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[巴西城市地区的转诊发病率与卫生服务利用:方法]

[Referred morbidity and the utilization of health services in Brazilian urban areas: methodology].

作者信息

Cesar C L, Figueiredo G M, Westphal M F, Cardoso M R, Costa M Z, Gattás V L

机构信息

Departamento de Epidemiologia da Faculdadae de Saúde Pública da Universidadae São Paulo, Brasil.

出版信息

Rev Saude Publica. 1996 Apr;30(2):153-60. doi: 10.1590/s0034-89101996000200007.

Abstract

The reorganization of the Brazilian health system in the last few years has been based on the decentralization of the services and the integration of preventive and curative medicine, then creating new needs in term of the health information needed for health planning. The planning and administration of a regionalized and integrated health system calls for information about the population's morbidity profile, and the description of the pattern of the utilization of the health services, which can be obtained by means of household health surveys. The methodology utilized in a household health survey carried out in the Metropolitan Area of S. Paulo, Brazil, from July 1989 to June 1990, is described. This survey has some distinct methodological characteristics, such as the sampling process that defined the domains by age and sex, allowing an analysis of populational groups less well represented in the general population, as that of less than one year of age and that of aged people, as well as the use of the results of the latest Brazilian Census in 1991 for adjusting the sample.

摘要

过去几年巴西卫生系统的重组基于服务的去中心化以及预防医学与治疗医学的整合,进而在卫生规划所需的卫生信息方面产生了新需求。规划和管理一个区域化且整合的卫生系统需要有关人群发病率概况的信息,以及对卫生服务利用模式的描述,这些可通过家庭卫生调查获得。本文描述了1989年7月至1990年6月在巴西圣保罗大都市区进行的一次家庭卫生调查所采用的方法。该调查具有一些独特的方法学特征,比如抽样过程按年龄和性别定义区域,从而能够分析在普通人群中代表性较低的人群组,如一岁以下儿童组和老年人组,此外还利用了1991年巴西最新人口普查的结果来调整样本。

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