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Socioeconomic differences in case finding among general practices in England: analysis of secondary data.
- Source :
-
Journal of Health Services Research & Policy . Apr2012 Supplement, Vol. 17 Issue s2, p18-22. 5p. 5 Charts. - Publication Year :
- 2012
-
Abstract
- Objectives: To determine how levels of case finding differ between general practices in England by level of population socio-economic deprivation. Method: Observational analysis of data from the Quality and Outcome Framework in England for 2005/06. It covered 8339 primary care practices. Reported prevalence and estimated prevalence for coronary heart disease, chronic obstructive pulmonary disease, stroke and hypertension were compared. Results: The gap between estimated and reported prevalence increased with population deprivation and was higher among practices in more deprived areas (defined as Spearhead areas) for all four conditions after adjustment for practice level variables. Conclusions: There is some evidence of unmet need in areas of social deprivation. Existing financial incentives in the Quality and Outcome Framework may be insufficient to promote active case finding by practices serving deprived populations. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SURVEYS
*POVERTY areas
*COMPARATIVE studies
*CONFIDENCE intervals
*CORONARY disease
*FAMILY medicine
*HYPERTENSION
*OBSTRUCTIVE lung diseases
*MEDICAL needs assessment
*REGRESSION analysis
*RESEARCH funding
*STROKE
*MULTIPLE regression analysis
*SECONDARY analysis
*SOCIOECONOMIC factors
*HEALTH equity
*DISEASE prevalence
*PATIENT selection
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 13558196
- Volume :
- 17
- Issue :
- s2
- Database :
- Academic Search Index
- Journal :
- Journal of Health Services Research & Policy
- Publication Type :
- Academic Journal
- Accession number :
- 78123891
- Full Text :
- https://doi.org/10.1258/jhsrp.2012.011112