Garcia Benavides F, Cayuela Dominguez A, Belda Ibañez J, Gil Gillen V
Departamento de Salud Comunitaria, Universidad de Alicante.
Rev Sanid Hig Publica (Madr). 1990 Nov-Dec;64(11-12):643-50.
The relationship between the distance to the Elche County Hospital, grouping the towns in its area of influence into four categories (over 29 km, 20 to 19 Km, under 20 Km and Elche proper), and the rates regarding the use of this hospital's emergency room services are studied based on a sample of 3,546 emergency cases treated in said hospital in 1985. The relative standardized risks by age (RelR) are significantly greater than 1 in all categories regarding that of 29 Km, concerning both men (1.36, 2.64, 3.86) and women (1.52, 2.02, 3.87). This is an association which follows a statistically significant upward trend concerning men (X ext-Mantel = 21.63 p less than 0.01) and women (X ext-Mantel = -18.85 p less than 0.01) as the distance decreases. We point out the limitations of the study, and some implications of the inverse association found (b = -0.38 for men and -0.29 for women p less than 0.05) are discussed with regard to refocusing health care services.
以1985年在埃尔切县医院接受治疗的3546例急诊病例为样本，研究了距该医院的距离与该医院急诊室服务使用率之间的关系。研究将该医院影响区域内的城镇分为四类（超过29公里、20至29公里、低于20公里以及埃尔切市本身）。在所有类别中，与距离超过29公里的情况相比，按年龄计算的相对标准化风险（RelR）显著大于1，男性（分别为1.36、2.64、3.86）和女性（分别为1.52、2.02、3.87）均是如此。随着距离缩短，这种关联在男性（Mantel扩展检验X = 21.63，p < 0.01）和女性（Mantel扩展检验X = -18.85，p < 0.01）中呈现出具有统计学意义的上升趋势。我们指出了该研究的局限性，并讨论了所发现的反向关联（男性b = -0.38，女性b = -0.29，p < 0.05）对于重新调整医疗服务重点的一些影响。
