2015
DOI: 10.1308/147363515x14134529300265
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Regional variations in the referral criteria for the surgical treatment of varicose veins

Abstract: Is access to care in danger of becoming a postcode lottery?

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Cited by 8 publications
(6 citation statements)
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“…This correlates with the reported experience for other procedures, such as varicose vein surgery, total hip arthroplasty and carpal tunnel release (Moorhouse and Giddins, 2018; Ryan et al. , 2017; Smith et al. , 2015).…”
Section: Discussionsupporting
confidence: 83%
See 1 more Smart Citation
“…This correlates with the reported experience for other procedures, such as varicose vein surgery, total hip arthroplasty and carpal tunnel release (Moorhouse and Giddins, 2018; Ryan et al. , 2017; Smith et al. , 2015).…”
Section: Discussionsupporting
confidence: 83%
“…This process can potentially lead to variation in patients’ access to healthcare. Indeed, there is evidence that there is significant regional variation in access to certain procedures, including varicose vein surgery, total hip arthroplasty and carpal tunnel surgery (Moorhouse and Giddins, 2018; Ryan et al., 2017; Smith et al. , 2015).…”
Section: Introductionmentioning
confidence: 99%
“…Bad trials are noticed by commissioning bodies, and funding for procedures withheld because of a 'lack of evidence' both in terms of clinical effectiveness, and cost. 3 Resulting confusion over clinical benefit can mean that patients who would benefit from intervention have it withheld. So while the data available for this meta-analysis cannot support strong conclusions of effectiveness, they do highlight the important issue in the endovenous literature; we need bigger, independent trials with properly defined patient centred endpoints.…”
mentioning
confidence: 99%
“…Sharp discontinuities in tariffs have also been shown to lead to "upcoding" of birthweights in German neonatal units [69,70]. 89 Even though there is growing amount of evidence indicating strong response to financial incentives by, at least, some health care providers, we still do not sufficiently understand the exact drivers of this behavior. The goal of our paper is to add to this literature by assessing the magnitude of response by medical rehabilitation providers in the Netherlands.…”
Section: Introductionmentioning
confidence: 99%
“…not only in the volumes of varicose veins operations but also in volume of referrals by primary care trusts. [88,89] This suggests that at least some of the variation may be present prior to reaching the treating physician's clinic.…”
Section: Introductionmentioning
confidence: 99%