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
47-60
Gibson, A.
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Asthana, S.
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Brigham, P.
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Moon, G.
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Dicker, J.
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March 2002
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), .
(doi:10.1016/S1353-8292(01)00035-1).
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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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
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Date deposited: 31 Jul 2008
Last modified: 23 Jul 2022 01:57
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Contributors
Author:
A. Gibson
Author:
S. Asthana
Author:
P. Brigham
Author:
J. Dicker
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