Beale N, Baker N, Straker-Cook D
Northlands Surgery, Calne, Wiltshire, UK.
Public Health. 2000 Jul;114(4):260-4. doi: 10.1038/sj.ph.1900640.
This study tests the hypothesis that Council Tax Valuation Banding (CTVB) is a measure both of UK socioeconomic status and of general practice workload. It is a retrospective cohort study based in a UK semi-rural general practice, North Wiltshire. The study group is a randomised selection of UK general practice patients. The outcome measures are socio-demographic and primary care workload parameters versus CTVBs by logistic regression analyses in a sample of 378 patients (90% participation rate). People who pay little or no council tax are significantly less likely to live in owner-occupied homes or to have access to a car than their counterparts. There is also a significant inverse association between CTVB and demand for general practitioner services. CTVB could be an accessible, universal, non-census marker of UK socioeconomic status and of general practice workload that would have validity in the context of primary care resource allocation and is a concept worthy of further investigation.
市政税估值分级(CTVB)是衡量英国社会经济地位和全科医疗工作量的一种指标。这是一项基于英国半乡村地区北威尔特郡一家全科诊所的回顾性队列研究。研究组是从英国全科医疗患者中随机选取的。通过对378名患者(参与率90%)进行逻辑回归分析,将社会人口统计学和初级医疗工作量参数作为结果指标与CTVB进行对比。缴纳很少或不缴纳市政税的人相比其他人,居住在自有住房或拥有汽车的可能性显著更低。CTVB与全科医生服务需求之间也存在显著的负相关关系。CTVB可能是一种可获取的、通用的、非人口普查性质的英国社会经济地位和全科医疗工作量指标,在初级医疗资源分配背景下具有有效性,是一个值得进一步研究的概念。