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Referred to as distance decay, this suggests that distance from service centre is critical to accessing support.
Internationally, rural communities experience difficulties in accessing health care for reasons such as challenging geography, distance from service centres and reluctance of specialist health professionals to work in remote locations [ 1, 2].
However, less than half of the patients with anxiety disorders receive appropriate treatment [ 11], due to anxiety-related avoidance behaviour, stigmatisation, waiting lists, costs of therapy and distance from service locations [ 12– 12].
The gravity model is thought to be the most reliable method of measuring spatial access because it takes into account decreasing likelihood of access with increased distance from service sites [ 32], and has been used in other studies of potential spatial access to health care [ 24, 33].
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Given their distance from services, participants could comment critically on cultural issues within services.
Some may be missing out on care because of poverty, distance from services or challenges related to the quality of services available.
A separate 2012 study found that the main barriers to contraceptive use were high cost, distance from services, inadequate quantity, and unavailability of desired contraceptive [ 21].
This dilemma, of limited knowledge and skills, is compounded by distance from services, particularly for remote and rural communities (Liamputtong [ 15]).
Factors such as distance from services, availability of culturally appropriate services, workforce shortages and private health insurance cover all affect access to, and the utilisation of, health services [ 1].
In addition to distance from services and transport problems, social stigma and superstitious beliefs associated with disability may have further modulated the degree to which families displayed care-seeking behaviours.
As with the Rural Birth Index, an Australian index would need to provide higher scores with increasing distance from services [ 17] not only because of need for routine maternity care but to provide local access to care in an emergency.
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CEO of Professional Science Editing for Scientists @ prosciediting.com