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
Figure 227: Diagnosed prevalence of COPD by deprivation score at practice level
10.5.3.8 Inpatient Admissions in Relation to Deprivation
Figure 228 illustrates the average annual directly age-standardised daycase and
inpatient admission rates which involve a primary diagnosis of COPD (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 quintiles for
daycase and inpatient admissions for COPD. The difference in the inpatient admission
rates is dramatic with 1,023 admissions for people living in the most deprived quintile
areas of Hull with a rate of 713 admissions per 100,000 population (95% CI 670 to 758)
compared to 356 admissions for people living in the least deprived quintile areas of Hull
with a rate of 228 admissions per 100,000 population (95% CI 205 to 253). The
underlying data are given in the APPENDIX on page 929.
As expected, given the higher prevalence of lifestyle and behavioural risk factors, people
living in the most deprived areas have a higher hospital admission rate for COPD.
However, 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.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 627