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PMID: 8019258 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Equity in the NHS. Monitoring and promoting equity in primary and secondary care.

BMJ (Clinical research ed.) ·Vol. 308 ·No. 6941 ·1994-05-28 ·Pages 1426-9

Majeed FA, Chaturvedi N, Reading R, Ben-Shlomo Y

Abstract

Although need is often assumed to be the most important factor in determining the use of health services, there are many inequities in the provision and use of NHS services in both primary and secondary care. For example, existing data from district child health information services have been combined with census data for small areas to show wide variations in immunisation rates between affluent and deprived areas. Purchasers of health care are already responsible for assessing health needs and evaluating services, and the process of monitoring equity is a logical extension of these activities. Routine data sources used to collect activity data in both primary and secondary care can be used to assess needs for care and monitor how well these needs are met. Purchasers and providers should collaborate to improve the usefulness of these routine data and to develop a framework for monitoring and promoting equity more systematically.

MeSH Terms
Age Factors Aged Child Health Services/standards Child, Preschool Ethnicity Female Health Services Accessibility Health Services Needs and Demand Hospitals, Public/standards Humans Male Outcome and Process Assessment, Health Care Poverty Areas Primary Health Care/standards Sex Factors Social Justice State Medicine/standards United Kingdom
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Majeed F A
Department of Public Health Sciences, St George's Hospital Medical School, London.
Chaturvedi N
Reading R
Ben-Shlomo Y
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40 references, click to expand
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Article Info
Journal
BMJ (Clinical research ed.)
Abbr.
BMJ
ISSN
0959-8138
DOI
10.1136/bmj.308.6941.1426
Published
1994-05-28
Pages
1426-9
Language
English
Region
England
NLM ID
8900488
PMCID
PMC2540364
Subset
IM
Grants
Wellcome Trust · United Kingdom
External Links
PubMed source DOI: 10.1136/bmj.308.6941.1426 PMC Full Text
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