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首页> 外文期刊>Journal of Epidemiology & Community Health >Predicting the workload in urban general practice in The Netherlands from Jarman's indicators of deprivation at patient level
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Predicting the workload in urban general practice in The Netherlands from Jarman's indicators of deprivation at patient level

机译：根据Jarman的患者剥夺指标来预测荷兰城市普通诊所的工作量

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Study objective - General practitioners (GPs) working in deprived areas supposedly have higher workloads. In the UK, this has led to a higher payment per patient from deprived areas, based on eight indicators of deprivation proposed by Jar-man. This paper aimed to examine the applicability of the Jarman index (indicators and attached weights) at patient level in an urban GP setting outside the UK. Design - Data on all GP contacts were collected from 5121 residents aged 16 and over by interview. Setting - Amsterdam, The Netherlands, 1992-93. Main results — Results showed that six out of eight of the Jarman indicators of deprivation were indeed associated with higher GP contact rates in adults in Amsterdam, though some of them without statistical significance. The relative importance of the indicators, however, differed largely from Jarman's weights. In particular, people in poor housing, unskilled earners, and people born in a foreign country had higher contact rates. Furthermore, some indicators were highly inter-related at patient level. Conclusions - It is concluded that most of the Jarman indicators can be used to predict Amsterdam GP workload at patient level, but that their relative weights should be adapted for this aim. The applicability of the Jarman index (indicators and attached weights) in other European countries requires additional study.
机译：研究目标-在贫困地区工作的全科医生（GP）工作量较高。在英国，根据Jar-man提出的八个剥夺指标，这导致每位来自贫困地区的患者支付更高的费用。本文旨在研究Jarman指数（指标和附加权重）在英国以外城市GP病人水平上的适用性。设计-通过访谈从5121位16岁及以上的居民中收集了所有GP联系人的数据。背景-荷兰阿姆斯特丹，1992-93年。主要结果-结果显示，在Jarman剥夺指标中，八分之六确实与阿姆斯特丹成年人的GP接触率较高有关，尽管其中有些没有统计学意义。但是，指标的相对重要性与Jarman的权重相差很大。特别是住房条件差，收入不高的人以及在国外出生的人的接触率更高。此外，一些指标与患者水平高度相关。结论-结论是，大多数Jarman指标可用于在患者水平上预测Amsterdam GP的工作量，但应调整其相对权重以达到此目的。 Jarman指数（指标和权重）在其他欧洲国家的适用性需要进一步研究。

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