Whynes D K, Thornton P
School of Economics, University of Nottingham, UK.
Health Care Manag Sci. 2000 Jan;3(1):43-9. doi: 10.1023/a:1019068718919.
There is evidence that patient choice and the quality of service delivery in primary care can be influenced by the organisation and structure of provision at the local level. However, the formal measurement of structure in primary care has yet to be undertaken. Using data for Coventry, standard concentration measures are estimated, which show that concentration varies considerably across the city and tends to be higher in areas of lower deprivation. Assuming that patient choice is an important consideration in health care planning, concentration measurement may provide a useful tool for health authorities in making decisions about GP numbers, practice mergers and re-location.
有证据表明，基层医疗中患者的选择以及服务提供的质量会受到当地医疗服务机构和结构的影响。然而，尚未对基层医疗结构进行正式测量。利用考文垂的数据，估算了标准集中度指标，结果显示整个城市的集中度差异很大，且在贫困程度较低的地区往往更高。假设患者选择是医疗保健规划中的一个重要考量因素，集中度测量可能会为卫生当局在决定全科医生数量、诊所合并和重新选址方面提供一个有用的工具。
