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Social deprivation and prevalence of chronic kidney disease in the UK: workload implications for primary care

journal contribution
posted on 12.06.2017 by Mohammad P. Hossain, Diane Palmer, Elizabeth C. Goyder, A. Meguid El Nahas
Background: The ‘inverse care law’ suggests that populations with the poorest health outcomes also tend to have poorer access to high-quality care. The new general practitioner (GP) contract in the UK aimed to reduce variations in care between areas by collecting information on processes and outcomes of chronic disease management. This study investigated whether, despite reductions in inequalities, primary care in deprived areas is still at a disadvantage due to the higher prevalence of chronic diseases, using chronic kidney disease (CKD) as an example.Methods: Initially, data from a hospital-based cohort of CKD patients were analysed to investigate the clustering of CKD patients across area-level deprivation using a geographical information system that employed kernel density estimation. Data from the Quality and Outcomes Framework were then analysed to explore the burden of CKD and associated non-communicable chronic diseases (NCD) and assess the potential impact on GPs' workload by area-level deprivation.Results: There was a significant clustering of CKD patients referred to the hospital in the most deprived areas. Both the prevalence of CKD and associated conditions and caseload per GP were significantly higher in deprived areas.Conclusion: In the most deprived areas, there is an increased burden of major chronic disease and a higher caseload for clinicians. These reflect significant differences in workload for practices in deprived areas, which needs to be addressed.

History

School

  • Mechanical, Electrical and Manufacturing Engineering

Published in

QJM: An International Journal of Medicine

Volume

105

Issue

2

Pages

167 - 175

Citation

HOSSAIN, M. ... et al., 2011. Social deprivation and prevalence of chronic kidney disease in the UK: workload implications for primary care. QJM, 105 (2), pp.167-175.

Publisher

Oxford University Press (© the authors)

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2011

ISSN

1460-2725

eISSN

1460-2393

Language

en

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