Health related migration: evidence of reduced “urban-drift”

The aim of this study was to determine if the onset of serious disease triggers a different intra-state migratory response from patterns observed in the healthy population. The analysis was carried out using linked administrative data. The onset of serious disease triggered a reduction in the rate o...

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Bibliographic Details
Published in:Health & place 2006-06, Vol.12 (2), p.131-140
Main Authors: Moorin, R.E., Holman, C.D.J., Garfield, C., Brameld, K.J.
Format: Article
Language:English
Subjects:
Choice Behavior
Cities
Female
Health services
Health Services Accessibility
Health technology assessment
Humans
Incidence
Male
Medically Underserved Area
Population Dynamics - statistics & numerical data
Population Dynamics - trends
Proportional Hazards Models
Rural health
Rural Population - statistics & numerical data
Rural Population - trends
Severity of Illness Index
Socioeconomic Factors
Transportation
Urbanization
Western Australia - epidemiology
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Summary:The aim of this study was to determine if the onset of serious disease triggers a different intra-state migratory response from patterns observed in the healthy population. The analysis was carried out using linked administrative data. The onset of serious disease triggered a reduction in the rate of endocentric migration in remote and rural populations. Urban drift occurred only in people with mental illness in rural locations. Rural and remote communities appear to suffer from an unhealthy selection force, with persons unable to migrate centrally to access services due to the onset of the physical illness they require treatment for.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2004.10.013