Allocating resources in health care: alternative approaches to measuring needs in resource allocation formula in Ontario

被引：13

作者：

Newbold, K. Bruce ^{[1
]}

Eyles, John ^{[2
,3
,4
,5
]}

Birch, Stephen ^{[4
,5
,6
]}

Spencer, Anne ^{[7
]}

机构：

[1] Univ Illinois, Dept Geog, Urbana, IL 61801 USA

[2] McMaster Univ, Environm Hlth Program, Hamilton, ON L8S 4L8, Canada

[3] McMaster Univ, Dept Geog, Hamilton, ON L8S 4L8, Canada

[4] McMaster Univ, Ctr Hlth Econ & Policy Anal, Hamilton, ON L8S 4L8, Canada

[5] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON L8S 4L8, Canada

[6] Univ Sydney, Ctr Hlth Econ Res & Evaluat, Sydney, NSW 2006, Australia

[7] Univ York, Dept Econ & Related Studies, York YO10 5DD, N Yorkshire, England

来源：

HEALTH & PLACE | 1998年 / 4卷 / 01期

关键词：

health status; health care; mortality;

D O I：

10.1016/S1353-8292(97)00025-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Maintaining or improving the welfare of the population is a complex issue involving individual and collective actions and institutions. Despite questions regarding the relevance of health care systems to these aims, they remain vital policy and treatment arenas with respect to curative and preventative regimes. As a component of social welfare, health care resources should be distributed equitably, according to need for health care. This paper evaluates alternative indicators of health status within Ontario against self-reported health as a means of allocating health care resources. Proxies of need for health care include standardized mortality ratios (based on the population aged 0-64) and a socioeconomic based indicator. Mortality indicators are found to be more closely correlated with self-reported health status than the socioeconomic indicator, suggesting that mortality is better able to reflect variations in health status and health care needs. (C) 1998 Elsevier Science Ltd. All rights reserved

引用

页码：79 / 89

页数：11

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