Key result
Distance from tertiary cardiac centers linked to perceived lower angiography and revascularization via conservative general physicians.
Population
24 general practitioners in two English health districts, 5 general physicians working in district general…
Design
Other
Authors
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Geographic inequities in cardiac procedures may arise from referral patterns; leaves open whether direct pathways to specialists improve access.
Observational (n=33)
Yes
Inequitable use of cardiac services based on geography may be driven by referral pathways, where patients further from tertiary centers are referred to more conservative general physicians rather than directly to interventional cardiologists.
Chapple et al. (1998) conducted an observational in Use of cardiac services (n=33). Distance from tertiary cardiac centres vs. Proximity to tertiary cardiac centres was evaluated on Perceived reasons for variations in use of coronary angiography and revascularisation. Living far from tertiary cardiac centers was perceived to reduce the use of angiography and revascularization due to indirect referral pathways through conservative general physicians.
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