用户收费和社会经济环境对芬兰儿科创伤科就诊的影响。

J Ahlamaa-Tuompo, M Linna, M Kekomäki
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引用次数: 5

摘要

在本报告中,我们(i)测量儿科创伤就诊率与区域社会经济和人口变量之间的关联强度,(ii)量化用户收费对社会经济和人口不同地区服务需求的选择性影响。1989- 1994年期间,共向奥罗拉市医院进行了30 362次家庭和休闲伤害就诊。使用随机效应模型对访问率进行了分析。此外,根据社会经济指数将这些地区划分为三组,并计算了三组的年访问量。我们发现,在不平等的社会经济地区之间,儿童的访问量差异相当小,很明显,社会经济地位不能解释由于引入用户收费而导致的访问量变化。我们推测,急诊率的这些变化不会对城市人口的任何部分造成长期的健康问题。
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Impact of user charges and socio-economic environment on visits to paediatric trauma unit in Finland.

In this report we (i) measure the strength of the association between paediatric trauma visit rates and regional socioeconomic and demographic variables, and (ii) quantify any selective impact of user charges on service demand in socioeconomically and demographically different areas. During the period 1989-94, a total of 30,362 home and leisure injury visits were made to the Aurora City Hospital. The visit rates are analysed using a random effects model. In addition, the areas are ranked into three groups in accordance with a socioeconomic index measure, and the annual visit rates of the three groups are calculated. We found fairly minor differences in children's visit rates between unequal socioeconomic areas, and it is apparent that socioeconomic status cannot explain the change in visit rates as a result of the introduction of user charges. We speculate that these changes in emergency visit rates will not lead to long-term health problems among any segment of the city population.

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