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  1. Were practice nurses distributed equitably across England and Wales, 1988-1995 ?

    Article - En anglais

    Objectives 

    To examine whether variations in the number of whole-time equivalent (wte) practice nurses across family health services authorities (FHSAs) can be explained by population characteristics and the organisation of general practice.

    Methods 

    Analysis of nine health and 16 social indicators for 98 FHSAs identified three factors underlying health care needs.

    These factors and seven practice characteristics were analysed by stepwise regression.

    A formula for allocating health care resources and a logistic growth model were used to estimate the'expected'number of nurses.

    Results 

    Past trends indicate an eventual (wte) practice nurse workforce of 12 500 (95% CI+/-3500).

    Although geographical disparities have declined, there was a two-fold variation in nurse numbers across FHSAs.

    Around 2000 (wte) posts would be required to bring under-provided areas, mostly in northern England and metropolitan districts, up to the highest level of provision.

    There were more nurses in areas with higher proportions of elderly people but fewer where deprivation, morbitity and mortality levels were above average.

    The number of general practitioners was the most significant predictor of practice nurse provision (t=5.0) ; population needs and practice characteristics explained 24% of the variation.

    Conclusions 

    The distribution of practice nurses scarcely corresponded with health care needs at the FHSA level. (...)

    Mots-clés Pascal : Infirmier, Personnel sanitaire, Travailleur social, Démographie, Médecin, Géographie, Royaume Uni, Europe, Monde, Information, Santé, Offre, Soin, Pays de Galles, Grande Bretagne, Europe Ouest, Aspect politique, Angleterre, Indicateur, Mesure

    Mots-clés Pascal anglais : Nurse, Health staff, Social worker, Demography, Physician, Geography, United Kingdom, Europe, World, Information, Health, Offer, Care, Wales, Great Britain, Western Europe, Political aspect, England, Indicator, Measurement

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 11/09/1998.