Accessibility and screening uptake rates for gestational diabetes mellitus in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/220174
Title:
Accessibility and screening uptake rates for gestational diabetes mellitus in Ireland.
Authors:
Cullinan, John; Gillespie, Paddy; Owens, Lisa; Dunne, Fidelma
Affiliation:
School of Business and Economics, National University of Ireland, Galway, Ireland. john.cullinan@nuigalway.ie
Citation:
Accessibility and screening uptake rates for gestational diabetes mellitus in Ireland. 2012, 18 (2):339-48 Health Place
Journal:
Health & place
Issue Date:
Mar-2012
URI:
http://hdl.handle.net/10147/220174
DOI:
10.1016/j.healthplace.2011.11.001
PubMed ID:
22130219
Abstract:
Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy and is associated with a range of maternal and neonatal complications and conditions. Given increasing levels of prevalence worldwide, there are growing calls for the implementation of screening practices to identify and treat positive GDM cases. This paper uses a unique dataset to investigate the role of healthcare centre accessibility on the decision to attend for screening, employing geographic information systems, econometric and simulation techniques. We focus on the extent to which 'travel distance to screening hospital site' impacts upon the individual's screen uptake decision, whether significant geographic inequalities exist in relation to accessibility to screening, and the likely impact on uptake rates of providing screening services at a local level via primary care. Our findings have important implications for the provision of GDM screening services.
Item Type:
Article
Language:
en
ISSN:
1873-2054

Full metadata record

DC FieldValue Language
dc.contributor.authorCullinan, Johnen_GB
dc.contributor.authorGillespie, Paddyen_GB
dc.contributor.authorOwens, Lisaen_GB
dc.contributor.authorDunne, Fidelmaen_GB
dc.date.accessioned2012-04-24T09:16:08Z-
dc.date.available2012-04-24T09:16:08Z-
dc.date.issued2012-03-
dc.identifier.citationAccessibility and screening uptake rates for gestational diabetes mellitus in Ireland. 2012, 18 (2):339-48 Health Placeen_GB
dc.identifier.issn1873-2054-
dc.identifier.pmid22130219-
dc.identifier.doi10.1016/j.healthplace.2011.11.001-
dc.identifier.urihttp://hdl.handle.net/10147/220174-
dc.description.abstractGestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy and is associated with a range of maternal and neonatal complications and conditions. Given increasing levels of prevalence worldwide, there are growing calls for the implementation of screening practices to identify and treat positive GDM cases. This paper uses a unique dataset to investigate the role of healthcare centre accessibility on the decision to attend for screening, employing geographic information systems, econometric and simulation techniques. We focus on the extent to which 'travel distance to screening hospital site' impacts upon the individual's screen uptake decision, whether significant geographic inequalities exist in relation to accessibility to screening, and the likely impact on uptake rates of providing screening services at a local level via primary care. Our findings have important implications for the provision of GDM screening services.-
dc.language.isoenen
dc.rightsArchived with thanks to Health & placeen_GB
dc.titleAccessibility and screening uptake rates for gestational diabetes mellitus in Ireland.en_GB
dc.typeArticleen
dc.contributor.departmentSchool of Business and Economics, National University of Ireland, Galway, Ireland. john.cullinan@nuigalway.ieen_GB
dc.identifier.journalHealth & placeen_GB
dc.description.provinceConnachten

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