儿童和青少年医疗保健中的不必要差异。

Unwarranted variation in health care for children and young people.

机构信息

Department of Paediatrics, St Thomas' Hospital, London, UK.

出版信息

Arch Dis Child. 2013 Jan;98(1):60-5. doi: 10.1136/archdischild-2012-302041. Epub 2012 Aug 18.

DOI:10.1136/archdischild-2012-302041

Abstract

The study of geographical variation in healthcare has moved on since J Allison Glover's seminal study in 1938, and its value in highlighting inequity in access, quality and outcomes is well-established. Study of variation in healthcare for children, however, has proven more difficult due to barriers with data and idiosyncrasies in how we measure outcomes for children and families. This paper is a narrative review of unwarranted variations in healthcare for children, and discusses the potential of variation analysis to help researchers and policy makers improve child health services.

摘要

自 1938 年 J 艾利森·格洛弗（J Allison Glover）的开创性研究以来，医疗保健领域的地理差异研究已经取得了进展，其在突显获取、质量和结果方面的不平等方面的价值已得到充分证实。然而，由于数据方面的障碍以及我们衡量儿童和家庭结果的特殊性，儿童医疗保健差异的研究更加困难。本文是对儿童医疗保健中不必要的差异的叙述性综述，并讨论了差异分析在帮助研究人员和政策制定者改善儿童健康服务方面的潜力。