Geographic variation in invasive cardiac procedure rates in New South Wales, Australia.

Autor:	Weerasinghe, Daminda P., Yusuf, Farhat, Parr, Nicholas J.
Předmět:	SOCIODEMOGRAPHIC factors CORONARY artery bypass SMALL area statistics REGRESSION analysis MULTIVARIATE analysis
Zdroj:	Journal of Public Health (09431853); Jun2010, Vol. 18 Issue 3, p209-217, 9p, 5 Charts
Abstrakt:	This study explores the contribution of socio-demographic factors to the geographic variation in coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) procedure rates in New South Wales, Australia. With the utilisation of small area analysis and regression model techniques, the possible explanatory factors of the local government area (LGA) level variation in CABG and PCI rates in terms of coronary artery disease prevalence, supply and access to health-care services, socio-economic status and ethnic origin of the people were examined. Multivariate regression results show that distance to hospitals is negatively associated with LGA-specific CABG and PCI rates. The CABG rate is lower and PCI rate is higher in LGAs with higher percentages of European-born residents. Higher proportions of surgeries were recorded for relatively younger people in the lowest socio-economic LGAs. The focus should be on educating people in the lowest socio-economic LGAs in lifestyle management in order to minimise surgical interventions at a younger age. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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