Golding A M, Hunt S M, McEwen J
Health Policy. 1986;6(2):175-84. doi: 10.1016/0168-8510(86)90006-0.
The hospital admission rate in Inner London is higher than for the country as a whole. This could be because more beds are available or because the local population has special needs. This paper considers admission rates by electoral wards within one Inner London District. The paper shows that the high admission rates are characteristic of electoral wards which exhibit severe social deprivation and that the more affluent wards do not have high hospitalization rates despite the fact that residents of all electoral wards have equal access to hospital. Our conclusion is that the high hospitalization rates in Inner London are at least in part due to social deprivation and that any allocation of health resources needs to make adequate and additional provision for the health needs of communities which are socially deprived.
伦敦市中心的医院住院率高于全国整体水平。这可能是因为有更多病床可用,或者是因为当地居民有特殊需求。本文研究了伦敦市中心一个区内按选区划分的住院率。研究表明,高住院率是那些社会贫困严重的选区的特征,而尽管所有选区的居民都能平等地获得医院服务,但较为富裕的选区并没有高住院率。我们的结论是,伦敦市中心的高住院率至少部分是由于社会贫困造成的,并且任何卫生资源的分配都需要为社会贫困社区的健康需求做出充分且额外的安排。