Williams R L, Cunningham G C, Norris F D, Tashiro M
Am J Obstet Gynecol. 1980 Mar 1;136(5):559-68. doi: 10.1016/0002-9378(80)91003-0.
Recent developments have emphasized the need to monitor perinatal mortality statistics by small geographic areas. A method is presented which separates county-specific perinatal mortality rates into a component reflective of socioeconomic, behavioral, and environmental variables, and a component that relates more directly to hospital-based intra- and postpartum care. Major differences in geographic variations were observed between the crude rate and the two components. An arbitrary index of the need for perinatal health services was created by combining the two components with the number of perinatal deaths in each county. Although there are some obvious limitations, the index serves as a useful guidepost for monitoring perinatal mortality on a statewide basis.
近期的发展强调了按小地理区域监测围产期死亡率统计数据的必要性。本文提出了一种方法，该方法将特定县的围产期死亡率分为反映社会经济、行为和环境变量的一个组成部分，以及与医院内和产后护理更直接相关的一个组成部分。观察到粗死亡率与这两个组成部分在地理差异上存在重大不同。通过将这两个组成部分与每个县的围产期死亡人数相结合，创建了一个围产期卫生服务需求的任意指数。尽管存在一些明显的局限性，但该指数可作为在全州范围内监测围产期死亡率的有用指导。
