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Centre for Policy on Ageing | |
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Urban-rural differences in total hip replacements
— the next stage | | Author(s) | C E Willis, F Kee, D Beverland |
| Journal title | Journal of Public Health Medicine, vol 22, no 3, September 2000 |
| Pages | pp 435-438 |
| Keywords | Orthopaedics ; Urban areas ; Rural areas ; Needs [elderly] ; Australasia. |
| Annotation | This study aimed to explore differences in the incidence of primary elective total hip replacements between urban and rural communities and by age and sex in Northern Ireland, and to use this information to develop an equitable method for the allocation of surgical capacity among groups of general practices, in a system where referrals are matched to the contracted capacity. A retrospective review was performed of all 4147 such cases between 1 April 1994 and 31 March 1997. Incidence rates were calculated using direct standardisation. The age and sex standardised incidence of primary elective total hip replacement for the total population was 87.6 per 100,000. The incidence was significantly greater in rural populations (101.3 per 100,000) than in urban ones (77.6 per 100,000). The overall standardised ratio of males to females was 1:1, although it was 1:1.2 in urban areas and 1:0.9 in rural areas. Using a 3-year commissioning cycle, commissioning for a population of 130,000 allows a 10% margin of error of the numbers of procedures required. This system allowed a method of commissioning to be instituted that could significantly reduce in-patient waiting lists for this procedure. (RH). |
| Accession Number | CPA-001120204 A |
| Classmark | LKB: RK: RL: IK: 7Y |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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