{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T06:40:12Z","timestamp":1784011212367,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T00:00:00Z","timestamp":1696809600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2023,11,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To quantify differences, by residential remoteness and socio\u2010economic status, in health care service use by people diagnosed with invasive melanoma in Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Benefit incidence analysis of CancerCostMod data, comprising Queensland Cancer Registry data linked with Queensland Hospital Admitted Patient Data Collection (QHAPDC), Medicare Benefits Schedule (MBS), and Pharmaceutical Benefits Scheme (PBS) data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting, participants<\/jats:title><jats:p>Adults (18 years or older) newly diagnosed with invasive melanoma in Queensland during 1 July 2011 \u2013 31 June 2015 and alive three years after diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Concentration curves and indices quantifying differences by residential postcode\u2010based remoteness (Australian Statistical Geography Standard \u2013 Remoteness Area) and socio\u2010economic disadvantage (Index of Relative Socioeconomic Disadvantage) in hospital admissions (overall and by type) and use of MBS (overall and by type) and PBS services during the three years following diagnosis of invasive melanoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 13\u2009145 adults diagnosed with invasive melanoma during 2011\u201315 were alive three years after the diagnosis. Public hospital admissions were more frequent for people living in areas of greater socio\u2010economic disadvantage (concentration index, \u20130.15; 95% confidence interval [CI], \u20130.19 to \u20130.12) or outside major cities (concentration index, \u20130.10; 95% CI, \u20130.13 to \u20130.06); private hospital admissions (concentration index, 0.11; 95% CI, 0.07\u20130.15) and specialist consultations (concentration index, 0.08; 95% CI, 0.07\u20130.10) were more frequent in areas of lesser disadvantage and in major cities (private hospital admissions: 0.10; 95% CI, 0.06\u20130.13; specialist services: 0.07; 95% CI, 0.06\u20130.09). Differences in other melanoma health care service use by residential remoteness and socio\u2010economic disadvantage were not statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Variation in health care service use by Queenslanders with primary diagnoses of invasive melanoma by residential socio\u2010economic disadvantage and remoteness were generally minor. Our analysis suggests that access to health care for people with melanoma is fairly equitable in Queensland.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52122","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:58:44Z","timestamp":1697072324000},"page":"417-422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Health care service use by people diagnosed with invasive melanoma in Queensland: a benefit incidence analysis"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7471-3041","authenticated-orcid":false,"given":"Daniel","family":"Lindsay","sequence":"first","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane QLD"},{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2563-9559","authenticated-orcid":false,"given":"David C","family":"Whiteman","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane QLD"},{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4483-1888","authenticated-orcid":false,"given":"Catherine M","family":"Olsen","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane QLD"},{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3159-4249","authenticated-orcid":false,"given":"Louisa G","family":"Gordon","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane QLD"},{"name":"The University of Queensland  Brisbane QLD"},{"name":"Queensland University of Technology  Brisbane QLD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,9]]},"reference":[{"key":"e_1_2_8_1_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2022.0160"},{"key":"e_1_2_8_2_1","volume-title":"Skin cancer in Australia (AIHW Cat. no. 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