Brennan M E, Clare P H
J Epidemiol Community Health. 1980 Jun;34(2):134-8. doi: 10.1136/jech.34.2.134.
The Resource Allocation Working Party concluded that standardised mortality ratios are the best available indicators of geographical variations in morbidity. In this paper we give the results of a statistical analysis of the relationship between mortality and two indicators of morbidity, obtained from the 1971 census, for three age groups. The level of aggregation in the data is comparable with that at district or area level. Strong linear relationships are obtained, suggesting that it is reasonable to use mortality data in the RAWP formulae in applications at area of district level. However, this method of resource allocation should not be used in isolation from planning. A possible solution which reduces conflict between the two approaches is to incorporate mortality data in the planning indicators used to establish relative need and, in addition, to take due account of established patterns of service and local circumstances.
资源分配工作小组得出结论,标准化死亡率是发病率地理差异的最佳可用指标。在本文中,我们给出了对三个年龄组从1971年人口普查中获得的死亡率与两个发病率指标之间关系的统计分析结果。数据的汇总水平与地区或区域层面相当。得到了很强的线性关系,这表明在地区层面的应用中,在RAWP公式中使用死亡率数据是合理的。然而,这种资源分配方法不应脱离规划单独使用。一种可能减少这两种方法之间冲突的解决方案是,将死亡率数据纳入用于确定相对需求的规划指标中,此外,要充分考虑既定的服务模式和当地情况。