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Are restrictive NHS contracts of benefit in addressing health inequalities? An ecological evaluation of their value in the North East of England.

Abstract：

AIM:To determine if restrictive NHS contracts are of benefit in addressing health inequalities in oral health, by using an ecological approach based upon an area measure of material deprivation. METHODS:Postcodes of patients seen under all the restrictive contracts (49) within the North East of England were identified and matched to lower super output areas. The deprivation scores were identified for each area using the Index of Multiple Deprivation 2007. The proportion of patients within each area was calculated and divided into deciles for England, from the most to the least deprived areas. RESULTS:33,341 postcodes were identifiable from datasets supplied for the study in the North East; a further 4% were invalid. There was inequity in the distribution of patients, with proportionately more patients from the least deprived deciles and less patients from the more deprived deciles seen under the contracts. However, many thousands of patients identified lived in the most deprived areas. CONCLUSIONS:Restrictive contracts may be of benefit in addressing health inequalities. PCTs need to carefully consider the impact of ending restrictive contracts on their local populations.

journal_name

Br Dent J

journal_title

British dental journal

authors

Landes DP,Jardine C

doi

10.1038/sj.bdj.2009.857

subject

Has Abstract

pub_date

2009-10-24 00:00:00

pages

E16; discussion p.368

issue

8

eissn

0007-0610

issn

1476-5373

pii

sj.bdj.2009.857

journal_volume

207

pub_type

杂志文章

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