joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
10.3.8 Inpatient Admissions in Relation to Deprivation
Figure 222 illustrates the average annual directly age-standardised daycase and
inpatient admission rates which involve a primary diagnosis of diabetes (any clinician
episode within that hospital stay) by local deprivation quintile over three financial years
2007/08 to 2009/10 (standardised to Hull‟s 2009 population). The 95% confidence
intervals are shown. There is a statistically significant difference among the deprivation
quintiles, with the most deprived areas of Hull having a higher standardised admission
rate compared to the least deprived areas of Hull. The standardised admission rate per
100,000 persons is 130 for Hull overall, but 171 and 193 in the most deprived and
second most deprived quintiles respectively compared to 85 and 86 in the second least
deprived and least deprived quintiles. The underlying data are given in the APPENDIX
on page 925.
It is not surprising that the rate of hospital admissions is higher for people living in the most
deprived areas, but it is difficult to ascertain if this pattern is reflecting „need‟. It could be
that the gradient between the most and least deprived quintiles should be steeper or less
steep than the gradient observed.
Figure 222: Age-standardised diabetes annual daycase and inpatient admission rate per
100,000 population for all ages by local deprivation quintile for Hull
Annual average DSR per 100,000 per
persons for diabetes
250
200
150
100
50
0
Most deprived
quintile
Quintile 2 Quintile 3 Quintile 4 Least deprived
quintile
Index of Multiple Deprivation 2007 local quintile
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 582