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Is there evidence of greater need in deprived communities?
What impact does this have on health status and outcome?
* Poorer outcomes
* Higher morbidity
* Reduced survival.
Inequality (based on 2001 ISD data)
(Average of deprived intervention group compared to average of affluent control group)
Aim of the project:
* To improve access to cardiology
* To deliver services in deprived communities
Modelling and re-modelling of clinical activity
* Delivery of Specialist Cardiology Clinic (including investigation) in a community venue or the clinical mobile unit
* Identification of potential ‘patients’ from opportunistic cardiology assessment at local events (e.g. local gala days, bingo, shopping centres, the mosque)
Deprived Communities
Example of venues:
The Community Heart Clinic
The Clinical Mobile Unit
Cardiology clinic in Mark Henderson Centre
Local Gala days
Engaging with Ethnic Minority Groups
Radio Ramadhan 107.5
Lochee Baptist Church
Results
* A total of 1781 people have engaged with clinical project activity
* 1632 have self presented for an opportunistic cardiology assessment (Specialist nurse led)
* 161 have had a specialist clinical consultation (Cardiologist led)
* 91 people have had a heart failure clinical review
* 17 people have had a heart failure telephone clinical review
10% of the above are of South Asian ethnicity
Success of engagement with people living in the deprived communities
* Areas with the highest deprivation in Tayside have been targeted for clinical activity
* By delivering services in the deprived areas the majority of people who have engaged are from the poorest areas of Tayside
* By taking clinical services to places of worship, engagement with the ethnic groups has been particularly successful
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Category : Cardiology