{"id":"https://openalex.org/W2154890576","doi":"https://doi.org/10.1136/jech.53.9.572","title":"Does increased investment in coronary angiography and revascularisation reduce socioeconomic inequalities in utilisation?","display_name":"Does increased investment in coronary angiography and revascularisation reduce socioeconomic inequalities in utilisation?","publication_year":1999,"publication_date":"1999-09-01","ids":{"openalex":"https://openalex.org/W2154890576","doi":"https://doi.org/10.1136/jech.53.9.572","mag":"2154890576","pmid":"https://pubmed.ncbi.nlm.nih.gov/10562882","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1756968"},"language":"en","primary_location":{"id":"doi:10.1136/jech.53.9.572","doi":"https://doi.org/10.1136/jech.53.9.572","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jech.53.9.572","pdf_url":"https://jech.bmj.com/content/jech/53/9/572.full.pdf","source":{"id":"https://openalex.org/S156988948","display_name":"Journal of Epidemiology & Community Health","issn_l":"0141-7681","issn":["0141-7681","0142-467X","0143-005X","1470-2738"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Epidemiology and Community Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://jech.bmj.com/content/jech/53/9/572.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052608247","display_name":"C. J. Manson-Siddle","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C J Manson-Siddle","raw_affiliation_strings":["South Humber Health Authority, Brigg, North Lincolnshire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"South Humber Health Authority, Brigg, North Lincolnshire","institution_ids":[]}]},{"author_position":"last","author":{"id":null,"display_name":"M B Robinson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M B Robinson","raw_affiliation_strings":["South Humber Health Authority, Brigg, North Lincolnshire"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"South Humber Health Authority, Brigg, North Lincolnshire","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4814,"has_fulltext":true,"cited_by_count":22,"citation_normalized_percentile":{"value":0.7030781,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"53","issue":"9","first_page":"572","last_page":"577"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.5776000022888184,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.5776000022888184,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.21780000627040863,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14212","display_name":"Health Promotion and Cardiovascular Prevention","score":0.051100000739097595,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coronary-angiography","display_name":"coronary angiography","score":0.8650000095367432},{"id":"https://openalex.org/keywords/coronary-revascularization","display_name":"coronary revascularization","score":0.9419999718666077},{"id":"https://openalex.org/keywords/socioeconomic-inequality","display_name":"socioeconomic disparities","score":0.7160000205039978},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.6809999942779541},{"id":"https://openalex.org/keywords/ischemic-heart-disease","display_name":"ischemic heart disease","score":0.902999997138977},{"id":"https://openalex.org/keywords/health-care-resource-allocation","display_name":"healthcare resource allocation","score":0.7490000128746033},{"id":"https://openalex.org/keywords/coronary-artery-bypass-grafting","display_name":"coronary artery bypass grafting","score":0.9520000219345093},{"id":"https://openalex.org/keywords/percutaneous-transluminal-coronary-angioplasty","display_name":"percutaneous transluminal coronary angioplasty","score":0.9950000047683716},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.4230000078678131},{"id":"https://openalex.org/keywords/standardized-mortality-ratio","display_name":"standardized mortality ratio","score":0.640999972820282}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9369882345199585},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.6076561212539673},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.5207850337028503},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.4949480891227722},{"id":"https://openalex.org/C2781274984","wikidata":"https://www.wikidata.org/wiki/Q3559674","display_name":"Interventional