Pampalon R
INSERM, Epidémiologie du vieillissement et des incapacités, Montpellier, France.
Cah Sociol Demogr Med. 1990 Apr-Jun;30(2):253-67.
Nearly one quarter of the people surveyed in Quebec have seen a health professional during the two previous weeks. One third of these visits have been to GPs. Females have paid more visits than males, widows more than married people, the elderly more than the young. Moreover, two groups have had a higher demand: the poor, wherever they are, and the rich in the big cities and metropolitan areas. When grouped into homogeneous areas, the growth of demand is correlated with available services and perceived illness or ailments. When a group increases its demand for services, which are nearly free of charge, the consumption level of the group goes beyond need, and the availability of services becomes increasingly the main determinant.
在魁北克接受调查的人群中,近四分之一的人在之前两周内看过医疗专业人员。这些就诊中有三分之一是去看全科医生。女性就诊次数多于男性,寡妇多于已婚人士,老年人多于年轻人。此外,有两类人群需求较高:无论身处何地的穷人,以及大城市和大都市地区的富人。当按同质区域划分时,需求的增长与可获得的服务以及感知到的疾病或不适相关。当一个群体对几乎免费的服务需求增加时,该群体的消费水平会超出需求,而服务的可获得性越来越成为主要决定因素。