Equal access, (Un)equal uptake: a longitudinal study of cataract surgery uptake in older people in England
Uptake of cataract removal is a function of the effectiveness of the healthcare delivery services: services that are inaccessible, inappropriate, or unaffordable will not be utilised by (sub)populations, who consequently live with untreated cataracts. The aim of the study was to identify the relatio...
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| Veröffentlicht in: | BMC health services research 2014-09, Vol.14 (1), p.447-447, Article 447 |
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| creator | Whillans, Jennifer Nazroo, James |
| description | Uptake of cataract removal is a function of the effectiveness of the healthcare delivery services: services that are inaccessible, inappropriate, or unaffordable will not be utilised by (sub)populations, who consequently live with untreated cataracts. The aim of the study was to identify the relationship between individual wealth inequalities and uptake of cataract surgery in England, having controlled for the effects of potentially confounding variables.
The final sample comprised of 2091 respondents from the English Longitudinal Study on Ageing (ELSA) who were diagnosed with cataracts prior to or during the study, aged 50 and over at wave 1, who had not undergone cataract surgery prior to the first survey observation, and had also provided a response in the second wave of the study. The uptake of cataract surgery was measured using the question, have you ever had cataract surgery? Data from waves 1-5 were used to identify those having received treatment during the 8-year observation window of ELSA. Survival analysis techniques were used.
Having controlled for the effects of potentially confounding variables, wealth did not make a statistically significant contribution to the overall fit of the Cox proportional hazard model nor were individual parameters statistically significant. Thus, respondents' socioeconomic position was not found to be a significant predictor in the uptake of cataract surgery in the UK. Receiving a recommendation from a medical professional was a key driving factors in the uptake of cataract surgery.
Study findings suggest that uptake of cataract surgery among over 50s with a cataracts diagnosis in England do not discriminate on the grounds of individuals' material social position (wealth). |
| doi_str_mv | 10.1186/1472-6963-14-447 |
| format | Article |
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The final sample comprised of 2091 respondents from the English Longitudinal Study on Ageing (ELSA) who were diagnosed with cataracts prior to or during the study, aged 50 and over at wave 1, who had not undergone cataract surgery prior to the first survey observation, and had also provided a response in the second wave of the study. The uptake of cataract surgery was measured using the question, have you ever had cataract surgery? Data from waves 1-5 were used to identify those having received treatment during the 8-year observation window of ELSA. Survival analysis techniques were used.
Having controlled for the effects of potentially confounding variables, wealth did not make a statistically significant contribution to the overall fit of the Cox proportional hazard model nor were individual parameters statistically significant. Thus, respondents' socioeconomic position was not found to be a significant predictor in the uptake of cataract surgery in the UK. Receiving a recommendation from a medical professional was a key driving factors in the uptake of cataract surgery.
Study findings suggest that uptake of cataract surgery among over 50s with a cataracts diagnosis in England do not discriminate on the grounds of individuals' material social position (wealth).</description><identifier>ISSN: 1472-6963</identifier><identifier>EISSN: 1472-6963</identifier><identifier>DOI: 10.1186/1472-6963-14-447</identifier><identifier>PMID: 25269521</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Age ; Aged ; Analysis ; Care and treatment ; Cataract ; Cataract Extraction ; Cataracts ; Data collection ; England ; Eye surgery ; Female ; Health aspects ; Health care ; Health care industry ; Health services ; Health Services Accessibility ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Older people ; Patient Acceptance of Health Care ; Socioeconomic factors ; Surgery ; Survival analysis ; Treatment Outcome ; Visual impairment</subject><ispartof>BMC health services research, 2014-09, Vol.14 (1), p.447-447, Article 447</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Whillans and Nazroo; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Whillans and Nazroo; licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b551t-87e87ec59ef6a53584dff76947e46f1329606403a945ed348ad2a5727eabf7333</citedby><cites>FETCH-LOGICAL-b551t-87e87ec59ef6a53584dff76947e46f1329606403a945ed348ad2a5727eabf7333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263051/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263051/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25269521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whillans, Jennifer</creatorcontrib><creatorcontrib>Nazroo, James</creatorcontrib><title>Equal access, (Un)equal uptake: a longitudinal study of cataract surgery uptake in older people in England</title><title>BMC health services research</title><addtitle>BMC Health Serv Res</addtitle><description>Uptake of cataract removal is a function of the effectiveness of the healthcare delivery services: services that are inaccessible, inappropriate, or unaffordable will not be utilised by (sub)populations, who consequently live with untreated cataracts. The aim of the study was to identify the relationship between individual wealth inequalities and uptake of cataract surgery in England, having controlled for the effects of potentially confounding variables.
The final sample comprised of 2091 respondents from the English Longitudinal Study on Ageing (ELSA) who were diagnosed with cataracts prior to or during the study, aged 50 and over at wave 1, who had not undergone cataract surgery prior to the first survey observation, and had also provided a response in the second wave of the study. The uptake of cataract surgery was measured using the question, have you ever had cataract surgery? Data from waves 1-5 were used to identify those having received treatment during the 8-year observation window of ELSA. Survival analysis techniques were used.
Having controlled for the effects of potentially confounding variables, wealth did not make a statistically significant contribution to the overall fit of the Cox proportional hazard model nor were individual parameters statistically significant. Thus, respondents' socioeconomic position was not found to be a significant predictor in the uptake of cataract surgery in the UK. Receiving a recommendation from a medical professional was a key driving factors in the uptake of cataract surgery.
