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• W20798829 abstract "Exercise Referral Schemes (ERSs) are a widespread multi-agency intervention inwhich patients are referred to a programme of supervised sessions of subsidisedexercise at a local leisure centre. National guidance states that schemes shouldemploy strategies to engage people from disadvantaged groups. While people fromsuch groups are known to attend primary care more frequently than those from moreadvantaged socioeconomic groups, research suggests that they are less likely to usepreventive and specialist health services. This thesis aims to evaluate whether accessto and use of ERSs is equitable through an examination of socioeconomic differencesin referral, uptake and completion of the service.Firstly, the thesis presents a case study of key research, policy and practice eventsconcerning the development of ERSs. Secondly, the thesis details findings of ascoping review undertaken across all ERSs in Greater London to identify schemes withsuitable routine data collection to participate in the equity analysis.Thirdly, the thesis presents a cross-sectional analysis of 7985 patients referred bygeneral practices to ERSs operating in six PCTs between April 2004 - March 2006.The main outcome measures were i) risk ratios for referral by general practicedeprivation quintile ii) odds ratios for uptake of ERSs and iii) odds ratios for completionof ERSs by patient deprivation quintile. Fourthly, an exploration of the added value ofusing a geodemographic segmentation tool to enhance understanding ofsocioeconomic inequalities in service utilisation at small-area level is described.This research found that general practices within deprived areas were more likely torefer patients to ERSs than their counterparts in more advantaged areas. There wasno evidence of an association between socioeconomic circumstance and likelihood ofeither taking up or completing the scheme. The implications of this research for policy,practice and future research are discussed." @default.
• W20798829 created "2016-06-24" @default.
• W20798829 creator A5002013714 @default.
• W20798829 date "2009-01-01" @default.
• W20798829 modified "2023-09-26" @default.
• W20798829 title "Is access to and use of Exercise Referral Schemes equitable" @default.
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