ArticleOpen respiratory archives
Unequal Access, Unequal Outcomes: Analyzing Chronic Obstructive Pulmonary Disease Hospital Admissions Across Clinical Commissioning Groups.
Article in Open respiratory archives. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
1 author.
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Abstract
Chronic obstructive pulmonary disease (COPD) remains a major cause of hospitalisation and mortality in England, with outcomes differing widely across Clinical Commissioning Groups (CCGs). This short communication highlights regional variation in COPD emergency admissions and 30 day readmission patterns using figures from the 2nd Atlas of Variation in Risk Factors and Healthcare for Respiratory Disease by Public Health England. Northern regions show higher rates than southern regions, reflecting variation in access to primary care, respiratory specialists, and pulmonary rehabilitation. These patterns indicate that supply sensitive factors contribute significantly to unequal outcomes. Reducing avoidable hospitalisations will require fairer resource allocation, earlier community based management, and stronger coordination between hospital and primary care services.
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