Ethnic differences in coronary artery revascularisation in New Zealand: does the inverse care law still apply?
作者： Peter Sandiford , Dale M. Bramley , Seifeddin S. El-Jack , Anthony G. Scott
DOI: 10.1016/J.HLC.2015.03.013
关键词: Psychological intervention 、 Artery 、 Conventional PCI 、 Demography 、 Population Intervention 、 St elevation myocardial infarction 、 Bypass grafts 、 Ethnic group 、 Percutaneous coronary intervention 、 Cardiology 、 Medicine 、 Internal medicine
摘要: Background In 2002 striking differences in cardiac revascularisation rates were reported between New Zealand Māori, Pacific and European ethnicities. This paper examines whether this inequity still exists, taking into account ethnic need. Methods Age-standardised time trends intervention for coronary artery bypass grafts (CABG), percutaneous (PCI) ST elevation myocardial infarction (STEMI) calculated by ethnicity. Ethnic-specific also the ratio of observed to expected CABG PCI interventions based on rate hospitalisation with a diagnosis STEMI. Results On per capita basis, standardised significantly higher (both sexes) female Māori than Other throughout 2000-2012, males 2009-12. Population lower male from while they 2000-2004 but However, despite some improvement since 2000-2004, numbers 2009-2012 22%-32% STEMI experience. Overall ratios females. Conclusions Large increases population over period 2000-2012 have not been sufficient eliminate inequalities relation need, except perhaps men.
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