This paradox is consistent with the inverse care law, where people who are most vulnerable and in need of health care services are less likely to receive adequate health care than the general population.
The Inverse Care Law Programme was set up in the South Wales Valleys - in the Cwm Taf and Aneurin Bevan University health board areas - to identify people at higher risk of developing the heart condition and to deliver a programme of community-based intervention.
It will provide the vital information that commissioners at all levels require in order to meet this growing need, to support more older people to remain independent, to reverse the inverse care law and to close the health inequalities gap.
Victor encouraged delegates to work against the 'inverse care law', saying: 'Health visitors and school nurses need to join up and make your connection visible--because if we don't, the inverse care law will continue to exist.
I conclude that the enormous health needs of Africa and the less-developed countries of the Western Pacific are not being addressed by the AACC and offer this conclusion as an example of the Inverse Care Law, i.
In his 1971 seminal article defining the inverse care law - the availability of good medical care varies inversely with the need for the population served - Julian Tudor Hart said: "Medical services are not the main determinant of mortality or morbidity - these depend most upon the standards of nutrition, housing, working environment and education and the presence or absence of war.