Equity in Health: Analysing the Accessibility of Australia's Tertiary Public and Private Healthcare

Abstract

This thesis undertakes an exhaustive analysis of tertiary healthcare accessibility in Australia, juxtaposing public and private sector distribution against the backdrop of the socio-economic landscape. It critically assesses healthcare services availability, particularly during the unprecedented challenges posed by the COVID-19 pandemic. The study employs geospatial analysis and GIS mapping to evaluate the socioeconomic status of the population residing near the facilities, location and accessibility of Emergency Departments (EDs) in tertiary public and private healthcare facilities across the country and explore their readiness in the face of potential pandemics. The socio-economic variables within different buffer zones are scrutinised to reveal the impact on healthcare access during the health crisis. By integrating Australian experiences during COVID-19, the research highlights the variances in healthcare accessibility, accentuating the strains on hospitals with EDs and the innovative implementation of field centres in high-density regions to counteract service gaps. The thesis also discusses the socioeconomic determinants that exacerbate disparities in healthcare provision, offering insights into the stratification of health equity. The findings suggest that, despite Australia's robust healthcare system, critical areas require strategic enhancement to ensure preparedness for future pandemics. Recommendations include the need to address healthcare inequalities and improve service accessibility in Australia’s urban, rural and remote areas, as well as the establishment of temporary healthcare facilities in strategically identified locations to bolster the resilience of healthcare infrastructure. The conclusions drawn herein provide a pathway for policymakers to fortify healthcare systems against the backdrop of socio-economic disparities, aiming for an equitable distribution of healthcare resources.