Abstract
An adult health survey was undertaken on the island portion of the Province of Newfoundland as part of the Newfoundland Panel on Health and Medical Care. This study aims to develop models of medical care utilization over a seven-year period, before and after a major restructuring of the provincial health care system. A health survey on a large sample (11,789 individuals) permits both descriptive and explanatory analysis at the regional level.
The results of the survey are presented first in a descriptive format, as they were included in reports for policy makers and managers, using administrative aggregations. To study regional differences, descriptive and multivariate analyses were done on an aggregation by an urban dimension, which divides the island into three areas. As expected, there were major differences across regions, and complex interactions on selected variables. The usefulness of health surveys for planning and evaluation of health reform is discussed.
Résumé
Un sondage sur la santé adulte a été entrepris dans la région insulaire de la province de Terre-Neuve et du Labrador, dans le cadre de la Table ronde terre-neuvienne sur la santé et les soins médicaux. Cette étude vise à élaborer des modèles d’utilisation des soins médicaux sur une période de sept ans, avant et après une restructuration importante du système provincial de la santé. Un sondage sur la santé auprès d’un grand échantillon (11 789 personnes) permet une analyse descriptive et explicative au niveau régional.
Les résultats du sondage se présentent d’abord sous un format descriptif, tels qu’ils étaient inclus dans les rapports destinés aux concepteurs et aux gérants de politiques, en se servant des agrégations administratives. Afin d’étudier les différences régionales, des analyses descriptives et à plusieurs variables ont été entreprises à partir d’une agrégation basée sur les villes, ce qui répartit l’île en trois régions. Comme on s’y attendait, des différences importantes, et des interactions complexes entre des variables choisis sont apparues. L’utilité des sondages sur la santé pour planifier et évaluer les réformes en santé est examinée.
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Funded by grant No. 6601-1200-302, National Health Research and Development Program, Health Canada.
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Segovia, J., Edwards, A.C. & Bartlett, R.F. Newfoundland Panel on Health and Medical Care — Adult Health Survey. Can J Public Health 90, 412–416 (1999). https://doi.org/10.1007/BF03404148
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DOI: https://doi.org/10.1007/BF03404148