Hi,
I'm pretty sure that there will be a massive variation based on socio-economic factors. Its worth taking this into account. The inverse care law is certainly in place. Its a real shame that the people who need care the most are the hardest people to reach in terms of providing adequate care.
I've outlined some of the principles involved at http://www.heftpathology.com/directorate-blog/biochemistry/geocoding-of-laboratory-data
And I've got a paper in press in the annals looking at vitamin D in particular.
Best Wishes
Craig
On 19 Jul 2012, at 09:50, Jonathan Kay <[log in to unmask]<mailto:[log in to unmask]>>
wrote:
Thanks.
Craig: Would you like to add anything about geographical and social stratification effects, and how to study them?
Does everyone know about the Inverse Care law<http://en.wikipedia.org/wiki/Inverse_care_law>?
Why do we not use disease-specific management systems for conditions such as thyroid disease in adults? The benefits were shown a long time ago by the Leicester Thyroid Register.
Jonathan
On 19 Jul 2012, at 09:37, Soha Zouwail wrote:
I have done the general counting and then chosen TFT as set to see difference of requests between practices adjusted that against the thyroid disease prevelance recorded per practice. Still the outliers from both ends (low and high requestors) remained similar. Interestingly, there was a significant difference in requesting patterns between affluent areas (high requestors) and deprived (low requestors) areas.
Soha
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