Chen M K
Public Health Rep. 1983 Mar-Apr;98(2):181-4.
A new quantitative index is proposed to measure the degree to which the health care needs of a population are met. It is based on the health goals model of Lester Breslow and A. R. Somers, who listed the kinds and frequencies of health services appropriate for each of 10 developmental and maturational stages of life. The population is further divided into the sick and well segments of each of the 10 groups; the sick need treatment and the well and asymptomatic need preventive care. The index is the geometric mean of the proportions of the people in the stages whose utilization experiences conform to the services and goals appropriate for their respective group. The counting system requires the minimum information as to whether the person has received the necessary treatment for his condition if he is sick or made the requisite number of professional visits for preventive care if he is well. The index is best considered a heuristic tool for understanding a complex problem.
提出了一种新的定量指标来衡量人群医疗保健需求的满足程度。它基于莱斯特·布雷斯洛和A.R.萨默斯的健康目标模型，他们列出了适合生命10个发育和成熟阶段中每个阶段的医疗服务种类和频率。人群进一步分为10个组中每组的患病和健康部分；患病者需要治疗，健康和无症状者需要预防保健。该指标是处于各阶段的人群中，其利用经历符合适合各自组别的服务和目标的人群比例的几何平均数。计数系统要求提供最少的信息，即如果患病，该人是否已接受针对其病情的必要治疗；如果健康，是否已进行必要次数的预防性专业就诊。该指标最好被视为一种用于理解复杂问题的启发式工具。
