Wyke S, Campbell G, Maciver S
MRC Medical Sociology Unit, Glasgow.
Br J Gen Pract. 1992 Jul;42(360):271-5.
This paper presents the results of a survey of the structure of general practice in two contrasting areas within Greater Glasgow health board: the south west area had a more deprived social profile at the 1981 census and higher than average all cause and selected major cause standardized mortality ratios than the health board as a whole while the north west area had a more affluent social profile at the 1981 census and lower than average all cause and selected major cause standardized mortality ratios. The general practice survey data gathered in 1989 were supplemented with data from a survey of residents of the localities in three age cohorts carried out in 1987-88, which provided information on use of services, as well as perceived accessibility of and satisfaction with them. Despite the more deprived social and mortality profile of the south west area, and greater use of services, few systematic differences in the structure of general practices were found in the two areas. These findings support other studies which suggest that the stereotype of poorly resourced, low quality primary care in inner city areas may apply in London, but not elsewhere. Respondents in both areas were equally satisfied with services and found them accessible.
在1981年人口普查中，西南部地区的社会状况更为贫困，其全因及特定主要病因的标准化死亡率高于健康委员会整体平均水平；而西北部地区在1981年人口普查中的社会状况更为富裕，其全因及特定主要病因的标准化死亡率低于平均水平。1989年收集的全科医疗调查数据，辅以1987 - 1988年对三个年龄组的当地居民进行的一项调查的数据，该调查提供了关于服务使用情况以及对服务的可及性和满意度的信息。尽管西南部地区的社会和死亡率状况更为贫困，且服务使用更多，但在这两个地区的全科医疗结构中几乎未发现系统性差异。这些发现支持了其他研究，这些研究表明，内城区资源匮乏、质量低下的初级医疗的刻板印象可能适用于伦敦，但不适用于其他地方。两个地区的受访者对服务的满意度相同，且认为服务是可及的。
