The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998
The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998
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DOI：
10.1111/1475-6773.00149
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发表时间：
2003-06-01
影响因子：
3.4
通讯作者：
Shi, LY
中科院分区：
文献类型：
--
作者：
Macinko, J;Starfield, B;Shi, LY
目标。评估初级保健系统对18个富裕的经济合作与发展组织(OECD)国家在过去30年中对各种健康结果的贡献。数据主要来自经合组织2001年健康数据和出版的文献。分析单位是从1970年到1998年的18个富裕的经合组织国家(总数n=504)。研究设计。使用固定效应回归对二次数据进行汇集、横截面、时间序列分析。数据收集/提取方法。公共使用数据集的二次分析。使用从二级数据集、出版的文献、技术文件和咨询国内专家获得的一套通用指标来评估初级保健系统的特征。一个国家初级保健系统的强弱与(A)全因死亡率、(B)全因过早死亡率和(C)因哮喘和支气管炎、肺气肿和肺炎、心血管疾病和心脏病引起的特定原因的过早死亡率呈负相关(p
Objective. To assess the contribution of primary care systems to a variety of health outcomes in 18 wealthy Organization for Economic Cooperation and Development (OECD) countries over three decades.Data Sources/Study Setting. Data were primarily derived from OECD Health Data 2001 and from published literature. The unit of analysis is each of 18 wealthy OECD countries from 1970 to 1998 (total n = 504).Study Design. Pooled, cross-sectional, time-series analysis of secondary data using fixed effects regression.Data Collection/Extraction Methods. Secondary analysis of public-use datasets. Primary care system characteristics were assessed using a common set of indicators derived from secondary datasets, published literature, technical documents, and consultation with in-country experts.Principal Findings. The strength of a country's primary care system was negatively associated with (a) all-cause mortality, (b) all-cause premature mortality, and (c) causes-pecific premature mortality from asthma and bronchitis, emphysema and pneumonia, cardiovascular disease, and heart disease (p