Biomedical subjects
A Scott-Samuel
Publications and source records attributed to A Scott-Samuel.
Need for primary health care: an objective indicator.
The allocation of resources for primary health care should be based on the community's needs and not only on the workload of general practitioners. I therefore present an objective indicator that may be used to assess the need for primary health care.
Regional variations in perineonatal mortality.
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Social class inequality in access to primary care: a critique of recent research.
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Doctors and compulsory procedures.
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Screening for neural tube defects.
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Why don't they want our health services?
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The politics of health.
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Waiting lists and unmet needs.
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Delayed booking for antenatal care.
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Rethinking antenatal care.
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Accuracy of data based on hospital discharge diagnoses.
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Rising incidence of childhood diabetes.
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Social area analysis in community medicine.
There is an acknowledged need for better information to guide resource allocation and service planning in the health services. Despite the recognition of the important role of socioeconomic factors, difficulties with the appropriate presentation of daya have so far proved insuperable. Social area analysis (SAA), which is a generic name for a number of methods employing census and other data to classify small areas into similar socioeconomic groups, is an approach which quantifies data in a useful fashion and has important applications in medical, epidemiological and health services research. Most previous British exercises in SAA have been in the field of town planning. The potentialities of the approach for community medicine are evaluated, by the use of information from two existing studies. This is shown to discriminate more effectively than does existing health information between hypotheses concerning geographical variations in mortality, and it provides adequate explanations for urban area differentials in infant mortality, the uptake of vaccination, and the incidence of infectious disease. Specific applications of SAA in health planning and research are discussed.