Equality of access to "fast-track" stroke services in an older, socio-economically deprived Scottish population

Scott Med J. 2010 Aug;55(3):18-21. doi: 10.1258/rsmsmj.55.3.18.

Abstract

Background and aims: Unequal access to specialist stroke services may contribute to the disproportionate stroke burden in certain populations. We evaluated the relationship between access to TIA services, deprivation and age.

Methods: We prospectively recorded referral pattern data on consecutive TIA service patients. Socio-economic deprivation was derived from postcode and census data. Associations were described using Kruskal-Wallis statistics.

Results: Of 3,462 patients assessed, there was no association between time to clinic referral or attendance and increasing deprivation or age.

Conclusion: Inequality of access to TIA services for older, deprived patients was not evident. However, delay to assessment and prevalence of risk factors was substantial for all patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Female
  • Health Services Accessibility / organization & administration*
  • Healthcare Disparities*
  • Humans
  • Ischemic Attack, Transient / therapy
  • Male
  • Middle Aged
  • Prospective Studies
  • Referral and Consultation
  • Risk Assessment
  • Risk Factors
  • Scotland / epidemiology
  • Socioeconomic Factors
  • Stroke / epidemiology
  • Stroke / therapy*
  • Urban Population / statistics & numerical data
  • Young Adult