Developing methods to investigate equity in access to healthcare using routine data sources: a case study using total joint replacement of the hip and knee

Student thesis: Doctoral ThesisDoctor of Philosophy (PhD)


In England, local health service planning should be informed by health equity audit, to ensure services are distributed fairly in relation to the health needs of different demographic groups and geographical areas. Local planners therefore require small area estimates on both health needs, and service use, in order to provide services equitably. Joint replacement of the hip (THR) and knee (TKR) are common elective procedures making a substantial contribution to public health; hence are important equity indicators. The aim of this thesis is to develop a methodology whereby routine data sources can be used to provide local health planners with small area estimates of need and provision for THR and TKR. These estimates are then combined together in a single statistical model to explore equity in access to care.
Date of Award2008
Original languageEnglish

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