Geographies of need and the new NHS: methodological issues in the definition and measurement of the health needs of local populations


Gibson, A., Asthana, S., Brigham, P., Moon, G. and Dicker, J. (2002) Geographies of need and the new NHS: methodological issues in the definition and measurement of the health needs of local populations. Health and Place, 8, (1), 47-60. (doi:10.1016/S1353-8292(01)00035-1).

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Description/Abstract

For a variety of purposes it is increasingly necessary to establish the health needs of local populations. Following a critique of existing proxies of need, this paper presents and evaluates an alternative which draws upon epidemiological evidence concerning the age, sex and social class distribution of morbidity in order to estimate the prevalence of specific conditions in designated populations. By way of demonstrating the insights to be gained through the use of these indicative prevalence rates, the paper considers the treatment of ischaemic heart disease in a sample of 539 practices and presents evidence regarding the significance of deprivation and rurality in determining health service use relative to needs.

Item Type: Article
ISSNs: 1353-8292 (print)
Related URLs:
Keywords: epidemiological needs assessment, coronary heart disease, inequalities in health care, inverse care law, deprivation, health survey for England, UK census
Subjects: H Social Sciences > HT Communities. Classes. Races
G Geography. Anthropology. Recreation > G Geography (General)
R Medicine > R Medicine (General)
G Geography. Anthropology. Recreation > GF Human ecology. Anthropogeography
H Social Sciences > H Social Sciences (General)
G Geography. Anthropology. Recreation > GN Anthropology
Divisions: University Structure - Pre August 2011 > School of Geography > Economy, Culture, Space
ePrint ID: 55388
Date Deposited: 31 Jul 2008
Last Modified: 27 Mar 2014 18:38
Contact Email Address: G.Moon@soton.ac.uk
URI: http://eprints.soton.ac.uk/id/eprint/55388

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