Health Indexes Sensitive to Medical Care Variation
Autor: | E. Maurice Backett, Carlos J. M. Martini, G. J. Boris Allan, Jan Davison |
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Rok vydání: | 1977 |
Předmět: |
medicine.medical_specialty
media_common.quotation_subject Population Health outcomes Medical care Health services Health care Health Status Indicators Humans Medicine Quality (business) Mortality education Health statistics Quality of Health Care media_common Analysis of Variance education.field_of_study Wales business.industry Health Policy Infant Newborn Infant Health Surveys Variation (linguistics) England Socioeconomic Factors Family medicine Quality of Life business |
Zdroj: | International Journal of Health Services. 7:293-309 |
ISSN: | 1541-4469 0020-7314 |
DOI: | 10.2190/xfyt-r576-0r6c-rj4m |
Popis: | Data from the fifteen Hospital Regions of England and Wales were used to determine the utility of health outcome indexes, derived from existing health statistics, for monitoring the quality and effectiveness of health services. Outcome measures reflect not only the impact of the system of care but also the sociodemographic characteristics of the population. An attempt therefore was made to identify those outcome measures most sensitive to variations in medical care and least affected by sociodemographic differences. In general, most indexes examined in this paper appear to be more sensitive to variations in the sociodemographic characteristics of the population. However, those outcome measures related to provision of care in hospital appear to be relatively more sensitive to variation in medical care than those which are community based. This suggests that, at least for monitoring the effectiveness of medical care in the community, it may be necessary to move away from the more “traditional” health indexes toward measures that take into consideration the different patterns of care and the social and behavioral aspects of health. |
Databáze: | OpenAIRE |
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