The usage of NHS direct by different ethnic and gender groups in an urban population

Reviews on Environmental Health
Mariam BibiSusan C Powell

Abstract

The aim of this study was to determine the level of usage of National Health Service Direct (NHSD) by ethnic and gender groups within an urban population. The study population comprised all individuals in the City of Preston, Lancashire, United Kingdom, who had used NHS Direct between 01 July 2003 and 31 December 2003. The ethnic and gender composition of this population was compared with that of the total population within the study area. The United Kingdom census information was analyzed to determine the ethnic composition of the total population studied. The expected and actual usage of NHS Direct was determined for each section of the population and compared by means of Chi-square analysis and the use of standardized residuals. Females from the white ethnic group used the service more than expected, whereas females from all ethnic groups combined used the service less than predicted. For male callers, Black-African, Indian, Pakistani, Bangladeshi, and Asian groups used the service more than expected. Particularly high usage was observed in Indian and Pakistani groups. The findings of this study show that NHS Direct is being under-used by certain ethnic groups and a difference in usage exists depending on gender. As the NHSD...Continue Reading

References

Feb 20, 1998·BMJ : British Medical Journal·D Pencheon
Jun 4, 2002·Journal of the Royal Society of Medicine·M MemonI Singh
Jul 6, 2002·BMJ : British Medical Journal·Nigel F Hall, Catharine R Gale
Mar 8, 2005·Postgraduate Medical Journal·A Szczepura

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