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Is travel-time to a specialist centre a risk factor for non-referral, non-attendance and loss to follow-up among patients with hepatitis C (HCV) infection?

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  • Astell-Burt, Thomas
  • Flowerdew, Robin
  • Boyle, Paul
  • Dillon, John

Abstract

Little is known about why many people diagnosed with hepatitis C virus (HCV) infection fail to reach and stay within specialist care services. We used a Geographic Information System and logit regression to investigate whether travel-time to a specialist centre was associated with an increased likelihood of non-referral, non-attendance and loss to follow-up among persons diagnosed with HCV between 1991 and 2003 in Tayside, Scotland (UK). Information was available on referral to, and utilisation of, the single HCV specialist centre in Tayside between 1991 and 2006.

Suggested Citation

  • Astell-Burt, Thomas & Flowerdew, Robin & Boyle, Paul & Dillon, John, 2012. "Is travel-time to a specialist centre a risk factor for non-referral, non-attendance and loss to follow-up among patients with hepatitis C (HCV) infection?," Social Science & Medicine, Elsevier, vol. 75(1), pages 240-247.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:1:p:240-247
    DOI: 10.1016/j.socscimed.2012.02.046
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    References listed on IDEAS

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    1. Astell-Burt, Thomas & Flowerdew, Robin & Boyle, Paul J. & Dillon, John F., 2011. "Does geographic access to primary healthcare influence the detection of hepatitis C?," Social Science & Medicine, Elsevier, vol. 72(9), pages 1472-1481, May.
    2. Davis, Mark & Rhodes, Tim & Martin, Anthea, 2004. "Preventing hepatitis C: 'Common sense', 'the bug' and other perspectives from the risk narratives of people who inject drugs," Social Science & Medicine, Elsevier, vol. 59(9), pages 1807-1818, November.
    3. Farmer, Jane & Lauder, William & Richards, Helen & Sharkey, Siobhan, 2003. "Dr. John has gone: assessing health professionals' contribution to remote rural community sustainability in the UK," Social Science & Medicine, Elsevier, vol. 57(4), pages 673-686, August.
    4. Rick L. Williams, 2000. "A Note on Robust Variance Estimation for Cluster-Correlated Data," Biometrics, The International Biometric Society, vol. 56(2), pages 645-646, June.
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    Cited by:

    1. Marissa B Kosnik & David M Reif & Danelle T Lobdell & Thomas Astell-Burt & Xiaoqi Feng & John D Hader & Jane A Hoppin, 2019. "Associations between access to healthcare, environmental quality, and end-stage renal disease survival time: Proportional-hazards models of over 1,000,000 people over 14 years," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-17, March.

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