ArticleJournal of epidemiology and community health1995
Assessing equity in access to health care provision in the UK: does where you live affect your chances of getting a coronary artery bypass graft?
Article in Journal of epidemiology and community health, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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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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Who cites it
21 citing papers in PubMed.
- Equity in healthcare for coronary heart disease, Wales (UK) 2004-2010: A population-based electronic cohort study.PloS one · 2017Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- Location of residence associated with the likelihood of patient visit to the preoperative assessment clinic.BMC health services research · 2006Article
- Inequalities in coronary revascularisation during the 1990s: evidence from the British regional heart study.Heart (British Cardiac Society) · 2005Article
- Does access to cardiac investigation and treatment contribute to social and ethnic differences in coronary heart disease? Whitehall II prospective cohort study.BMJ (Clinical research ed.) · 2004Article
- An alternative approach to quantifying and addressing inequity in healthcare provision: access to surgery for lung cancer in the east of England.Journal of epidemiology and community health · 2004Article
- Socioeconomic deprivation is a predictor of poor postoperative cardiovascular outcomes in patients undergoing coronary artery bypass grafting.Heart (British Cardiac Society) · 2003Article
- NHS waiting lists and evidence of national or local failure: analysis of health service data.BMJ (Clinical research ed.) · 2003Article
- Symptom expectations and delay in acute myocardial infarction patients.Heart (British Cardiac Society) · 2001Article
- Elevated concentrations of macrophage colony stimulating factor predict worse in-hospital prognosis in unstable angina.Heart (British Cardiac Society) · 2001Article
- Use of cardiac rehabilitation among patients following coronary artery bypass surgery.Heart (British Cardiac Society) · 2001Article
- Inequalities in access to coronary angiography and revascularisation: the association of deprivation and location of primary care services.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Effect of socioeconomic deprivation on waiting time for cardiac surgery: retrospective cohort study.BMJ (Clinical research ed.) · 2000Article
- Variation in the provision of chemotherapy for colorectal cancer.Journal of epidemiology and community health · 1999Article
- Does increased investment in coronary angiography and revascularisation reduce socioeconomic inequalities in utilisation?Journal of epidemiology and community health · 1999Article
- Barriers to referral in patients with angina: qualitative study.BMJ (Clinical research ed.) · 1999Article
- Postcodes as useful markers of social class: population based study in 26 000 British households.BMJ (Clinical research ed.) · 1999Article
- Super Profile analysis of socioeconomic variations in coronary investigation and revascularisation rates.Journal of epidemiology and community health · 1998Article
- Expectations of health care: promoted, managed or shared?Health expectations : an international journal of public participation in health care and health policy · 1998Article
- Cigarette smoking in British men and selection for coronary artery bypass surgery.Heart (British Cardiac Society) · 1996Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
STUDY
objectivesEquity should be monitored routinely for all health care services, but ideal studies for each service would be prohibitively expensive and time consuming. A simple, quick, and cheap method for the preliminary exploration of equity in health care provision using routine data was devised. This method was illustrated by examining whether coronary artery bypass graft (CABG) operations reflect socioeconomic differences in ischaemic heart disease (IHD) mortality.
designEcological comparison of operation rates was undertaken for CABG for 1991 and IHD mortality for 1981-85 by quartiles of Townsend deprivation score.
settingNorth East Thames Regional Health Authority, London, UK. SUBJECTS: All residents of this region aged 35-74 were the denominator population. Numerators were 26,834 IHD deaths and 1041 CABG operations for the defined time periods. MAIN
resultsIHD mortality showed a steady, significant increase with increasing area deprivation scores for both men and women. CABG rate ratios increased linearly for women, while for men there was a U shaped pattern, being lowest for the second and third quartiles. This pattern was attenuated, but not abolished, when adjusted for geographical proximity to cardiothoracic surgical units. The ratio of CABG operations to IHD mortality by deprivation was relatively constant in women suggesting equitable provision. In men, this ratio was significantly lower for the third quartile.
conclusionsInequities may exist in the provision of CABG operations for men in this region and this finding should be the stimulus for further detailed studies. Other health care systems should also examine equity in provision.
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