Audibert M
Rev Epidemiol Sante Publique. 1982;30(4):437-50.
Having briefly criticized those health indexes which are currently used, the author suggests that the LDC'S should exploit the information contained in routine statistical reports of health services activities: utilization rate (number of patients divided by population served) and intensity of service rate (number of visits per patient). She shows that these rate depend not only on morbidity, but also on the characteristics of the supply of health services (distance . . .) and on the characteristics of the demand for those services (behavioral attitudes of the patients . . .). The author uses multiple regression techniques to isolate the influence of these factors on utilization rate and on service's intensity. She concludes that the residual may be considered as a health status indicator. The application of this method to data for the forty administrative areas of Cameroon (1970 and 1975), shows that the resulting health index is correlated with infant mortality rates and with sanitary conditions.
在简要批评了当前使用的那些健康指标后，作者建议最不发达国家应利用卫生服务活动常规统计报告中包含的信息：利用率（患者数量除以服务人口）和服务强度率（每位患者的就诊次数）。她表明，这些比率不仅取决于发病率，还取决于卫生服务供应的特征（距离……）以及对这些服务需求的特征（患者的行为态度……）。作者使用多元回归技术来分离这些因素对利用率和服务强度的影响。她得出结论，残差可被视为健康状况指标。将此方法应用于喀麦隆四十个行政区的数据（1970年和1975年），结果表明所得出的健康指标与婴儿死亡率和卫生条件相关。
