Gibson A, Asthana S, Brigham P, Moon G, Dicker J
Department of Geography, University of Exeter, Amory Building, Rennes Drive, Exeter EX4 4PN, UK.
Health Place. 2002 Mar;8(1):47-60. doi: 10.1016/s1353-8292(01)00035-1.
For a variety of purposes it is increasingly necessary to establish the health needs of local populations. Following a critique of existing proxies of need, this paper presents and evaluates an alternative which draws upon epidemiological evidence concerning the age, sex and social class distribution of morbidity in order to estimate the prevalence of specific conditions in designated populations. By way of demonstrating the insights to be gained through the use of these indicative prevalence rates, the paper considers the treatment of ischaemic heart disease in a sample of 539 practices and presents evidence regarding the significance of deprivation and rurality in determining health service use relative to needs.
出于各种目的，越来越有必要确定当地人群的健康需求。在对现有的需求替代指标进行批判之后，本文提出并评估了一种替代方法，该方法利用有关发病率的年龄、性别和社会阶层分布的流行病学证据，以估计特定人群中特定疾病的患病率。为了说明通过使用这些指示性患病率可获得的见解，本文考虑了539个医疗机构样本中缺血性心脏病的治疗情况，并提供了关于贫困和农村地区在确定相对于需求的医疗服务使用情况方面的重要性的证据。
