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Identifying and removing access barriers to the timely provision of comprehensive health care is increasingly important for the wellbeing of Australia's rapidly ageing and frail populations, particularly those in non‐metropolitan settings. This study has examined if current general practice (GP) locations in non‐metropolitan South Australia (SA) and Western Australia (WA) are geographically accessible to the rapidly growing frail and prefrail populations known to have a high level of health service use and reduced mobility. Geospatial analysis linking 60‐kilometre GP service catchments, 2016 population counts, and 2027 population projections has estimated that the size of the frail and prefrail population that live outside these GP service catchments will double, reaching 7,800 people by 2027. The maldistribution of GP locations was most evident in WA. As regional and remote populations continue to age, the challenge of health service provision, including geographic access to care, must be resolved to ensure that populations in these areas have the best opportunity to age well. Geospatial methods linking service and demographic information, such as the approach used in this analysis, can aid in planning the equitable provision of health care for older Australians.  相似文献   
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The publication of The Osteological Paradox (Wood et al., 1992, Current Anthropology, 33:343–370) a decade ago sparked debate about the methods and conclusions drawn from bioarchaeological research. Wood et al. (1992, Current Anthropology, 33:343–370) highlighted the problematic issues of selective mortality and hidden heterogeneity in frailty (susceptibility to illness), and argued that the interpretation of population health status from skeletal remains is not straightforward. Progress in bioarchaeology over the last few years has led to the development of tools that will help us grapple with the issues of this osteological paradox. This paper provides a review of recent literature on age and sex estimation, paleodemography, biodistance, growth disruption, paleopathology, and paleodiet. We consider how these advances may help us address the implications of hidden heterogeneity in frailty and selective mortality for studies of health and adaptation in past societies.  相似文献   
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Abstract

Most microlevel studies in the social sciences have focused on the impact of different measured variables. While some studies have also dealt with unobserved variation, it has usually only been controlled for to perfect the estimates of the observables. In this article, the authors applied a modified version of a recently developed method designed to quantify the effect of unobserved variation in continuous time multilevel models, called a median hazard ratio. It allows a direct comparison of the effect of unobserved heterogeneity with standard relative risks. The method is used in an analysis of infant and child mortality in southern Sweden during the period 1766–1895. The empirical findings indicate that unmeasured differences between families were more important than either socioeconomic status or gender throughout this period.  相似文献   
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