Blaxter M
Br Med J (Clin Res Ed). 1984 Jun 30;288(6435):1963-7. doi: 10.1136/bmj.288.6435.1963.
An attempt was made to distinguish different types of consultations and their variation by social class by a secondary analysis of the second national morbidity survey in general practice. The greatest difference in consultation rates, comparing patients in social classes IV and V with those in classes I and II, was for life threatening, urgent, chronic, or incapacitating conditions, thus matching the presumed difference in need. For more trivial conditions and for symptoms not specifically diagnosed the difference between social classes was less, and for married women in various ways consultation rates suggested less care seeking by patients in the lower social classes. The different uses made of primary care is more illuminating and more relevant to the question of equality in use of services than crude overall consulting rates by social class.
通过对第二次全国全科医疗发病率调查进行二次分析，试图区分不同类型的会诊及其在社会阶层方面的差异。将社会阶层IV和V的患者与阶层I和II的患者相比，会诊率差异最大的是危及生命、紧急、慢性或致残性疾病，这与假定的需求差异相符。对于不太严重的疾病和未明确诊断的症状，社会阶层之间的差异较小，而且从各种方面来看，较低社会阶层患者的会诊率表明他们寻求医疗护理的行为较少。与按社会阶层划分的粗略总体会诊率相比，对初级医疗的不同利用情况更具启发性，也与服务利用平等问题更相关。
