| Influence of practices' ethnicity and deprivation on access to angiography: an ecological study. | |
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MedLine Citation:
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PMID: 15186562 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Coronary heart disease is more common among some ethnic minority groups (particularly people from the Indian sub-continent living in Europe and North America) and in socially deprived populations. Hospital studies in the United Kingdom (UK) suggest that these groups have less access to treatment for coronary heart disease. Studies from primary care have found reduced access to angiography for lower social class groups, but there are no studies on the ethnicity of primary care populations in relation to angiography. AIMS: To determine the influence of ethnicity and social deprivation in primary care on access to coronary angiography. DESIGN OF STUDY: Ecological study measuring general practices' ethnicity, socioeconomic status, and nitrate prescribing rates with angiography rates. SETTING: General practices (n = 143) in East London, UK. METHOD: Ecological study measuring the proportion of general practice populations with South Asian ethnicity and high social deprivation score (Carstairs). Nitrate prescriptions and admissions for myocardial infarction per 1000 population per year were used as measures of need. Distance from the tertiary centre was used as a measure of supply. The outcome measure was coronary angiography procedures data (n = 869) collected in the context of the appropriateness of coronary revascularisation study. RESULTS: Practices with a higher proportion of South Asian patients had higher rates of angiography after adjustment for age, distance, deprivation, nitrate prescribing and myocardial infarction admissions (regression coefficient B = 0.02, 95% confidence interval [CI] = 0.01 to 0.03, P<0.001). There was no association between deprivation and angiography (regression coefficient B = -0.41, 95% CI = -0.13 to 0.05, P = 0.393). CONCLUSION: General practices with a higher proportion of South Asian patients had higher rates of angiography, challenging the widely held belief that access may be inequitable. Deprivation shows no relationship with angiography in this study. |
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Authors:
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Melvyn Jones; Jean Ramsay; Gene Feder; Angela M Crook; Harry Hemingway |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The British journal of general practice : the journal of the Royal College of General Practitioners Volume: 54 ISSN: 0960-1643 ISO Abbreviation: Br J Gen Pract Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-06-09 Completed Date: 2004-10-14 Revised Date: 2013-04-11 |
Medline Journal Info:
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Nlm Unique ID: 9005323 Medline TA: Br J Gen Pract Country: England |
Other Details:
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Languages: eng Pagination: 423-8 Citation Subset: IM |
Affiliation:
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Department of Primary Care and Population Sciences, Royal Free and UC Medical Schools, London. m.jones@pcps.ucl.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Angiography
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utilization* Coronary Disease / ethnology, radiography* Ethnic Groups / statistics & numerical data* Family Practice / statistics & numerical data Health Services Accessibility* Humans |
| Comments/Corrections | |
Comment In:
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Br J Gen Pract. 2004 Jun;54(503):411-2
[PMID:
15186558
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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