on Emergency Department Attendance in a Large English Population: A Retrospective Database Study," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-8, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5385-:d:1115378. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.