Deprivation, demography, and the distribution of general practice: challenging the conventional wisdom of inverse care

被引:23
作者
Asthana, Sheena [1 ]
Gibson, Alex [1 ]
机构
[1] Univ Plymouth, Sch Law & Social Sci, Plymouth PL4 8AA, Devon, England
关键词
D O I
10.3399/bjgp08X342372
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
It is generally believed that the most deprived populations have the worst access to primary care. Lord Darzi's review of the NHS responds to this conventional wisdom and makes a number of proposals for improving the supply of GP services in deprived communities. This paper argues that these proposals are based on an incomplete understanding of inverse care which underestimates the degree to which, relative to their healthcare needs, older populations experience low availability of primary care. Many deprived practices appear to have a better match between need and supply than practices serving affluent but ageing populations. However, practices serving the oldest and most deprived populations have the worst availability of all.
引用
收藏
页码:720 / +
页数:8
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