Carlisle R D, Johnstone S P, Pearson J C
Department of Public Medicine, North Nottinghamshire Health Authority, Ransom Hospital.
BMJ. 1993 May 22;306(6889):1383-5. doi: 10.1136/bmj.306.6889.1383.
To compare night visit rates in different electoral wards of one general practice with the Jarman and Townsend deprivation scores and unemployment rates.
Analysis of computerised workload data.
General practice in centre of Mansfield, Nottinghamshire.
Visits made in 588 nights to the 11,998 patients on the practice list.
Night visit rates in 15 electoral wards varied from 19.6 to 55.3 visits per 1000 patients per year. The rates showed a significant association with the Townsend score (p = 0.004) and the unemployment rate (p = 0.03) but not with the Jarman score (p = 0.3). The Townsend score explained 49% of the variability; unemployment explained 31% and the Jarman score explained 9%.
Even in a general practice not eligible for deprivation payments there was a 2.8-fold variation in night visit rates between wards. In this practice the Townsend score was significantly better at predicting night visit rates than the Jarman score. This method of looking at internal variation in workloads in computerised practices could give more direct data on the relation between deprivation and general practice workload than has previously been available.
比较一家全科诊所不同选区病房的夜间出诊率与贾曼和汤森贫困评分及失业率。
对计算机化工作量数据进行分析。
诺丁汉郡曼斯菲尔德市中心的全科诊所。
对诊所名单上的11998名患者在588个夜晚的出诊情况。
15个选区病房的夜间出诊率为每年每1000名患者19.6至55.3次。这些比率与汤森评分（p = 0.004）和失业率（p = 0.03）显著相关，但与贾曼评分无关（p = 0.3）。汤森评分解释了49%的变异性；失业率解释了31%，贾曼评分解释了9%。
即使在一家不符合贫困补贴资格的全科诊所，各病房之间的夜间出诊率也存在2.8倍的差异。在这家诊所，汤森评分在预测夜间出诊率方面明显优于贾曼评分。这种观察计算机化诊所工作量内部差异的方法，可能会比以前提供的更多直接数据，以了解贫困与全科诊所工作量之间的关系。