Study findings suggest that uptake of cataract surgery among over 50s with a cataracts diagnosis in England do not discriminate on the grounds of individuals' material social position (wealth).</description><subject>Age</subject><subject>Aged</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>Cataract</subject><subject>Cataract Extraction</subject><subject>Cataracts</subject><subject>Data collection</subject><subject>England</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Patient Acceptance of Health Care</subject><subject>Socioeconomic factors</subject><subject>Surgery</subject><subject>Survival analysis</subject><subject>Treatment Outcome</subject><subject>Visual impairment</subject><issn>1472-6963</issn><issn>1472-6963</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1Uk1v1DAQjRCIfsCdE7LEpUik-NtJD0jVagtIlbjQs-V1JsFLYm_tBGn_PU53WbqoyJY8Hr_37HmeonhD8CUhlfxIuKKlrCUrCS85V8-K00Pq-aP4pDhLaY0xURVVL4sTKqisBSWnxXp5P5keGWshpQ_o4s6_h4fMtBnNT7hCBvXBd26cGudzOuVgi0KLrBlNNHZEaYodxO2egJxHoW8gog2ETf-wX_quN755VbxoTZ_g9X49L-5ult8XX8rbb5-_Lq5vy5UQZCwrBXlaUUMrjWCi4k3bKllzBVy2hNFaYskxMzUX0DBemYYaoagCs2oVY-y8-LTT3UyrARoLfoym15voBhO3Ohinj0-8-6G78EtzKhkWJAssdgIrF_4jcHxiw6Bnr_XsdY50_oqscrF_Rgz3E6RRDy5Z6LMVEKakiagkwVSoKkPf_QNdhylmu2eUzKULqehfVGd60M63IV9uZ1F9LVh2paYUZ9TlE6g8GhicDR5al_NHBLwj2BhSitAeCiVYz132VGlvHzt8IPxpK_YbucjMGQ</recordid><startdate>20140930</startdate><enddate>20140930</enddate><creator>Whillans, Jennifer</creator><creator>Nazroo, James</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140930</creationdate><title>Equal access, (Un)equal uptake: a longitudinal study of cataract surgery uptake in older people in England</title><author>Whillans, Jennifer ; Nazroo, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b551t-87e87ec59ef6a53584dff76947e46f1329606403a945ed348ad2a5727eabf7333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Age</topic><topic>Aged</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>Cataract</topic><topic>Cataract Extraction</topic><topic>Cataracts</topic><topic>Data collection</topic><topic>England</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Patient Acceptance of Health Care</topic><topic>Socioeconomic factors</topic><topic>Surgery</topic><topic>Survival analysis</topic><topic>Treatment Outcome</topic><topic>Visual impairment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whillans, Jennifer</creatorcontrib><creatorcontrib>Nazroo, James</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC health services research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whillans, Jennifer</au><au>Nazroo, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Equal access, (Un)equal uptake: a longitudinal study of cataract surgery uptake in older people in England</atitle><jtitle>BMC health services research</jtitle><addtitle>BMC Health Serv Res</addtitle><date>2014-09-30</date><risdate>2014</risdate><volume>14</volume><issue>1</issue><spage>447</spage><epage>447</epage><pages>447-447</pages><artnum>447</artnum><issn>1472-6963</issn><eissn>1472-6963</eissn><abstract>Uptake of cataract removal is a function of the effectiveness of the healthcare delivery services: services that are inaccessible, inappropriate, or unaffordable will not be utilised by (sub)populations, who consequently live with untreated cataracts. The aim of the study was to identify the relationship between individual wealth inequalities and uptake of cataract surgery in England, having controlled for the effects of potentially confounding variables.
The final sample comprised of 2091 respondents from the English Longitudinal Study on Ageing (ELSA) who were diagnosed with cataracts prior to or during the study, aged 50 and over at wave 1, who had not undergone cataract surgery prior to the first survey observation, and had also provided a response in the second wave of the study. The uptake of cataract surgery was measured using the question, have you ever had cataract surgery? Data from waves 1-5 were used to identify those having received treatment during the 8-year observation window of ELSA. Survival analysis techniques were used.
Having controlled for the effects of potentially confounding variables, wealth did not make a statistically significant contribution to the overall fit of the Cox proportional hazard model nor were individual parameters statistically significant. Thus, respondents' socioeconomic position was not found to be a significant predictor in the uptake of cataract surgery in the UK. Receiving a recommendation from a medical professional was a key driving factors in the uptake of cataract surgery.
Study findings suggest that uptake of cataract surgery among over 50s with a cataracts diagnosis in England do not discriminate on the grounds of individuals' material social position (wealth).</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25269521</pmid><doi>10.1186/1472-6963-14-447</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Aged Analysis Care and treatment Cataract Cataract Extraction Cataracts Data collection England Eye surgery Female Health aspects Health care Health care industry Health services Health Services Accessibility Humans Longitudinal Studies Male Middle Aged Older people Patient Acceptance of Health Care Socioeconomic factors Surgery Survival analysis Treatment Outcome Visual impairment |
| title | Equal access, (Un)equal uptake: a longitudinal study of cataract surgery uptake in older people in England |
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