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首页> 外文期刊>Journal of Health Services Research & Policy >Are data on the uptake of disability benefits a useful addition to census data in describing population health care needs?
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Are data on the uptake of disability benefits a useful addition to census data in describing population health care needs?

机译：在描述人口医疗保健需求时，关于残疾人福利的数据是否对普查数据有用呢？

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Objective: To determine if administrative data relating to the uptake of disability benefits held by governmentndepartments in Northern Ireland are fair and unbiased indicators of relative need for health care and therefore anuseful addition to census data.nMethod: This is an ecological study of the 566 electoral wards in Northern Ireland. The variation in uptake of anhealth-related benefit (Disability Living Allowance) was regressed against three other indicators of health (limitingnlong-term illness, mortality and the numbers of patients admitted to hospital). All the indicators had been indirectlynstandardised by age and sex. The unstandardised residuals from this model were regressed against the social andngeographical factors, namely area deprivation score, religious denominational composition and urban/ruralndwelling to see if they influenced benefit uptake above and beyond any association with ill health.nResults: The health factors alone explained 77.2% of the variation in benefit uptake, with limiting long-term illnessnbeing the major determinant; however, even after controlling for differences in health status, benefit uptake wasnshown to be higher in more urban areas and in areas that had a greater proportion of Catholics. Area deprivationnwas not associated with benefit uptake once health differences had been controlled for.nConclusion: Administrative data on disability benefits can undoubtedly provide useful additional information forndescribing the levels of relative disadvantage or ill health of areas. However, because they also reflect variations innuptake, which appears to be confounded by social and geographical factors, we would urge caution when they arenused to identify priority areas or to allocate resources.
机译：目的：确定与北爱尔兰政府部门持有的残障津贴的获取有关的行政数据是否是相对公平的，相对偏向的医疗保健需求指标，因此是否对普查数据有用。n方法：这是对566名选民的生态研究北爱尔兰的病房。与其他三个健康指标（限制长期疾病，死亡率和住院病人的数量）相比，获取与健康相关的福利（残疾生活津贴）的差异。所有指标均已按年龄和性别进行了间接标准化。该模型中未标准化的残差针对社会和地理因素（区域剥夺分数，宗教宗派组成和城市/农村居民）进行了回归分析，以查看它们是否影响了与不良健康相关的利益吸收。n结果：仅健康因素就解释了77.2利益吸收变化的百分比，主要因素是限制长期疾病；然而，即使在控制了健康状况的差异之后，在更多的城市地区和天主教徒比例较高的地区，也显示出更高的利益吸收率。一旦控制了健康差异，就不会剥夺区域剥夺与受益的获取。n结论：关于残疾赔偿的行政数据无疑可以提供有用的附加信息，用以说明地区的相对不利或健康状况。但是，由于它们也反映了摄入量的变化，似乎受到社会和地理因素的困扰，因此，当我们使用它们识别优先区域或分配资源时，我们应提请注意。

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