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一种分析医疗保健需求与资源的方法。

An approach to the analysis of health care needs and resources.

作者信息

Stone D H

出版信息

J Epidemiol Community Health. 1980 Sep;34(3):208-11. doi: 10.1136/jech.34.3.208.

DOI:10.1136/jech.34.3.208
PMID:7441143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1052079/
Abstract

A semi-quantitative method of analysing the relationship between health care resources and need is described. It utilises the Donabedian model which expresses needs and resources in equivalent units in order to estimate the ratio of resources to need. The optimum resource/need ratio is regarded as that pertaining to the reference population; deviation from this optimum ratio in the subunits of the reference population is interpreted as a manifestation of inequitable resource distribution. An example is presented of the application of the method to the Greater Glasgow Health Board and its five constituent districts for the years 1974-77. It is argued that this method might, without undermining the principle of geographical equity, meet some of the objections to the more rigid 'formula' approach in the report of the Resource Allocation Working Party (RAWP) and in the Scottish Health Authorities Revenue Equalisation (SHARE) report.

摘要

本文描述了一种分析医疗保健资源与需求之间关系的半定量方法。该方法采用唐纳贝迪安模型，该模型以等效单位来表示需求和资源，以便估算资源与需求的比率。最佳资源/需求比率被视为与参考人群相关的比率；参考人群各子单位与该最佳比率的偏差被解释为资源分配不公平的表现。文中给出了该方法在1974 - 1977年应用于大格拉斯哥卫生局及其五个组成区的示例。有人认为，这种方法在不损害地域公平原则的情况下，可能会回应一些对资源分配工作组（RAWP）报告和苏格兰卫生当局收入均等化（SHARE）报告中更为严格的“公式”方法的异议。