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Are the economically active more deserving?

B Gaffney1, F Kee

  • 1Department of Public Health Medicine, Eastern Health and Social Services Board, Belfast.

British Heart Journal
|April 1, 1995
PubMed
Summary
This summary is machine-generated.

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Economically inactive patients waited twice as long for coronary angiography compared to active patients. This suggests non-clinical factors may influence doctors' decisions on revascularisation assessment for angina.

Area of Science:

  • Cardiology
  • Health Services Research

Background:

  • Coronary angiography is a key diagnostic tool for assessing coronary artery disease.
  • Timely intervention is crucial for managing angina and preventing adverse cardiac events.

Purpose of the Study:

  • To explore the relationship between the duration of medical management before coronary angiography and patient demographics.
  • To identify non-clinical factors influencing referral decisions for revascularisation assessment.

Main Methods:

  • Systematic review of a random sample of 500 patients undergoing their first coronary angiography.
  • Analysis adjusted for clinical case mix and demographic variables.

Main Results:

  • After adjustment, economically inactive patients had a mean medical management duration twice as long as economically active patients.
Keywords:
Empirical ApproachHealth Care and Public Health

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  • Multiple regression analysis confirmed a significant association (beta = 0.44, P < 0.0001).

    • Conclusions:

    • Non-clinical factors, such as economic activity status, may influence physician decisions regarding revascularisation assessment for angina.
    • These findings highlight potential inequities in access to timely cardiac interventions.