An ecological study of publicly funded elective hip arthroplasties in Brazil and Scotland: do access inequalities reinforce the inverse care law?

JRSM Open
Jonathan FilipponAllyson Pollock

Abstract

To compare elective hip arthroplasty rates funded by the public sector in Brazil and Scotland. Ecological study, 2009-13, of crude and directly standardised rates of elective primary hip arthroplasty rates (per 100,000) funded by the public sector at national and regional level for age (30 + years) and gender in Brazil and Scotland. National Health Service Scotland and Unified Health System in Brazil. Over 30 s who had undergone an elective hip arthroplasty funded by the public sector. Publicly funded standardised elective hip arthroplasty rates in Brazil and Scotland. Between 2009 and 2013, there was a seven-fold difference in treatment rates between Brazil and Scotland, and an eight-fold regional difference in Brazil; Brazil (7.8-8.3/100,000, increase of 0.5 per 100,000, 95% confidence interval (CI) (0.3, 0.7) from 2009/10 to 2012/13) and Scotland (from 61.1 to 57.7/100,000, decrease of 3.4 per 100,000, 95% confidence interval (1.4, 5.8) per 100,000); a two-fold difference in number of public beds per head of population (Brazil 158.3/100,000 vs. Scotland 305.1/100,000) and general medical workforce (Brazil 198.8/100,000 vs. Scotland 327.4/100,000); numbers of orthopaedic surgeons per head of population in the two countries we...Continue Reading

References

Feb 27, 1971·Lancet·J T Hart
Jun 25, 2009·Archives of Orthopaedic and Trauma Surgery·Keijo T MäkeläVille Remes
Jan 19, 2011·Archives of Surgery·Mark L FrancisWhitney E Zahnd
Apr 22, 2011·Population Health Management·Kevin HawkinsCharlotte S Yeh
May 13, 2011·Lancet·Naomar Almeida-Filho
Jan 28, 2014·Osteoarthritis and Cartilage·T E McAlindonM Underwood

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Methods Mentioned

BETA
primary hip arthroplasty
primary hip arthroplasties

Software Mentioned

DataSUS

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