cardiology","level":2,"score":0.4706258773803711},{"id":"https://openalex.org/C2780400711","wikidata":"https://www.wikidata.org/wiki/Q2008344","display_name":"Percutaneous coronary intervention","level":3,"score":0.44751524925231934},{"id":"https://openalex.org/C2780326628","wikidata":"https://www.wikidata.org/wiki/Q539795","display_name":"Angioplasty","level":2,"score":0.4465031921863556},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.43410351872444153},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.42034652829170227},{"id":"https://openalex.org/C2777385415","wikidata":"https://www.wikidata.org/wiki/Q1615191","display_name":"Cardiac catheterization","level":2,"score":0.4106501340866089},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.34999018907546997},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.298639178276062},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.2367858588695526},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.21711665391921997},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.16952776908874512},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008019","descriptor_name":"Life Style","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009204","descriptor_name":"Myocardial Revascularization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012923","descriptor_name":"Social Class","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016507","descriptor_name":"Cardiology Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D017023","descriptor_name":"Coronary Angiography","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1136/jech.53.9.572","doi":"https://doi.org/10.1136/jech.53.9.572","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jech.53.9.572","pdf_url":"https://jech.bmj.com/content/jech/53/9/572.full.pdf","source":{"id":"https://openalex.org/S156988948","display_name":"Journal of Epidemiology & Community Health","issn_l":"0141-7681","issn":["0141-7681","0142-467X","0143-005X","1470-2738"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Epidemiology and Community Health","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:1659577","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1756968","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1756968","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1756968","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Epidemiol Community Health","raw_type":"Text"},{"id":"pmid:10562882","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10562882","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of epidemiology and community health","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1136/jech.53.9.572","doi":"https://doi.org/10.1136/jech.53.9.572","is_oa":true,"landing_page_url":"https://doi.org/10.1136/jech.53.9.572","pdf_url":"https://jech.bmj.com/content/jech/53/9/572.full.pdf","source":{"id":"https://openalex.org/S156988948","display_name":"Journal of Epidemiology & Community Health","issn_l":"0141-7681","issn":["0141-7681","0142-467X","0143-005X","1470-2738"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Epidemiology and Community Health","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2154890576.pdf","grobid_xml":"https://content.openalex.org/works/W2154890576.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1850718688","https://openalex.org/W1968311308","https://openalex.org/W1968457754","https://openalex.org/W1973147604","https://openalex.org/W2003034381","https://openalex.org/W2012427119","https://openalex.org/W2022863406","https://openalex.org/W2028159373","https://openalex.org/W2049995357","https://openalex.org/W2056892344","https://openalex.org/W2059817605","https://openalex.org/W2063215978","https://openalex.org/W2069669527","https://openalex.org/W2107999364","https://openalex.org/W2123222537","https://openalex.org/W2125730125","https://openalex.org/W2350997991","https://openalex.org/W2405516269","https://openalex.org/W7047782228"],"related_works":["https://openalex.org/W2123222537","https://openalex.org/W2587562290","https://openalex.org/W2129574269","https://openalex.org/W2138744274","https://openalex.org/W2991646666","https://openalex.org/W2591459271","https://openalex.org