Abstract
The patterns of access to primary health care for 27 154 people were examined, using the raw data of the 1974 General Household Survey about self-reported morbidity and use of services. Access rates were calculated for four categories of health: the not ill, the acutely sick, the chronically sick without restricted activity, and the chronically sick with restricted activity. Contrary to the conclusions of existing publications, the analysis shows that the NHS has achieved equity in terms of access to primary health care: there is no consistent bias against the lower socioeconomic groups and, in the case of some health care categories, these have proportionately higher rates of access than their rates of self-reported morbidity would indicate. The findings also show large variations in patterns of access both between and within these categories of health.
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Selected References
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- Butler J. R., Morgan M. Marital status and hospital use. Br J Prev Soc Med. 1977 Sep;31(3):192–198. doi: 10.1136/jech.31.3.192. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cartwright A., O'Brien M. Social class variations in health care and in the nature of general practitioner consultations. Sociol Rev Monogr. 1976 Mar;(22):77–98. doi: 10.1111/j.1467-954x.1974.tb00019.x. [DOI] [PubMed] [Google Scholar]
- Morris J. N. Social inequalities undiminished. Lancet. 1979 Jan;1(8107):87–90. doi: 10.1016/s0140-6736(79)90073-4. [DOI] [PubMed] [Google Scholar]
- Rein M. Social class and the utilization of medical care services: a study of British experience under the National Health Service. Hospitals. 1969 Jul 1;43(13):43–54. [PubMed] [Google Scholar]
- STEWART W. H., ENTERLINE P. E. Effects of the National Health Service on physician utilization and health in England and Wales. N Engl J Med. 1961 Dec 14;265:1187–1194. doi: 10.1056/NEJM196112142652405. [DOI] [PubMed] [Google Scholar]
- Townsend P. Inequality and the health service. Lancet. 1974 Jun 15;1(7868):1179–1190. doi: 10.1016/s0140-6736(74)91001-0. [DOI] [PubMed] [Google Scholar]