Cornell R G, Landis J R, Zemach R, Manela R, Wainstock E J, Gardner H H
Public Health Rep. 1980 Jul-Aug;95(4):369-75.
Percentage distributions for variables in the Michigan Ambulatory Medical Care Survey (MAMCS), both for the Detroit Standard Metropolitan Statistical Area (SMSA) and the State as a whole, are compared with those from the National Ambulatory Medical Care Survey (NAMCS). The MAMCS data are a subset of the NAMCS data, since the MAMCS was carried out by augmenting the NAMCS in Michigan. Differences in the impact of survey results for the three areas are examined in the context of planning and developing ambulatory health care services. A specific application of survey data is examined, namely, its use in planning the Health Care Institute of Wayne State University and the Detroit Medical Center. The survey results for the three areas are similar enough to warrant the use of data from the national survey in the planning and evaluation of health services locally, although special studies of a few items such as X-ray usage may be needed. To reestablish local credibility for national results, or to detect changes in patterns which may develop, another Statelevel survey is suggested at the time of a census. Based on the experience with the MAMCS, augmentation of the NAMCS or other national surveys would be used in other States.
将密歇根门诊医疗调查（MAMCS）中变量的百分比分布，与底特律标准大都市统计区（SMSA）和整个密歇根州的数据，与全国门诊医疗调查（NAMCS）的数据进行比较。MAMCS数据是NAMCS数据的一个子集，因为MAMCS是通过扩大密歇根州的NAMCS进行的。在规划和发展门诊医疗服务的背景下，研究了这三个地区调查结果影响的差异。研究了调查数据的一个具体应用，即其在规划韦恩州立大学医疗保健研究所和底特律医疗中心方面的用途。这三个地区的调查结果足够相似，足以保证在当地卫生服务的规划和评估中使用全国调查的数据，尽管可能需要对一些项目（如X光使用情况）进行专项研究。为了重新建立全国结果在当地的可信度，或发现可能出现的模式变化，建议在人口普查时进行另一项州级调查。根据MAMCS的经验，NAMCS或其他全国性调查的扩大将在其他州使用。
