Delimiting 'rural': implications of an agreed 'rurality' index for healthcare planning and resource allocation.
Delimiting 'rural': implications of an agreed 'rurality' index for healthcare planning and resource allocation.
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DOI：
10.1111/j.1440-1584.1998.tb00315.x
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发表时间：
1998-11-01
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影响因子：
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通讯作者：
Humphreys, J S
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文献类型：
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作者：
Humphreys, J S
澳大利亚农村和偏远地区的特点是相当大的地理和社会多样性。对于什么是“农村”或“偏远”，没有“自然”的分类，而“农村”一词的准确定义已被证明是一个难以实现的目标。然而，人们认识到，农村地区的差异对卫生保健规划和作为其基础的研究具有重要影响。无论是制定确定农村卫生服务的提供、地点和类型的资源分配公式，衡量服务使用率作为服务需求的指标还是健康成果衡量标准，人口和社区划分为城市、农村和偏远地区的方式将始终影响评估，有时甚至可能决定评估结果。为调查农村卫生问题制定商定的分类的时机已经成熟。
Rural and remote Australia is characterised by considerable geographical and social diversity. There is no 'natural' classification of what constitutes 'rural' or 'remote', and precise definition of what is meant by the term 'rural' has proved to be an elusive goal. Nonetheless, it is recognised that the differentiation of rural areas has important implications for healthcare planning and the research that underpins it. Whether it be the development of resource allocation formulae that determine the provision, location and type of rural health services, measuring service utilisation rates as an indicator of need for services or health outcome measures, the way in which populations and communities are delimited as urban, rural and remote will always influence and sometimes may even determine the assessment. The time is ripe for the development of an agreed classification for the investigation of rural health issues.