Purdy S, Jones K P, Sherratt M, Fallon P V
Department of Primary Health Care, University of Newcastle, School of Health Sciences, The Medical School, Framlington Place, Newcastle upon Tyne NE2 4HH, UK.
Fam Pract. 2000 Jun;17(3):233-5. doi: 10.1093/fampra/17.3.233.
The importance of providing health care services that are acceptable to different cultural groups is widely acknowledged. Strictly orthodox Jewish communities have particular health care needs that reflect their religious teaching and beliefs.
To describe the demographic characteristics and health care usage patterns of the strictly orthodox Jewish population of Gateshead.
Registration and claims data were used in combination with encounter data from computerized and manual practice records. Jewish patients were identified and comparisons made between Jewish and non-Jewish populations registered at the same practices.
The orthodox Jewish population was predominantly young (69% aged under 20). The birth rate in orthodox Jewish women aged 20-44 was much higher (294 per 1000) than non-Jewish women. Rates of uptake of cervical screening and childhood immunizations were significantly lower in the orthodox Jewish population. Uptake of breast screening and attendance at diabetic clinics did not differ significantly. The average number of consultations and home visits per annum was higher in Jewish than in non-Jewish patients.
The demographic and health care utilization patterns of orthodox Jewish and non-Jewish patients in Gateshead are different. There are implications for the provision of primary care services, particularly with regard to preventative health care.
提供不同文化群体可接受的医疗保健服务的重要性已得到广泛认可。严格遵守正统教义的犹太社区有特殊的医疗保健需求，这些需求反映了他们的宗教教义和信仰。
描述盖茨黑德严格遵守正统教义的犹太人群体的人口统计学特征和医疗保健使用模式。
将登记和索赔数据与来自计算机化和手工病历记录的诊疗数据相结合。识别出犹太患者，并对在同一医疗机构登记的犹太人和非犹太人群体进行比较。
正统犹太人群体主要为年轻人（69%年龄在20岁以下）。20至44岁正统犹太女性的出生率（每1000人中有294人）远高于非犹太女性。正统犹太人群体的宫颈筛查和儿童免疫接种率显著较低。乳房筛查的参与率和糖尿病诊所的就诊率没有显著差异。犹太患者每年的平均会诊次数和家访次数高于非犹太患者。
盖茨黑德正统犹太患者和非犹太患者的人口统计学特征和医疗保健利用模式不同。这对初级保健服务的提供有影响，特别是在预防性医疗保健方面。
