Evidence map›Paper›PMID 32709641›Full record

ArticleBMJ open2020

Interventions to reduce inequalities in avoidable hospital admissions: explanatory framework and systematic review protocol.

Sarah Sowden, Behrouz Nezafat-Maldonado, Josephine Wildman, Richard Cookson, Richard Thomson, Mark Lambert, Fiona Beyer, Clare Bambra

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah SowdenPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK sarah.sowden@newcastle.ac.uk.ORCID 0000-0001-9359-3463
Behrouz Nezafat-MaldonadoPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Josephine WildmanPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Richard CooksonCentre for Health Economics, University of York, York, North Yorkshire, UK.
Richard ThomsonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Mark LambertNorth East Centre, Public Health England, Newcastle upon Tyne, UK.
Fiona BeyerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Clare BambraPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

Funding

Department of Health ICA-CL-2018-04-ST2-010Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

introductionInternationally there is pressure to contain costs due to rising numbers of hospital admissions. Alongside age, socioeconomic disadvantage is the strongest risk factor for avoidable hospital admission. This equity-focussed systematic review is required for policymakers to understand what has been shown to work to reduce inequalities in hospital admissions, what does not work and where the current gaps in the evidence-base are. METHODS AND ANALYSIS: An initial framework shows how interventions are hypothesised to reduce socioeconomic inequalities in avoidable hospital admissions. Studies will be included if the intervention focusses exclusively on socioeconomically disadvantaged populations or if the study reports differential effects by socioeconomic status (education, income, occupation, social class, deprivation, poverty or an area-based proxy for deprivation derived from place of residence) with respect to hospital admission or readmission (overall or condition-specific for those classified as ambulatory care sensitive). Studies involving individuals of any age, undertaken in OECD (Organisation for Economic Co-operation and Development) countries, published from 2000 to 29 ETHICS AND DISSEMINATION: Ethical approval was not required for this protocol. The research will be disseminated via peer-reviewed publication, conferences and an open-access policy-orientated paper. PROSPERO REGISTRATION NUMBER: CRD42019153666.

Indexed as

Healthcare DisparitiesHumansPatient AdmissionRisk FactorsSocioeconomic FactorsSystematic Reviews as Topicaccident & emergency medicinehealth policyorganisation of health servicespreventive medicinepublic healthquality in health care

Identifiers

PMID32709641
PMCPMC7380849

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.