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The introduction of free-health policies, the district health system and the prioritisation of PHC ensured more equal distribution of the workforce, as well as greater access to services for deprived groups.
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In the past two decades, there has been a large increase in budget airline travel offerring either increased availability of sunshine holidays for more deprived groups, with narrowing of the deprivation gap, or a further increase in such holidays for the less deprived, resulting in a widened gap.
Survival rates for the most deprived groups seem to have been catching up.
For the most deprived groups, disadvantage is amplified among those with increased travel time to services.
Coverage is lower in the most deprived groups for all reviews, and the discrepancy progressively increases for reviews at older ages (78% and 92% coverage for the 39 42 month review in most and least deprived groups).
Survival after all-cardiac surgery was reduced for the most socially deprived groups when compared with the least deprived groups.
For women in the trials, 1-year survival was 77 78% in the three more affluent categories and 74 75% for the two most deprived groups (Table 2, Figure 2).
The overwhelming pattern of lower survival in more deprived groups for almost all cancers seems more persuasive than whether individual estimates of the deprivation gap are statistically significant.
Our findings indicate a general pattern of lower breast screening uptake in more deprived groups for both South Asian and non-South Asian populations, although the effect is far less pronounced for South Asians.
KAW, and to a lesser extent the Nepali enumerators, were often faced with hostility or even violence when attempting to contact the most deprived groups for the purposes of this research.
Rachet et al (2008) describe how difference between most and least deprived groups increased more for laryngeal cancer than for any other cancer in men, and more quickly (almost 4% every 5 years), between 1985 and 2001, reaching 17% for the 1996 1999 cohort.
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