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  1. Patterns of disease among children : A simple and versatile measure of child health in communities.

    Article - En anglais

    Objective 

    To derive an indicator of community child health that is simple, stable, cost-effective and suitable for small communities.

    Methodology 

    Discharge diagnoses of children have been tabulated for hospitals in Australia and other countries and from an Aboriginal community, for up to 40 years.

    The differences in ratios between main diagnostic groups relate to the child health status in the community.

    Results 

    As we pass from'developing'to'developed'conditions, the proportion of different diagnoses changes with a relative decrease in gastroenteritis and a relative increase in respiratory and other diseases.

    These changes parallel changes in infant mortality rates and child growth that are independent indicators of community child health.

    Conclusions 

    The ratios of diagnoses of hospital discharges, the'disease pyramid'is a reliable, valid and cost-effective way of measuring child health in a community while avoiding many of the uncertainties of conventional disease-specific and age-specific discharge rate statistics.

    Mots-clés Pascal : Morbidité, Australie, Océanie, Santé, Méthode mesure, Indicateur, Ethnie, Enfant, Homme, Sortie hôpital, Diagnostic, Evolution, Temps

    Mots-clés Pascal anglais : Morbidity, Australia, Oceania, Health, Measurement method, Indicator, Ethnic group, Child, Human, Hospital discharge, Diagnosis, Evolution, Time

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0504569

    Code Inist : 002B30A01A2. Création : 10/04/1997.