Brownell Marni, Kozyrkyj Anita, Roos Noralou, Friesen David, Mayer Teresa, Sullivan Kip
Manitoba Centre for Health Policy, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB.
Can J Public Health. 2002 Nov-Dec;93 Suppl 2(Suppl 2):S57-62. doi: 10.1007/BF03403620.
To compare physician and hospital utilization rates by children across subregions of Manitoba.
1998/99 data for physician visits and hospitalizations for children aged 0 to 19 were extracted from the Population Health Research Data Repository. Rates of utilization were compared across 12 regions (RHAs) within Manitoba, and 12 community areas within Winnipeg. Rates were also compared across premature mortality rates (PMR) and area income levels.
Substantial regional variation was found for utilization rates. The hospitalization rate for children from the three northern RHAs (highest PMRs) (114/1000) was almost four times the Winnipeg rate (30/1000) and almost double the rate for the rural south RHAs (lowest PMRs) (59/1000). The variation among regions in physician visits ranged from under 2 visits in 2 of the northern RHAs to almost 4 visits in urban areas. However, the low visit rates in rural RHAs are offset somewhat by greater use of nurses. Hospitalizations and physician visits were also related to area income level.
Findings are discussed in terms of health care need.
比较曼尼托巴省各次区域儿童的医生就诊率和住院率。
从人口健康研究数据储存库中提取1998/99年0至19岁儿童的医生就诊和住院数据。对曼尼托巴省的12个区域（区域卫生管理局）以及温尼伯市的12个社区区域的利用率进行了比较。还对早产死亡率（PMR）和地区收入水平的利用率进行了比较。
发现利用率存在显著的区域差异。来自北部三个区域卫生管理局（早产死亡率最高）的儿童住院率（114/1000）几乎是温尼伯市住院率（30/1000）的四倍，几乎是南部农村区域卫生管理局（早产死亡率最低）住院率（59/1000）的两倍。各区域之间的医生就诊差异范围从北部两个区域卫生管理局的不到2次就诊到城市地区的近4次就诊。然而，农村区域卫生管理局较低的就诊率在一定程度上被更多地使用护士所抵消。住院和医生就诊也与地区收入水平有关。
根据医疗保健需求对研究结果进行了讨论。
