| How did the recent increase in the supply of coronary operations in Finland affect socioeconomic and gender equity in their use? | |
| | |
MedLine Citation:
|
PMID: 12594194 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY OBJECTIVE: To explore how the increased supply of coronary bypass operations and angioplasties from 1988 to 1996 influenced socioeconomic and gender equity in their use. DESIGN: Register 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. SETTING: Finland, 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 RESULTS: The 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. CONCLUSIONS: Although 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. |
| | |
Authors:
|
T Hetemaa; I Keskimäki; K Manderbacka; A H Leyland; S Koskinen |
Related Documents
:
|
16889154 - Diphtheroid infection of a total knee arthroplasty following femoral percutaneous trans... 8277094 - Qualitative and quantitative contrasts in the mechanisms of lumen enlargement by corona... 8035624 - "rescue" directional coronary atherectomy after unsuccessful percutaneous transluminal ... 6241384 - Seven years of coronary angioplasty. 11436204 - Comparative study of cardiac troponin i and t measurements in a routine extra-cardiolog... 2017984 - Coronary artery stenting after angioplasty with self-expanding parallel wire metallic s... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of epidemiology and community health Volume: 57 ISSN: 0143-005X ISO Abbreviation: J Epidemiol Community Health Publication Date: 2003 Mar |
Date Detail:
|
Created Date: 2003-02-20 Completed Date: 2003-05-15 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 7909766 Medline TA: J Epidemiol Community Health Country: England |
Other Details:
|
Languages: eng Pagination: 178-85 Citation Subset: IM |
Affiliation:
|
National Research and Development Centre for Welfare and Health (STAKES), Outcome and Equity Research, Helsinki, Finland. tiina.hetemaa@stakes.fi |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Distribution Aged Angioplasty, Transluminal, Percutaneous Coronary / economics, utilization* Coronary Artery Bypass / economics, utilization* Coronary Disease / epidemiology, surgery* Finland / epidemiology Health Services Accessibility / organization & administration, statistics & numerical data Humans Middle Aged Myocardial Revascularization / utilization Risk Assessment Risk Factors Sex Distribution Socioeconomic Factors |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A comprehensive "Healthy Schools Programme" to promote school health: the Hong Kong experience in jo...
Next Document: Choosing area based socioeconomic measures to monitor social inequalities in low birth weight and ch...