Charlton J R, Lakhani A
Br Med J (Clin Res Ed). 1985 Jun 8;290(6483):1714-6. doi: 10.1136/bmj.290.6483.1714.
A recently published validation of an underprivileged area score, which is intended to reflect factors that increase general practice workload or pressure on their services, was incomplete; a validation based on criteria other than the opinion of general practitioners is also required. Areas with higher mortality from diseases where general practitioner intervention can reduce mortality substantially are likely to have a greater need for general practice services. Similarly, the need for general practitioner services should be higher where the incidence of such treatable conditions is higher. This paper describes the association between Jarman's score and (a) mortality from causes that are amenable to general practice intervention and (b) incidence of two diseases where general practice intervention is important. Using these data the score appears to have external criterion validity and thus is likely to reflect, at least crudely, the need for general practitioner services.
最近发表的一项关于贫困地区评分的验证并不完整，该评分旨在反映增加全科医疗工作量或其服务压力的因素；还需要基于全科医生意见以外的标准进行验证。在全科医生干预可大幅降低死亡率的疾病中，死亡率较高的地区可能对全科医疗服务有更大需求。同样，此类可治疗疾病发病率较高的地区，对全科医疗服务的需求也应更高。本文描述了贾曼评分与（a）可通过全科医疗干预改善的病因导致的死亡率以及（b）两种全科医疗干预很重要的疾病的发病率之间的关联。利用这些数据，该评分似乎具有外部标准效度，因此至少粗略地反映了对全科医疗服务的需求。
