Smith P, Sheldon T A, Carr-Hill R A, Martin S, Peacock S, Hardman G
Department of Economics and Related Studies, University of York.
BMJ. 1994 Oct 22;309(6961):1050-4. doi: 10.1136/bmj.309.6961.1050.
A study designed to identify the principal determinants of use of inpatient facilities in NHS hospitals in England used the data and methods outlined in the previous paper. The model for the psychiatric sector contains mortality, self reported morbidity, and social variables indicating deprivation and the level of care at home. The non-acute model contains mortality and several socioeconomic variables. The models lay less weight on age than the current formula, and a national formula based on these models would, in the acute sector, redistribute resources to poorer areas compared with the current formula.
一项旨在确定英格兰国民健康服务体系(NHS)医院住院设施使用主要决定因素的研究采用了上一篇论文中概述的数据和方法。精神科部门的模型包含死亡率、自我报告的发病率以及表明贫困程度和家庭护理水平的社会变量。非急性病模型包含死亡率和几个社会经济变量。这些模型对年龄的权重低于当前公式,基于这些模型的全国公式在急性病部门会与当前公式相比将资源重新分配到较贫困地区。