Surgical Rate Variations: Do They Reflect the Health or Socioeconomic Characteristics of the Population?
Surgical Rate Variations: Do They Reflect the Health or Socioeconomic Characteristics of the Population?
复制标题
手术率变化：它们是否反映了人群的健康或社会经济特征？
DOI：
10.1097/00005650-198209000-00007
复制
发表时间：
1982
期刊：
影响因子：
3
通讯作者：
L. Roos
中科院分区：
文献类型：
--
作者：
N. Roos;L. Roos
至少在过去的40年里，不同地理区域的手术率发生了重大的、无法解释的变化。本文试图评估人口特征对这些变异的贡献。56个小农村地区老年人的手术率差异与这些地区老年人口特征的差异进行了比较，这些特征包括自我报告的健康状况、残疾程度、精神状况、社会经济状况、种族特征等。这些数据不支持解释手术率差异的需求模型。高死亡率地区的特点不是老年人口残疾和健康状况不佳。高失业率地区确实有更多受过教育的老年人口，以及更多来自加拿大、英国或美国的老年人。
Major unexplained variations in surgical rates have been documented across geographic areas over at least the last four decades. This paper attempts to assess the contribution that population characteristics make to these variations. Variations in surgical rates among the elderly across 56 small rural areas are compared with variations in characteristics of the elderly population of these areas including self-reported health status, levels of disability, mental status, socioeconomic status, ethnic characteristics, etc. The data do not support a needs model for explaining variations in surgical rates. High rate areas were not characterized by an elderly population that was disabled and in ill health. High rate areas did contain a more educated, elderly population, as well as more elderly whose national origins were Canadian, British or American.