Ethnicity, equity and the use of health services in the British NHS
Ethnicity, equity and the use of health services in the British NHS
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DOI：
10.1016/s0277-9536(96)00380-2
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发表时间：
1997-08-01
影响因子：
5.4
通讯作者：
LeGrand, J
中科院分区：
文献类型：
--
作者：
Smaje, C;LeGrand, J
本文论述了英国国家卫生服务体系中不同种族的人在多大程度上获得了公平的待遇。该报告利用1984-91年综合住户统计调查的数据，使用三种不同的方法对全科医生、门诊和住院服务的使用情况进行了研究，以根据需要和其他可能的混淆变量进行调整。调查结果并未表明各民族之间存在任何总体不平等的模式，或许除了中国人口一直表现出较低的使用率。然而，尽管少数民族对全科医生服务的使用率总体上与白人一样高或更高，但门诊服务的使用率很低。一些结果还表明，更广泛的公平发现背后可能存在重要的种族差异。例如，巴基斯坦血统的女性报告使用GP的水平较低。更广泛地说，在几个少数族裔群体中，过度使用全科医生服务似乎与需求有关，而大多数少数族裔群体中没有报告疾病的人，相对于白人人口中的相应群体，对门诊服务的使用率特别低。这篇论文考察了这些发现的含义。(C)1997年爱思唯尔科学有限公司。
This paper addresses the extent to which equity of treatment is received by people of different ethnic groups from the British National Health Service. Using data from the General Household Surveys of 1984-91 it examines the use of general practitioner, outpatient and inpatient services using three different methods to adjust for need and for other possible confounding variables. The results do not suggest there is any gross pattern of inequity between ethnic groups, except perhaps with respect to the Chinese population which displays consistently low levels of utilisation. However, while use of GP services by minority ethnic groups is in general as high or higher than the white population, use of outpatient services is low. Some of the results also suggest that there may be important ethnic differences underlying the broader finding of equity. For example, females of Pakistani origin report low levels of GP use. More generally, excess use of GP services among several minority ethnic groups appears to be associated with need, while people from most minority ethnic groups who do not report illness display especially low use of outpatient services relative to the corresponding group in the white population. The paper examines the implications of these findings. (C) 1997 Elsevier Science Ltd.