Evidence map›Paper›PMID 35959941›Full record

ArticleAging & mental health

Social and spatial inequalities in healthcare use among people living with dementia in England (2002-2016).

James Watson, Mark A Green, Clarissa Giebel, Frances Darlington-Pollock, Asangaedem Akpan

Abstract read
In one paragraph

Article in Aging & mental health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. A new model to understand the complexity of inequalities in dementia.International journal for equity in health · 2024
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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

5 authors.

James WatsonSchool of Environmental Sciences, The University of Liverpool, Liverpool, United Kingdom.
Mark A GreenSchool of Environmental Sciences, The University of Liverpool, Liverpool, United Kingdom.
Clarissa GiebelDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0002-0746-0566
Frances Darlington-PollockDepartment of Sciences, University of York, York, United Kingdom.
Asangaedem AkpanDepartment of Medicine for Older People and Stroke, Liverpool University Hospitals NHS FT, Liverpool, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHealthcare services for people living with dementia (PLWD) are stretched, and government promises of increased funding remain undelivered. With the UK dementia population to surpass 1 million by 2024, and dementia care costs predicted to almost treble by 2040, it is essential we understand differences in healthcare use among PLWD. This study aimed to explore social and spatial variations in healthcare use among people diagnosed with dementia (2002-2016).

methodsData were derived from Electronic Health Records of Clinical Practice Research Datalink GP patients in England (

resultsThis study highlights numerous social and spatial variations in healthcare use among PLWD. Among PLWD, several groups tended to have healthcare service use more closely associated with negative outcomes, including a greater likelihood of A&E attendances and emergency and elective hospital admissions. These groups include: men, people from White ethnicity groups and people from more deprived and rural areas.

conclusionsSystemic and social measures are needed to reduce variations in healthcare use inequalities in PWLD. These include greater healthcare continuity, health checks and medicines reviews, culturally appropriate services, better and more accessible treatment and improved infrastructure.

Indexed as

Dementiainequalitiesprimary healthcareroutine datasecondary healthcaresocio-economicspatial

Identifiers

PMID35959941
PMCPMC9612936

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.