Ochoa-Díaz López H, Sánchez-Pérez H J, Martínez-Guzmán L A
División de Salud y Población, El Colegio de la Frontera Sur (ECOSUR), San Cristóbal de las Casas, Chiapas México.
Salud Publica Mex. 1996 Jul-Aug;38(4):257-67.
This paper analyzes the relationship between a living standards index for small areas based on census data and information on morbidity and health care utilization.
The information was gathered through a health interview survey of a random sample of 1 238 households from rural areas of Tlaxcala, Mexico.
The population from localities with lower living standards showed significantly higher prevalences of morbidity and worse self-reported health status measures, as compared to localities with higher living standards. On the contrary, higher living standards were related with a greater utilization of health services.
The approach proved to be useful in discriminating localities and areas of high and low prevalence of morbidity and utilization of health care services, which in turn could be used to identify those areas where needs are greatest. The implications of the results for health planning and resource allocation (based on population health needs and underlying social conditions) at the local level are discussed.
本文分析了基于人口普查数据的小区域生活水平指数与发病率及医疗保健利用信息之间的关系。
通过对墨西哥特拉斯卡拉州农村地区1238户随机抽样家庭进行健康访谈调查收集信息。
与生活水平较高的地区相比，生活水平较低地区的人口发病率显著更高，自我报告的健康状况指标也更差。相反，生活水平较高与更多地利用医疗服务相关。
该方法被证明有助于区分发病率和医疗服务利用率高和低的地区，进而可用于确定需求最大的那些地区。讨论了研究结果对地方层面卫生规划和资源分配（基于人群健康需求和潜在社会状况）的影响。