/W3006794588","https://openalex.org/W2586181727","https://openalex.org/W1968311308","https://openalex.org/W2089461001"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"investigate":[2],"whether":[3],"additional":[4,247,274,302],"resources":[5,60,303,365],"for":[6,49,65,78,223,280,292,304,338],"tertiary":[7,239,305],"cardiology":[8,213,240,306],"services,":[9],"aimed":[10],"at":[11,235,318],"increasing":[12],"coronary":[13,128,135],"angiography":[14,234],"and":[15,37,71,89,150,159,228,265],"revascularisation":[16,151,270,331],"rates,":[17,152],"can":[18],"improve":[19],"socioeconomic":[20,283,310,326],"equity":[21,54,291,327,371],"of":[22,34,53,58,95,112,199,328,330],"utilisation.":[23],"DESIGN:":[24],"Cross":[25],"sectional":[26],"ecological":[27],"study,":[28],"using":[29,63,76],"the":[30,56,72,96,101,168,183,187,196,200,215,225,229,278,319,367],"Super":[31,178],"Profile":[32,179],"classification":[33],"enumeration":[35],"districts":[36,166],"ischaemic":[38],"heart":[39],"disease":[40],"(IHD)":[41],"standardised":[42],"mortality":[43],"ratios":[44],"(SMR)":[45],"as":[46,137],"a":[47,93,109,138,174,190,205,236,266,345],"proxy":[48],"need.":[50],"The":[51],"degree":[52],"before":[55,100,145],"provision":[57],"extra":[59],"was":[61,173],"determined":[62],"data":[64,77,337],"April":[66,79,102,339],"1992":[67],"to":[68,81,186,232,341,362,366,369],"March":[69,82,342],"1994,":[70],"corresponding":[73],"picture":[74],"after,":[75],"1994":[80],"1996.":[83],"SETTING:":[84],"South":[85],"Humberside":[86],"(United":[87],"Health-Grimsby":[88],"Scunthorpe":[90,160,216,230],"Health":[91],"Authority,":[92],"district":[94,161,217,238,256],"former":[97],"Yorkshire":[98,169],"Region,":[99],"1996":[103,340],"boundary":[104],"changes).":[105],"SUBJECTS:":[106],"Patients":[107],"with":[108,163,209,245],"primary":[110,139],"diagnosis":[111],"IHD":[113],"aged":[114],">":[115],"or":[116,125,132],"=":[117],"25":[118],"years":[119],"who":[120],"underwent":[121],"investigation":[122,149,264],"by":[123,127],"angiography,":[124,313],"treatment":[126],"artery":[129],"bypass":[130],"grafting":[131],"percutaneous":[133],"transluminal":[134],"angioplasty,":[136],"procedure.":[140],"MAIN":[141],"RESULTS:":[142],"In":[143],"1992/4,":[144],"concerted":[146],"intervention,":[147],"both":[148,224],"although":[153,289,336],"increasing,":[154],"were":[155],"low":[156],"in":[157,167,193,212,214,220,242,251,254,263,269,312,325,372],"Grimsby":[158,226],"compared":[162],"most":[164],"other":[165],"Region.":[170],"Also,":[171,272],"there":[172],"decreasing":[175],"trend":[176,279],"across":[177,282],"Lifestyle":[180],"groups":[181,284],"from":[182],"Affluent":[184],"Achievers":[185],"Have-Nots":[188],"despite":[189],"two-fold":[191],"increase":[192,262,268,370],"SMRs":[194],"indicating":[195],"greater":[197],"need":[198],"more":[201,287,321],"deprived.":[202],"After":[203],"appointing":[204],"consultant":[206],"general":[207,218],"physician":[208,227,231],"an":[210],"interest":[211],"hospital":[219],"1994;":[221],"arranging":[222],"undertake":[233],"neighbouring":[237],"centre":[241],"1995;":[243],"together":[244],"significant":[246],"health":[248],"authority":[249],"investment":[250],"cardiac":[252],"procedures":[253],"1995/6,":[255],"rates":[257],"increased":[258,290],"considerably,":[259],"(a":[260],"41%":[261],"47%":[267],"rates).":[271],"after":[273],"resource":[275],"input":[276],"began,":[277],"angiographies":[281],"clearly":[285],"became":[286],"equitable,":[288],"revascularisations":[293],"is":[294,332],"less":[295],"apparent.":[296],"CONCLUSION:":[297],"Early":[298],"indications":[299],"are":[300],"that":[301],"may":[307,349],"have":[308],"reduced":[309],"inequities":[311],"without":[314],"being":[315],"specifically":[316,363],"targeted":[317],"needier,":[320],"deprived":[322,368],"groups.":[323],"Improvement":[324],"utilisation":[329],"not":[333,355],"yet":[334],"clear,":[335],"1998":[343],"(after":[344],"lengthier":[346],"intervention":[347],"period)":[348],"confirm":[350],"improved":[351],"equity.":[352],"Should":[353],"this":[354],"be":[356,360],"so,":[357],"it":[358],"might":[359],"necessary":[361],"target":[364],"revascularisation.":[373]},"counts_by_year":[{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}