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

Geographies of need and the new NHS: methodological issues in the definition and measurement of the health needs of local populations
Geographies of need and the new NHS: methodological issues in the definition and measurement of the health needs of local populations
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.
epidemiological needs assessment, coronary heart disease, inequalities in health care, inverse care law, deprivation, health survey for England, UK census
1353-8292
47-60
Gibson, A.
5d8d6adb-7966-43c0-aafb-1564ee2e662d
Asthana, S.
a3cac6e7-fb76-4330-ae25-f47affd99d9d
Brigham, P.
127023cd-f32a-4fe4-bc16-dc86a1ac0f21
Moon, G.
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
Dicker, J.
10c67be0-6f8a-40c9-a8f0-dfdd07f93687
Gibson, A.
5d8d6adb-7966-43c0-aafb-1564ee2e662d
Asthana, S.
a3cac6e7-fb76-4330-ae25-f47affd99d9d
Brigham, P.
127023cd-f32a-4fe4-bc16-dc86a1ac0f21
Moon, G.
68cffc4d-72c1-41e9-b1fa-1570c5f3a0b4
Dicker, J.
10c67be0-6f8a-40c9-a8f0-dfdd07f93687

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 & Place, 8 (1), 47-60. (doi:10.1016/S1353-8292(01)00035-1).

Record type: Article

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.

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More information

Published date: March 2002
Keywords: epidemiological needs assessment, coronary heart disease, inequalities in health care, inverse care law, deprivation, health survey for England, UK census
Organisations: Economy Culture & Space, PHEW – P (Population Health)

Identifiers

Local EPrints ID: 55388
URI: http://eprints.soton.ac.uk/id/eprint/55388
ISSN: 1353-8292
PURE UUID: 009d32c1-5651-4813-b517-ec28a69ad7c9
ORCID for G. Moon: ORCID iD orcid.org/0000-0002-7256-8397

Catalogue record

Date deposited: 31 Jul 2008
Last modified: 16 Mar 2024 03:53

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Contributors

Author: A. Gibson
Author: S. Asthana
Author: P. Brigham
Author: G. Moon ORCID iD
Author: J. Dicker

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