Article on Coronary Heart Disease
Added on 2020-07-22
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CORONARY HEARTDISEASE
CORONARY HEART DISEASEArticle 1: O'hara, T., Bennett, K., O'flaherty, M. and Jennings, S., 2008. Pace of change incoronary heart disease mortality in Finland, Ireland and the United Kingdom from 1985 to2006.The European Journal of Public Health.18(6). pp.581-585.Article 2: United Kingdom Heart Attack Study (UKHAS) Collaborative Group, 1998. Thefalling mortality from coronary heart disease: a clinicopathologicalperspective.Heart.80(2) .pp.121-126.Article 3: Turner, R. C., Millns, H. and Holman, R. R., 1997. Coronary heart disease andrisk factors in NIDDM–experience from the United Kingdom Prospective DiabetesStudy.Diabetologia.40. pp.S121-S122.Article 4: Walters, K. and et.al., 2014. Socio-demographic variation in chest pain incidenceand subsequent coronary heart disease in primary care in the United Kingdom.European journalof preventive cardiology.21(5). pp.566-575.Article 5: Lewis, M. W. and et.al., 2015. The impact of the combination of income andeducation on the incidence of coronary heart disease in the prospective Reasons for Geographicand Racial Differences in Stroke (REGARDS) cohort study.BMC public health.15(1). p.1312.Article 6: D'Agostino Sr, R. B. and et.al., 2001. Validation of the Framingham coronaryheart disease prediction scores: results of a multiple ethnic groups investigation.Jama.286(2).pp.180-187.Analysis of research articles helps in concreting the knowledge base of the reader andanalyst regarding a particular subject matter. Coronary heart disease is considered to be mostprevailing and leading cause of death in UK. 6 articles have been chosen on prevalence ofcoronary heart disease so as to analyse various aspect and dependence of the disease on income,gender, education and other factors. The essay will also involve in making comprehensivediscussion regarding quality of care present with respect to the same at various health careservice providing centres. Further, adequate efforts will be put to analyse implication of onearticle over the other (Hanson and et.al., 2013). Coronary Heart Disease (CHD) is related to narrow down of coronary arteries which are theblood vessels responsible for supplying blood and oxygen to different parts of the body. Theterm is sometimes called as Coronary Artery Disease. It normally takes place due to depositionof cholesterol on the artery walls which creates plague. 1
There is a great deal of presence of cardiovascular disease in the overall population ofUK. CHD is the second main cause of death in UK. 28% of the deaths that took place in UKwere due to CHD in 2012. Analysis have been able to present that CHD is still the larger causeof death in women in comparison to that of cancer. But the case is quite opposite when it comesto men. Stroke and CHD are the two main causes for them (Isik and et.al., 2012). Ottawa model of research is classical theory of changed plan. It helps in adoption ofplanned process. It helps in guiding knowledge to action process which is a comprehensiveknowledge translation model. It can be implemented through a six-step process. It includes,setting of stage, specifying innovation, making assessment of innovation, selection andmonitoring of knowledge translation strategies, adoption of innovation is monitored and, in theend, evaluation of outcomes is made. It helps in evaluation of reliability and validity of subjectmatter. The chosen articles will be analyzed based on the same concept. Warner’s law is related to law of increasing health expenditure so that better services canbe provided to those who are in need. Hence, adoption of the same in case of CHD can also helpimproving the overall condition of facilities provided to these patients. Six articles have been chosen so as to develop high degree of understanding regarding thesubject matter. The first article titled, “Pace of change in coronary heart disease mortality inFinland, Ireland and the United Kingdom from 1985 to 2006”, aims at examining the pace ofchange in mortality due to CHD from the year 1985 to 2006. The method of Joint RegressionAnalysis has been used so as to find out standardized mortality rate. Based upon the resultsderived by the researcher, it can be stated that a differing pace of decline in CHD patients can beidentified in three countries having similar burden of this disease (Xu and et.al., 2012). Threecountries have been able to implement successful national strategies so as to control CHDmortality rate in Finland, Ireland and UK. Applying the Ottawa model, it can be stated that theapplication of effective strategy can help a country in better implementation of plan. Hence, thedisease can be controlled by proper application of health care programs. The second chosen article with the title, “The falling mortality from coronary heart disease:A clinicopathological perspective”, aims at comparing the mortality estimates based uponclinicopathological diagnosis of death due to acute CHD with the help of official estimates ofCHD mortality. The prospective study was conducted for over two years, that is 1994 and 19952
in the health districts, Brighton, York and Glamorgan. The study was able to state that there aredifferences in estimates that have been made based upon clinical and pathological functions andofficial estimates provided by the government (Doganer and et.al., 2013). Application ofWagner’s theory stated that better implementation of the ide can only be promoted if healthexpenditure on the same is increased to a certain extent. The third article with the title, “Coronary heart disease and risk factors in NIDDM –experience from the United Kingdom Prospective Diabetes Study” aims that understandingvarious risk factors that are related to coronary heart disease. The researcher has been involved indiagnosing the same by performing randomized control trial activities on different therapies thatare applied on the patient going through the disease of CHD. Since, it is related to innovation ofnew techniques that can help in deriving better treatment for CHD, Ottawa model can be appliedfor its development. The fourth article titled as, “Socio-demographic variation in chest pain incidence andsubsequent coronary heart disease in primary care in the United Kingdom”. Since, the researcherwas little aware of socio economic differences in chest pain in terms of primary care extended tothe patient and extended towards diagnosis of Coronary Heart Disease. In order to performfunction mentioned in the objective of study, a cohort research on 198,209 patients has beenconducted which are 30 years of age or above (Newburger and Kato, 2015). The result of thesame stated that the incidence of chest pain is significant greater in a primary care set up at theplaces which are more deprived in comparison to the areas which are less deprived. There is ahigh degree of interaction between deprivation, age and deprivation while diagnosing CHD inany patient. A substantial amount of impact of deprivation has been found on women incomparison to that of men. In this context, Wagner theory suggests that development in primarycare set up and better delivering of duties can help in effective ultimate results. The title of fifth article is “The impact of the combination of income and education on theincidence of Coronary Heart Disease in the prospective Reasons for Geographic and RacialDifferences in Stroke (REGARDS) cohort study”. The main aim of the research is to investigatethe association between income education groups and incidence of Coronary Heart Disease as anational wide perspective. The investigation has been made based on racial differences, such as,white and black community. Moreover, the distinction has also been made based upon income,educational groups, household income etc (Benn and et.al., 2012). The result from the study3
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