ArticleJournal of epidemiology and community health2003
How did the recent increase in the supply of coronary operations in Finland affect socioeconomic and gender equity in their use?
Article in Journal of epidemiology and community health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 57 citations in OpenAlex.
- Trial
- Socioeconomic status, cardiac risk factors, and cardiovascular disease: A novel approach to determination of this association.ARYA atherosclerosis · 2019Article
- Article
- Trends of relative and absolute socioeconomic equity in access to coronary revascularisations in 1995-2010 in Finland: a register study.International journal for equity in health · 2017Article
- Article
- Hospital admissions for severe mental illness in England: changes in equity of utilisation at the small area level between 2006 and 2010.Social science & medicine (1982) · 2014Article
- Socioeconomic differences in mortality amenable to health care among Finnish adults 1992-2003: 12 year follow up using individual level linked population register data.BMC health services research · 2013Article
- Pathways leading to coronary revascularisation among patients with diabetes in Finland: a longitudinal register-based study.BMC health services research · 2011Article
- Change and persistence in healthcare inequities: access to elective surgery in Finland in 1992--2003.Scandinavian journal of public health · 2009Article
- Sex differences in use of interventional cardiology persist after risk adjustment.Journal of epidemiology and community health · 2009Article
- Equity in the use of antithrombotic drugs, beta-blockers and statins among Finnish coronary patients.International journal for equity in health · 2008Article
- Sociodemographic, disease status, and illness perceptions predictors of global self-ratings of health and quality of life among those with coronary heart disease--one year follow-up study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2006Article
- Are there socioeconomic differences in myocardial infarction event rates and fatality among patients with angina pectoris?Journal of epidemiology and community health · 2006Article
- Associations of area based deprivation status and individual educational attainment with incidence, treatment, and prognosis of first coronary event in Rome, Italy.Journal of epidemiology and community health · 2006Article
- Inequalities in coronary revascularisation during the 1990s: evidence from the British regional heart study.Heart (British Cardiac Society) · 2005Article
- Gender equity and trichiasis surgery in the Vietnam and Tanzania national trachoma control programmes.The British journal of ophthalmology · 2004Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveTo explore how the increased supply of coronary bypass operations and angioplasties from 1988 to 1996 influenced socioeconomic and gender equity in their use.
designRegister based linkage study; information on coronary procedures from the Finnish Hospital Discharge Register in 1988 and 1996 was individually linked to national population censuses in 1970-1995 to obtain patients' socioeconomic data. Data on both hospitalisations and mortality attributable to coronary heart disease obtained from similar linkage schemes were used to approximate the relative need of procedures in socioeconomic groups.
settingFinland, 2,094,846 inhabitants in 1988 and 2,401,027 in 1996 aged 40 years and older, and Discharge Register data from all Finnish hospitals offering coronary procedures in 1988 and 1996. MAIN
resultsThe overall rate of coronary revascularisations in Finland increased by about 140% for men and 250% for women from 1988 to 1996. Over the same period, socioeconomic and gender disparities in operation rates diminished, as did the influence of regional supply of procedures on the extent of these differences. However, men, and better off groups in terms of occupation, education, and family income, continued to receive more operations than women and the worse off with the same level of need.
conclusionsAlthough revascularisations in Finland increased 2.5-fold overall, some socioeconomic and gender inequities persisted in the use of cardiac operations relative to need. To improve equity, a further increase of resources may be needed, and practices taking socioeconomic and gender equity into account should be developed for the referral of coronary heart disease patients to hospital investigations.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.