Cadigan R T, Bugarin C E
Massachusetts Department of Public Health, Office of Emergency Medical Services, Boston 02116.
Ann Emerg Med. 1989 Jun;18(6):618-21. doi: 10.1016/s0196-0644(89)80514-1.
We examined community demand for prehospital emergency medical services and found that demand was highly correlated with population in the communities studied. Further differences in demand are related to median income, percentage of the population more than 65 years old, and percentage living below the poverty level. Higher median income is related to lower demand; percentage more than 65 years old and percentage living below the poverty level are related to higher demand. In practical terms, this means that demand is greatest in those communities with the lowest incomes, an issue that must be examined as increasing responsibility is placed on local community services.
我们调查了社区对院前紧急医疗服务的需求，发现需求与所研究社区的人口高度相关。需求的进一步差异与中位数收入、65岁以上人口百分比以及生活在贫困线以下的人口百分比有关。较高的中位数收入与较低的需求相关；65岁以上人口百分比和生活在贫困线以下的人口百分比与较高的需求相关。实际上，这意味着在那些收入最低的社区需求最大，随着地方社区服务的责任不断增加，这个问题必须加以审视。
