Should uptake of state benefits be used as indicators of need and disadvantage?
Should uptake of state benefits be used as indicators of need and disadvantage?
复制标题
国家福利的接受是否应该被用作需求和劣势的指标？
DOI：
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复制
发表时间：
2006
影响因子：
2.4
通讯作者：
D. O’Reilly
中科院分区：
文献类型：
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作者：
M. Rosato;D. O’Reilly
政府要求有不利因素的指标来指导方案，并将资源分配给最需要的领域。在缺乏理想的需求指标的情况下，经常使用相对劣势的代理衡量标准来完成这项任务。最近可获得的政府行政数据集，如社会保障福利吸收水平，正在整个英国越来越多地被使用，并被誉为相对于以前的需求衡量标准的重大进步。然而，它们的适宜性前提是，那些需要救济的人和那些实际领取救济的人之间的联系不会被与需要无关的因素混淆。在本研究中，作者审查了与吸收一种健康相关利益相关的地区层面的因素，并表明，虽然与健康状况密切相关，但它也与可能与成功索赔的倾向和能力以及当地裁决实践有关的因素有关。他们的结论是，虽然这些政府数据集的使用提高了我们瞄准资源的能力，但研究人员和政策制定者应该意识到这些额外的影响。
Government requires indicators of disadvantage to guide programmes and allocate resources to those areas which are most in need. Proxy measures of relative disadvantage are often utilised for this task in the absence of ideal indicators of need. The recent availability of government administrative datasets, such as social security benefit uptake levels, are increasingly being used throughout the UK and have been hailed as a significant advance on previous measures of need. However, their suitability presupposes that the association between those in need of benefit and those actually in receipt of benefit is not confounded by non-needs-related factors. In the present study, the authors examine area-level factors associated with uptake of one health-related benefit and show that, while closely correlated with health status, it is also associated with factors which might be related to the propensity and ability to make a successful claim, as well as local adjudication practices. They conclude that, while the use of these government datasets has increased our ability to target resources, researchers and policy makers should be aware of these additional influences.