COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced

Abstract Objective: In Australia, people residing remotely typically experience increased travel time to health services, and remote health services often have unfavourable population‐to‐provider ratios. The state of Victoria was treated as a case study and a spatial analysis investigated the impact...

Full description

Bibliographic Details
Main Authors: Ali Lakhani, Dennis Wollersheim
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13154
_version_ 1797713338532102144
author Ali Lakhani
Dennis Wollersheim
author_facet Ali Lakhani
Dennis Wollersheim
author_sort Ali Lakhani
collection DOAJ
description Abstract Objective: In Australia, people residing remotely typically experience increased travel time to health services, and remote health services often have unfavourable population‐to‐provider ratios. The state of Victoria was treated as a case study and a spatial analysis investigated the impact of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) point‐of‐care‐test (POCT) site location (Major City, Inner Regional or Outer Regional) on the mean travel time for closest residents and the number of closest residents. Methods: A network analysis established the travel time from every mesh block in Victoria to the closest POCT site. Inferential analyses investigated the impact of POCT site location on travel time and the number of closest residents. Results: Compared to urban locations, the mean travel time for closest residents to rural POCT sites was significantly higher, while rural POCT sites had significantly fewer residents to service. Conclusions: Findings confirm Australian health service literature suggesting that rural regions have poorer proximate availability of health services, while also contrasting to literature indicating that Australian rural regions have fewer health services per capita. Implications for public health: Localities within outer regional Victoria are candidates for a localised response to reduce unnecessary travel. Employing innovative service models may improve health service access and use and reduce population‐to‐provider ratios in rural locations.
first_indexed 2024-03-12T07:34:55Z
format Article
id doaj.art-31d4af5e99fc4dc6a20414fa78c16441
institution Directory Open Access Journal
issn 1326-0200
1753-6405
language English
last_indexed 2024-03-12T07:34:55Z
publishDate 2021-12-01
publisher Elsevier
record_format Article
series Australian and New Zealand Journal of Public Health
spelling doaj.art-31d4af5e99fc4dc6a20414fa78c164412023-09-02T21:33:15ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052021-12-0145662863610.1111/1753-6405.13154COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population servicedAli Lakhani0Dennis Wollersheim1School of Psychology and Public Health La Trobe University VictoriaSchool of Psychology and Public Health La Trobe University VictoriaAbstract Objective: In Australia, people residing remotely typically experience increased travel time to health services, and remote health services often have unfavourable population‐to‐provider ratios. The state of Victoria was treated as a case study and a spatial analysis investigated the impact of severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) point‐of‐care‐test (POCT) site location (Major City, Inner Regional or Outer Regional) on the mean travel time for closest residents and the number of closest residents. Methods: A network analysis established the travel time from every mesh block in Victoria to the closest POCT site. Inferential analyses investigated the impact of POCT site location on travel time and the number of closest residents. Results: Compared to urban locations, the mean travel time for closest residents to rural POCT sites was significantly higher, while rural POCT sites had significantly fewer residents to service. Conclusions: Findings confirm Australian health service literature suggesting that rural regions have poorer proximate availability of health services, while also contrasting to literature indicating that Australian rural regions have fewer health services per capita. Implications for public health: Localities within outer regional Victoria are candidates for a localised response to reduce unnecessary travel. Employing innovative service models may improve health service access and use and reduce population‐to‐provider ratios in rural locations.https://doi.org/10.1111/1753-6405.13154GISCOVID‐19point‐of‐care‐testingruralhealth services
spellingShingle Ali Lakhani
Dennis Wollersheim
COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
Australian and New Zealand Journal of Public Health
GIS
COVID‐19
point‐of‐care‐testing
rural
health services
title COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
title_full COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
title_fullStr COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
title_full_unstemmed COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
title_short COVID‐19 test sites in Victoria approaching Stage 4 restrictions: evaluating the relationship between remoteness, travel time and population serviced
title_sort covid 19 test sites in victoria approaching stage 4 restrictions evaluating the relationship between remoteness travel time and population serviced
topic GIS
COVID‐19
point‐of‐care‐testing
rural
health services
url https://doi.org/10.1111/1753-6405.13154
work_keys_str_mv AT alilakhani covid19testsitesinvictoriaapproachingstage4restrictionsevaluatingtherelationshipbetweenremotenesstraveltimeandpopulationserviced
AT denniswollersheim covid19testsitesinvictoriaapproachingstage4restrictionsevaluatingtherelationshipbetweenremotenesstraveltimeandpopulationserviced