Associations between socioeconomic deprivation and pharmaceutical prescribing in primary care in England
| Autor: | Roger Yau, Farah Kidy, Jessica Mooney, Saran Shantikumar, SC Hillman, Andrew Evans, Haseeb Moiz, Daniel Todkill |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Inequality media_common.quotation_subject Psychological intervention Primary care 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Socioeconomic status Rank correlation media_common Primary Health Care business.industry Public health Health Status Disparities General Medicine Health equity Cross-Sectional Studies Pharmaceutical Preparations Socioeconomic Factors business RA Demography |
| Zdroj: | Postgraduate Medical Journal. 98:193-198 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2020-138944 |
| Popis: | Background Socioeconomic deprivation is associated with health inequality. Previous studies have described associations between primary care prescribing rates and deprivation for individual drugs or drug classes. We explore the correlation between socioeconomic deprivation and the rate of prescribing of individual pharmaceutical drugs, and drug classes, in primary care in England, to identify prescribing inequalities that would require further investigation. Methods In this cross-sectional study, national primary care prescribing data, by primary care practice, were retrieved for the calendar year 2019 in England. Socioeconomic deprivation was quantified using the Index of Multiple Deprivation (IMD) score. Correlations were calculated using Spearman's rank correlation coefficient (ρ), adjusting for practice list size and demographics, with a Bonferroni-corrected p value threshold of 5×10−5. Results We included 1.05 billion prescription items dispensed from 6896 England practices. 142/206 (69%) drug classes and 505/774 (65%) drugs were significantly correlated with IMD score (p0.4). Only one was moderately negatively correlated with IMD score (ρ Conclusion We identify novel associations of prescribing with deprivation. Further work is required to identify the underlying reasons for these associations so that appropriate interventions can be formulated to address drivers of inequality. |
| Databáze: | OpenAIRE |
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