Publications

@article{Franklin2024,

title = {Coming in hot: a qualitative investigation into perceptions of parents and doctors of reasons for the presentation of children with fever to  the emergency department in England},

author = {Courtney Franklin, David Taylor-Robinson, Enitan D Carrol, Paul Moran and Bernie Carter},

url = {https://bmjpaedsopen.bmj.com/content/8/1/e003039},

doi = {https://doi.org/10.1136/bmjpo-2024-003039},

year  = {2024},

date = {2024-12-24},

journal = {BMJ Paediatrics Open },

keywords = {child health, Children, Healthcare},

pubstate = {published},

tppubtype = {article}

}

@article{Martínez-Jiménez2024,

title = {Socioeconomic deprivation, health and healthcare utilisation among millennials},

author = {Mario Martínez-Jiménez, Bruce Hollingsworth and Eugenio Zucchelli,},

url = {https://www.sciencedirect.com/science/article/pii/S0277953624004052?via%3Dihub},

doi = {https://doi.org/10.1016/j.socscimed.2024.116961},

year  = {2024},

date = {2024-05-11},

journal = {Social Science & Medicine },

keywords = {health, Healthcare, Healthcare equity, Inequalities, socio-economics},

pubstate = {published},

tppubtype = {article}

}

@article{Hope2023,

title = {This needs to be a journey that we’re actually on together’—the introduction of integrated care systems for children and young people in England: a qualitative study of the views of local system stakeholders during winter 2021/22},

author = {Steven Hope, Evgenia Stepanova, Oliver Lloyd-Houldey, Frances Hillier-Brown, Dougal Hargreaves, Dasha Nicholls, Carolyn Summerbell, Russell M. Viner, Zainab Dedat, Emily C. Owen and Stephanie Scott },

url = {https://rdcu.be/dyIq4},

doi = {https://doi.org/10.1186/s12913-023-10442-6},

year  = {2023},

date = {2023-12-20},

journal = {BMC Health Services Research},

keywords = {Children, Healthcare, NHS, young people},

pubstate = {published},

tppubtype = {article}

}

@article{Melis2023,

title = {Impact of socio-economic conditions and perinatal factors on risk of becoming a child looked after: a whole population cohort study using routinely collected data in Wales},

author = {G. Melis, S. Bedston, A. Akbari b, D. Bennett, A. Lee, E. Lowthian, D. Schlüter and D. Taylor—Robinson},

url = {https://www.sciencedirect.com/science/article/pii/S003335062300330X},

doi = {https://doi.org/10.1016/j.puhe.2023.09.001},

year  = {2023},

date = {2023-11-01},

journal = {Elsevier Public Health},

keywords = {child health, Child welfare, Children, Healthcare, socio-economics},

pubstate = {published},

tppubtype = {article}

}

@article{Coughlan2021,

title = {Social and ethnic group differences in healthcare use by children aged 0–14 years: a population-based cohort study in England from 2007 to 2017},

author = {Charles Hamish Coughlan, Judith Ruzangi, Francesca K Neale, Behrouz Nezafat Maldonado, Mitch Blair, Alex Bottle, Sonia Saxena, Dougal Hargreaves},

url = {https://adc.bmj.com/content/107/1/32},

doi = {http://dx.doi.org/10.1136/archdischild-2020-321045},

year  = {2021},

date = {2021-12-02},

journal = {Archives of Disease in Childhood},

keywords = {Children, Ethnicity, Healthcare},

pubstate = {published},

tppubtype = {article}

}

@article{Head2021,

title = { Inequalities in incident and prevalent multimorbidity in England, 2004–19: a population-based, descriptive study},

author = {Head, A. Fleming, K. Kypridemos, C. Schofield, P. Pearson-Stuttard, J. O'Flaherty, M.},

url = {https://doi.org/10.1016/S2666-7568(21)00146-X},

doi = {https://doi.org/10.1016/S2666-7568(21)00146-X},

year  = {2021},

date = {2021-07-21},

journal = {The Lancet Healthy Longevity},

keywords = {complex systems, Health inequalities, Healthcare, Morbidity, Prevention, Social determinants},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Identifying inequitable healthcare in older people: systematic review of current research practice},

author = {Sarah M. Salway, Nick Payne, Melanie Rimmer, Stefanie Buckner, Hannah Jordan, Jean Adams, Kate Walters, Sarah L. Sowden, Lynne Forrest, Linda Sharp, Mira Hidajat, Martin White and Yoav Ben-Shlomo.},

doi = {10.1186/s12939-017-0605-z},

year  = {2017},

date = {2017-07-11},

journal = {International Journal for Equity in Health},

abstract = {Background

There is growing consensus on the importance of identifying age-related inequities in the receipt of public health and healthcare interventions, but concerns regarding conceptual and methodological rigour in this area of research. Establishing age inequity in receipt requires evidence of a difference that is not an artefact of poor measurement of need or receipt; is not warranted on the grounds of patient preference or clinical safety; and is judged to be unfair.



Method

A systematic, thematic literature review was undertaken with the objective of characterising recent research approaches. Studies were eligible if the population was in a country within the Organisation for Economic Co-operation and Development and analyses included an explicit focus on age-related patterns of healthcare receipt including those 60 years or older. A structured extraction template was applied. Extracted material was synthesised in thematic memos. A set of categorical codes were then defined and applied to produce summary counts across key dimensions. This process was iterative to allow reconciliation of discrepancies and ensure reliability.



Results

Forty nine studies met the eligibility criteria. A wide variety of concepts, terms and methodologies were used across these studies. Thirty five studies employed multivariable techniques to produce adjusted receipt-need ratios, though few clearly articulated their rationale, indicating the need for great conceptual clarity. Eighteen studies made reference to patient preference as a relevant consideration, but just one incorporated any kind of adjustment for this factor. Twenty five studies discussed effectiveness among older adults, with fourteen raising the possibility of differential effectiveness, and one differential cost-effectiveness, by age. Just three studies made explicit reference to the ethical nature of healthcare resource allocation by age. While many authors presented suitably cautious conclusions, some appeared to over-stretch their findings concluding that observed differences were ‘inequitable’. Limitations include possible biases in the retrieved material due to inconsistent database indexing and a focus on OECD country populations and studies with English titles.



Conclusions

Caution is needed among clinicians and other evidence-users in accepting claims of healthcare ‘ageism’ in some published papers. Principles for improved research practice are proposed.},

keywords = {Ageing, Ageism, Disparity, Equity, Healthcare},

pubstate = {published},

tppubtype = {article}

}