社区医学的社会区域分析。

A Scott-Samuel
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引用次数: 22

摘要

人们公认需要更好的信息来指导保健服务部门的资源分配和服务规划。尽管认识到社会经济因素的重要作用,但到目前为止,在适当表述daya方面的困难证明是无法克服的。社会区域分析(SAA)是利用人口普查和其他数据将小地区划分为类似社会经济群体的一些方法的通称,是一种以有用的方式量化数据的方法,在医学、流行病学和卫生服务研究中具有重要应用。以前英国在SAA的大多数演习都是在城市规划领域。通过使用来自两项现有研究的信息,评估了该方法在社区医学方面的潜力。事实证明,这比现有的保健资料更能有效地区分关于死亡率地理差异的各种假设,并充分解释了城市地区在婴儿死亡率、接种疫苗和传染病发病率方面的差异。讨论了SAA在卫生规划和研究中的具体应用。
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Social area analysis in community medicine.

There is an acknowledged need for better information to guide resource allocation and service planning in the health services. Despite the recognition of the important role of socioeconomic factors, difficulties with the appropriate presentation of daya have so far proved insuperable. Social area analysis (SAA), which is a generic name for a number of methods employing census and other data to classify small areas into similar socioeconomic groups, is an approach which quantifies data in a useful fashion and has important applications in medical, epidemiological and health services research. Most previous British exercises in SAA have been in the field of town planning. The potentialities of the approach for community medicine are evaluated, by the use of information from two existing studies. This is shown to discriminate more effectively than does existing health information between hypotheses concerning geographical variations in mortality, and it provides adequate explanations for urban area differentials in infant mortality, the uptake of vaccination, and the incidence of infectious disease. Specific applications of SAA in health planning and research are discussed.

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