Lamden K H, Sudell A J
East Lancashire Health Authority, Nelson.
J Public Health Med. 1995 Mar;17(1):63-4.
Purchasers of health care receive no routine information on the use of the private health sector by their residents, and are consequently unaware of any resulting differentials in access to health services. This information would assist in assessing need for services on a locality basis.
For the period 1990-1992 surgical activity data from the single private hospital in Preston were examined by electoral ward of residence and compared with corresponding NHS data.
For the procedures examined, the private sector contributed only 8 per cent to overall surgical activity within Preston. People from the more affluent wards were far more likely to use the private sector than those from deprived wards.
The private sector did not introduce any inequity of access to surgery within Preston at electoral ward level. However, in districts with higher levels of private sector activity significant differentials in access may exist.
医疗保健购买者无法获得关于其居民使用私立医疗部门情况的常规信息，因此并不知晓由此导致的获得医疗服务方面的任何差异。这些信息将有助于按地区评估服务需求。
对1990年至1992年期间普雷斯顿唯一一家私立医院的外科手术活动数据，按居住选区进行了审查，并与相应的国民保健服务（NHS）数据进行了比较。
在所审查的手术中，私立部门在普雷斯顿的整体外科手术活动中仅占8%。较富裕选区的人使用私立部门的可能性远远高于贫困选区的人。
在选区层面，私立部门并未在普雷斯顿造成获得手术服务方面的任何不公平现象。然而，在私立部门活动水平较高的地区，可能存在获得服务方面的显著差异。
