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首页> 外文期刊>Journal of public health >Geographical access to healthcare in Northern England and post-mortem diagnosis of cancer.
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Geographical access to healthcare in Northern England and post-mortem diagnosis of cancer.

机译：英格兰北部地区的医疗保健地理位置以及癌症的验尸诊断。

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There is some previous evidence that diagnosis of cancer at death, recorded as registry death certificate only records, is associated with problems of access to care.Records from the Northern and Yorkshire Cancer Registry for patients registered with breast, colorectal, lung, ovarian or prostate cancer between 1994 and 2002 were supplemented with measures of travel time to general practitioner and hospital services, and social deprivation. Logistic regression was used to identify predictors of records where diagnosis was at death.There was no association between the odds diagnosis at death and access to primary care. For all sites except breast, the highest odds of being a cancer diagnosed at death fell among those living in the highest quartile of hospital travel time, although it was only statistically significant for colorectal and ovary tumours. Those in the most deprived and furthest travel time to hospital quartile were 2.6 times more likely to be a diagnosis at death case compared with those in the most affluent and proximal areas.There is some evidence that poorer geographical access to tertiary care, in particular when coupled with social disadvantages, may be associated with increased odds of diagnosis at death.
机译：以前有一些证据表明，仅作为登记处死亡证明记录的死亡癌症诊断与获得医疗服务的问题有关。来自北约克郡和约克郡癌症登记处的乳腺癌，结直肠癌，肺癌，卵巢癌或前列腺癌患者的记录1994年至2002年之间的癌症患者还增加了前往全科医生和医院服务的时间以及社会剥夺的量度。 Logistic回归用于确定死亡诊断的记录预测指标，死亡诊断赔率诊断与获得初级保健之间没有关联。对于居住在医院旅行时间最高四分位数中的那些人，除了乳房外，所有被诊断出死亡的癌症的几率最高，尽管这在大肠癌和卵巢癌中只有统计学意义。与最富裕和近端地区的人相比，去医院四分位数最贫穷和最远旅行时间的那些人被诊断出死亡的可能性是死亡病例的2.6倍。有证据表明，三级医疗服务的地理条件较差，特别是当加上社会不利因素，可能会增加死亡时的诊断几率。

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