1. Understanding variance in health outcomes in England : a study of deprivation and health inequality
- Author
-
Murphy, Jennifer, Elliot, Mark, Whittaker, William, and Ravindrarajah, Rathi
- Subjects
wellbeing ,access ,primary care ,deprivation ,health inequality ,COVID-19 - Abstract
In this thesis, I present a body of quantitative empirical work on the theme of deprivation and health, linking administrative and survey datasets to publicly available census data to provide insight into the factors affecting a range of health related outcomes. In the first paper, I investigate the impact of distance and deprivation on the uptake of extended hours services in Primary Care and conclude that there is evidence of geographical inequity in the service but that deprivation was not directly associated with rates of use. In the second paper, I analyse the trajectory of well-being over the course of the firstwave of the COVID-19 pandemic, and found that well-being decreased but bounced back in a similar way across all deciles of deprivation. In the third paper, I analyse the outcomes for hospitalised COVID patients in Greater Manchester during 2020 and conclude that there was a deprivation effect in risk of death but that the length of stay in hospital for any given patient was not associated with their level of deprivation. The work highlights that investigating health outcomes and inequalities therein is a complex and difficult task, and at the heart of this must be an understanding of what the researcher seeks to measure and how this relates to the lived experience of the study population.
- Published
- 2022