NHS Scotland reduces the postcode lottery for hip arthroplasty: an ecological study of the impact of waiting time initiatives | Zendy

Graham Kirkwood | Zendy; Allyson M Pollock | Zendy; C. R. Howie | Zendy; Philipp S. Wild | Zendy

Open Access

NHS Scotland reduces the postcode lottery for hip arthroplasty: an ecological study of the impact of waiting time initiatives

Author(s) -

Graham Kirkwood,

Allyson M Pollock,

C. R. Howie,

Philipp S. Wild

Publication year - 2014

Publication title -

journal of the royal society of medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.38

H-Index - 81

eISSN - 1758-1095

pISSN - 0141-0768

DOI - 10.1177/0141076814523950

Subject(s) - medicine , poisson regression , rate ratio , inequality , lottery , socioeconomic status , government (linguistics) , demography , hip arthroplasty , arthroplasty , geography , environmental health , surgery , population , economics , sociology , mathematical analysis , linguistics , philosophy , mathematics , microeconomics

Following the election of the Labour government in 1997, policies were developed in England to reduce waiting times for NHS treatment with commitments to reduce health inequalities. Similar policies were adopted in Scotland but with less emphasis on the use of the private sector to deliver NHS treatments than in England. This study uses routinely collected NHS Scotland data to analyse geographical and socioeconomic inequalities in elective hip arthroplasty treatment before and after the introduction of the waiting time initiatives in Scotland in 2003.

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