Sub-Regional Profiles - Sydney Local Health District - NSW ...

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Marrickville Local Government Area Health Profile5Health service utilisationHeadlines Primary care services in Marrickville during 2009/10 were approximately equivalent tothe per-capita rates across the catchment and NSW; Higher rates of service for GP mental health care plans (93.1 per 1,000 persons) thanthe Inner-West Sydney (76.1 per 1,000 persons) and NSW (81.2 per 1,000 persons); Practice Nurse services per-capita in Marrickville are among the highest of any LGAin the catchment, just behind Canada Bay (Concord) and Canada Bay (Drummoyne) On a per-capita basis, Marrickville residents present to emergency departments for alltriage classifications much more often than across the broader catchment; Highest rate of preventable hospitalisations for ambulatory-care sensitive conditionsof any LGA in the catchment; and The proportion of the Indigenous population that are HACC clients (3.6%) is wellbelow the proportion within the overall catchment (4.8%) and NSW (5.5%).5.1 PRIMARY CARE UTILISATIONMedicare data shows that primary care services billed to the Medicare Benefits Schedule (MBS)in Marrickville during 2009/10 were approximately equivalent to the per-capita rates across thecatchment and NSW, but included marginally higher rates of service for GP mental health careplans (93.1 per 1,000 persons) than Inner West Sydney (76.1 per 1,000 persons) and NSW (81.2per 1,000 persons). This may be due to the high level of psychological distress and mooddisorders in Marrickville, which are illustrated in Figures 8 and 10 respectively.Figure 17 also shows a lower number of Practice Nurse services per-capita in Marrickville (170.9services per 1,000 persons), compared to the average across NSW (296.2 services per 1,000persons). In spite of this result, Practice Nurse services per-capita in Marrickville are among thehighest of any LGA in the catchment, just behind Canada Bay (Concord) and Canada Bay(Drummoyne) 30 .30Public Health Information Development Unit and Department of Health and Ageing (2012)Inner West Sydney Medicare Local and Sydney Local Health District Page 24Marrickville Local Government AreaPopulation Health LGA/SLA Profile v1.1 March 2013
Marrickville Local Government Area Health ProfileFigure 17: Selected primary care services per 1,000 persons, vs Inner West Sydney and state comparators,2010Source: Public Health Information Development Unit and Department of Health and Ageing (2012)5.2 EMERGENCYTable 14 provides analysis of 2011-12 Emergency Department (ED) data across all three publichospitals within Inner West Sydney, and shows that residents of the Marrickville LGA made17,304 visits to EDs within the catchment area, which represents 12.5% of all ED visits tohospitals within Inner West Sydney catchment area overall, and 17.2% of ED visits for allpersons living within Inner West Sydney catchment area.Table 14 shows that Marrickville residents presented most often to the Royal Prince AlfredHospital when seeking emergency services (90.3%). Services provided to Marrickville residentscomprised 23.1% of the Royal Prince Alfred Hospital’s total ED caseload in 2011-12.Table 14: Emergency department presentations by hospital, 2011-12Canterbury Concord Royal PrinceHospital Hospital Alfred HospitalTotalPresentations from Marrickville LGA 1,378 (7.9%) 306 (1.8%) 15,620 (90.3%) 17,304 (100%)ED presentations for all persons (within and outside Inner West Sydney Medicare Local)Total ED presentations for hospital(all persons)35,998 (26.0%) 34,629 (25.1%) 67,586 (48.9%) 138,213 (100%)Marrickville % of Total 3.8% 0.9% 23.1% 12.5%Source: Statewide Emergency DataData relating to patient triage classification per 1,000 persons is provided in Table 15. Table 15shows that on a per-capita basis, Marrickville residents present to emergency departments for alltriage classifications much more often than across the broader catchment.Within the overall Inner West Sydney catchment area, Marrickville has the highest crudeincidence of ‘emergency’ and ‘non-urgent’ ED presentations per-capita; the second most numberof ‘resuscitation’ and ‘urgent’ presentations per-capita; and the fourth-highest number of ‘semiurgent’ED presentations per-capita. The results for ‘emergency’ and ‘non-urgent’ triageclassifications, are 41% and 80% higher respectively, than across the overall catchment.Inner West Sydney Medicare Local and Sydney Local Health District Page 25Marrickville Local Government AreaPopulation Health LGA/SLA Profile v1.1 March 2013
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