Gandy R J
Epidemiol Community Health. 1979 Mar;33(1):100-3. doi: 10.1136/jech.33.1.100.
The use of standardised mortality ratios (SMRs) as a proxy measure of morbidity for resource allocation purposes in the National Health Service (NHS) has been widely criticised. The small number of deaths from infectious diseases makes it necessary to consider whether there are more appropriate measures. The standardised notification rate (SNR) was compared with the SMR for respiratory tuberculosis and it appears to be a better proxy for morbidity.
在英国国家医疗服务体系(NHS)中,使用标准化死亡率(SMR)作为发病率的替代指标以用于资源分配,这一做法受到了广泛批评。传染病死亡人数较少,因此有必要考虑是否存在更合适的指标。将标准化报告率(SNR)与肺结核的SMR进行了比较,结果显示SNR似乎是发病率更好的替代指标。