Menorrhagia: The need for equity in treatment in Britain

References

• Variations in Health. What can the Department of Health and the NHS do?. 1995; Department of Health: London.
   Google Scholar
• G. Mooney. Key Issues in Health Economics. 1994; Harvester Wheatsheaf: Hemel Hempstead.
   Google Scholar
• M. Whitehead. Who cares about equity in the NHS?. British Medical Journal. 308: 1994; 1284–1287.
   PubMedGoogle Scholar
• C. Fewtrell. Fair ground reaction. Health Service Journal. 1996. 22 Feb.
   Google Scholar
• A. Coulter. The management of menorrhagia. Effective Health Care: A Bulletin on the Effectiveness of Health Service Interventions for Decision Makers. 9: 1995; 1–14.
   Google Scholar
• L. Hallberg. Menstrual blood loss — a population study. Acta Obstetrica et Gynecologica Scandinavica. 45: 1966; 320–351.
   PubMed Web of Science ®Google Scholar
• A. Coulter. Prevalence and epidemiology of dysfunctional uterine bleeding. Dysfunctional Uterine Bleeding. 2nd edition, S.K. Smith. Key Paper Conference, Series No 1. 1994; Royal Society of London Press: London.
   Google Scholar
• B. Sheppard. Pathophysiology of dysfunctional uterine bleeding. Dysfunctional Uterine Bleeding. 2nd edition, S.K. Smith. Key Paper Conference, Series No 1. 1994; Royal Society of Medicine Press: London.
   Google Scholar
• N. Woods. Recollection of menarche, current menstrual attitudes and perimenstrual symptoms. Psychosomatic Medicine. 44(3): 1982; 285–293.
   PubMed Web of Science ®Google Scholar
• V. Skultans. Menstrual symbolism in South Wales. T. Buckley, A. Gottlieb. Blood Magic: An Anthropology of Menstruation. 1988; University of California Press: London.
   Google Scholar
• E. Bransen. Has menstruation been medicalised? Or will it never happen…. Sociology of Health and Illness. 14(1): 1992; 98–109.
   Web of Science ®Google Scholar
• A. Scambler. Menstrual symptoms, attitudes and consulting behaviour. Social Science and Medicine. 20(10): 1985; 106–568.
   Web of Science ®Google Scholar
• T. Harris. Disorders of menstruation. G. Brown, T. Harris. Life Events and Illness. 1989; Unwin Hyman: London.
   Google Scholar
• I. Illich. Limits to Medicine. 1976; Marion Boyars: London.
   Google Scholar
• A. Coulter. Patients' preferences and general practitioners' decisions in the treatment of menstrual disorders. Family Practice. 11(1): 1994; 67–73.
   Web of Science ®Google Scholar
• A. Coulter. Treating menorrhagia in primary care. An overview of drug trials and a survey of prescribing practice. International Journal of Technology Assessment in Health Care. 11(3): 1995; 456–471.
   PubMed Web of Science ®Google Scholar
• J. Preston. Comparative study of tranexamic acid and norethisterone in the treatment of ovulatory menorrhagia. British Journal of Obstetrics and Gynaecology. 102: 1995; 401–406.
   PubMedGoogle Scholar
• J. Bonnar. Treatment of menorrhagia during menstruation: randomised controlled trial of ethamsylate, mefenamic acid, and tranexamic acid. BMJ. 313: 1996; 579–582.
   PubMed Web of Science ®Google Scholar
• B. Lewis. Diagnostic dilatation and curettage in young women. BMJ. 306: 1993; 225–226.
   Google Scholar
• S.K. Smith. Hysterectomywhy and when?. Dysfunctional Uterine Bleeding. 2nd edition, Key Paper Conference, Series No 1. 1994; Royal Society of Medicine Press: London.
   Google Scholar
• A. Coulter. Do British women undergo too many or too few hysterectomies?. Social Science and Medicine. 27: 1988; 987–994.
   PubMed Web of Science ®Google Scholar
• L. Payer. Medicine and Culture: Varieties of Treatment in the United States, England, West Germany and France. 1988; Henry Holt: New York.
   Google Scholar
• J. Studd. Shifting indications for hysterectomy. Lancet. 345: 1995; 388.
   Google Scholar
• D. Sanders. Variations in Hospital Admission Rates: A Review of the Literature. 1989; King's Fund Publishing Office: London.
   Google Scholar
• Transcervical resection -a wire loop, fitted to a resectoscope is used to shave away the lining of the uterus. Rollerball- the lining of the uterus is destroyed by using a 2mm rollerball electrode, which is fitted to the resectoscope instead of a cutting loop. Laser ablation - a saline solution is pumped into the uterus through a hysteroscope in order to distend the uterine cavity and create a visual field. A laser fibre is then inserted (under video surveillance) and the uterine lining is completely destroyed. Radio-frequency (or high-frequency) endometrial ablation — an intrauterine probe, which emits radio-frequency energy, and creates localised heating which destroys the lining of the uterus.
   Google Scholar
• H. O'Connor. Endometrial resection for the treatment of menorrhagia. New England Journal of Medicine. 335(3): 1996; 151–156.
   Web of Science ®Google Scholar
• S. Pinion. Randomised trial of hysterectomy, endometrial laser ablation and transcervical endometrial resection for dysfunctional uterine bleeding. BMJ. 309: 1994; 979–983.
   PubMed Web of Science ®Google Scholar
• R. Garry. Six hundred endometrial laser ablations. Obstetrics and Gynecology. 85: 1995; 24–29.
   PubMed Web of Science ®Google Scholar
• R.J. Lilford. Hysterectomy: will it pay the bills in 2007?. BMJ. 314: 1997; 160–161.
   Google Scholar
• A. Coulter. Quality of life and patient satisfaction following treatment for menorrhagia. Family Practice. 11(1): 1994; 67–73.
   Web of Science ®Google Scholar
• M.J. Sculpher. Randomised trial comparing hysterectomy and transcervical endometrial resection. British Journal of Obstetrics and Gynaecology. 103(2): 1996; 142–149.
   Google Scholar
• V. Hufnagel. No More Hysterectomies. 2nd edition, 1990; Thorsons Publishing: Wellingborough.
   Google Scholar
• This paper does not address the many factors affecting the referral decision, which will be reported elsewhere.
   Google Scholar
• The names of these cities are pseudonyms. They are not identified in order to protect the identities of both the GPs and the consultant gynaecologists.
   Google Scholar
• N. Britten. Qualitative research methods in general practice and primary care. Family Practice. 12: 1995; 104–114.
   PubMed Web of Science ®Google Scholar
• Transcripts were analysed using a constant comparative or ‘grounded theory’ technique. See Strauss A and Corbin J,1990. Basics of Qualitative Research. Grounded Theory, Procedures and Techniques. Sage, London.
   Google Scholar
• D. Silverman. Interpreting Qualitative Data. 1994; Sage: London. This author argues for the importance of mentioning the uncommon response in qualitative approaches.
   Google Scholar
• J. Calltorp. Health care with equity and cost containment. Lancet. 347: 1996; 587–594.
   Web of Science ®Google Scholar
• D. Sackett. Evidence based medicine: what it is and what it isn't. BMJ. 312: 1996; 71–72.
   PubMed Web of Science ®Google Scholar
• R. Fox. Training for uncertainty. H. Schwartz. Dominant Issues in Medical Sociology. 2nd edition, 1957; Random House: New York.
   Google Scholar