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  1. Proxies for healthcare need among populations : validation of alternatives : a study in Quebec.

    Article - En anglais

    Study objective

    To compare the use of a non-mortality based proxy for relative needs for healthcare among regional populations with a mortality based proxy for population relative needs and to evaluate the additional value of a proxy based on a combination of non-mortality and mortality based proxies.

    Design

    Analysis of cross sectional data on mortality, socioeconomic status, and self assessments of health taken from registrar general records, a population census, and a population health survey.

    Setting

    The province of Quebec, Canada.

    Coverage - The populations of the 15 health regions in Quebec.

    Main outcome measure

    The levels of correlation of indicators based on mortality data, socioeconomic data, and combined data with a standardised indicator of self assessed health.

    Results

    Variations in scores of a proxy based on socioeconomic data among regions explain 3 7% of the observed variation in self assessed health, 4% more than the level of variation explained by the standardised mortality rate scores.

    A weighted combination of both mortality and socioeconomic based proxies explains 56% of variation in self assessed health.

    Conclusions

    Justification of « deprivation weights » reflecting variations in socioeconomic status among populations should be based on empirical support concerning the performance of such weights as proxies for relative levels of need among populations. (...)

    Mots-clés Pascal : Indicateur, Privation, Statut socioéconomique, Mortalité, Validation, Besoin, Allocation ressource, Québec, Canada, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Indicator, Deprivation, Socioeconomic status, Mortality, Validation, Need, Resource allocation, Quebec, Canada, North America, America, Human

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

    Cote : 97-0009483

    Code Inist : 002B30A01B. Création : 21/05/1997.