Jacobson B
Department of Public Health, City and Hackney Health Authority, London.
BMJ. 1992 Nov 28;305(6865):1344-7. doi: 10.1136/bmj.305.6865.1344.
One of Sir Bernard Tomlinson's aims in his inquiry into London's health services was to advise the secretary of state for health on the future balance of primary and secondary health care "taking account of the health needs of Londoners." Sir Bernard, however, also made it clear that "we have not seen it as part of our remit to carry out a comprehensive needs assessment for the whole of London," but concluded that the extremes of health need found in London were "unparalleled in the rest of England." Dr Jacobson highlights some of the major determinants of health inequality in inner London and assesses the extent to which the proposed solutions are likely to meet these needs.
伯纳德·汤姆林森爵士在对伦敦医疗服务进行调查时的目标之一，是就初级和二级医疗保健的未来平衡向卫生大臣提供建议，“同时考虑伦敦居民的健康需求”。然而，伯纳德爵士也明确表示，“我们并不认为进行全伦敦范围的综合需求评估是我们职责的一部分”，但他得出结论称，伦敦发现的健康需求极端情况在英格兰其他地区“是无与伦比的”。雅各布森博士强调了伦敦市中心健康不平等的一些主要决定因素，并评估了拟议的解决方案在多大程度上可能满足这些需求。
