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Influence of living arrangements on health services utilisation in Australia
M. Afzal
Mahmood A C,
Anna E.
Bauze A B,
Justin T.
Lokhorst A,
Peng
Bi A and
Arthur
Saniotis A
A
Discipline of Public Health, University of Adelaide, Level 9, 10 Pulteney Street, Adelaide, SA 5005, Australia. Email: lokhorst@adam.com.au; peng.bi@adelaide.edu.au; arthur.saniotis@adelaide.edu.au
B
Communicable Disease Management and Policy Section, Biosecurity and Disease Control Branch, Australian Government Department of Health and Ageing, Canberra, ACT 2601, Australia. Email: annabauze@hotmail.com
C
Corresponding author. Email: afzal.mahmood@adelaide.edu.au
Australian Health Review
36(1)
34-38 http://dx.doi.org/10.1071/AH10920
Submitted: 17 May 2010 Accepted: 12 April 2011 Published:
9
December
2011
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Abstract
Background.
The number of people living alone is increasing markedly. Others live as couples only, couples with child(ren) and single adult with child(ren). Health service utilisation could differ for people in different living arrangements as a result of varying levels of risk factors, health status, access to informal care and decision-making for accessing care. Objective.
To identify the association between living arrangements and health service use. Methods.
The Australian Bureau of Statistics’ National Health Survey 2001 data for people 18–65 years old were analysed for household composition and service use. Results.
People in various household types differ in terms of their overall use of health services and their use of services by general practitioners. Sex, rurality, socioeconomic status and status of heart condition significantly influenced the use of health services. Conclusion.
There are implications for health services provision and planning within the context of rapid changes in living arrangements. Additional research is required to explore the reasons to such differences, level of access to informal care, healthcare decision-making processes and consequences of under- or over-utilisation of services. What is known about the topic?
Health service use is influenced by the disease burden and pattern, demography, economic factors, access to social support, quality of care and satisfaction with standards of care. These factors may influence access to and use of care. What does this paper add?
This research points to the potential role of living arrangements on health services use. Many people now live alone and may not have access to informal care, and access to health information and education. People in different living arrangements appear to have different health service use. What are the implications for practitioners?
Practitioners, in both primary care and acute care sectors, need to consider that patients, including younger people, may not have access to informal care, may present with delays and may not have the needed adequate support during convalescence. Health education needs to consider that people in different living arrangements may be exposed to different levels of risk factors in terms of their healthcare use.
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