caa a22 4500 397577788 CHVBK 20180308164900.0 cr unu---uuuuu 161202e199609 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024512 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024512 Use of the Nottingham Health Profile to test the validity of Census variables to proxy the need for health care [Elektronische Daten] [Paul Plant, James McEwen, Keith Prescott] Background Data on health or health service use are invariably used to test the validity of proxy measures of need, for use in resource allocation formulae. Perceived health state is a good measure to use in this respect as it is closely linked to perceived need and the decision to consult health services. This being the case, a large community based study was undertaken which collected data on perceived health, using the Nottingham Health Profile (NHP), with the aim of testing the validity of a variety of Census based measures as proxy measures of the need for health care. Method A postal questionnaire survey of 9565 people living in the former South East Thames Regional Health Authority was conducted and the relationship between their perceived health state and the socio-economic characteristics of their electoral ward of residence analysed. Results A relatively low response rate (59 per cent) weakened any conclusions to be drawn from the results. However, significant correlations between perceived health and a variety of the Census based indicators were found. The highly skewed distribution of responses to the NHP statements made the results difficult to analyse and interpret. Conclusions Although the study gave an indication of those variables that might be incorporated into resource allocation formulae, the NHP is not a particularly efficient instrument to use in a community setting. It is argued that the appropriateness of an approach to determining appropriate needs weights in allocation formulae, which attempts to find one indicator of all health care needs at the District Health Authority level, must be questioned. © Oxford University Press Articles nationallicence weighted capitation nationallicence perceived health nationallicence Nottingham Health Profile nationallicence Jarman UPA score nationallicence Townsend indicator nationallicence Plant Paul South East Institute of Public Health Broomhill House, David Salomon's Estate, Broomhill Road, Tunbridge Wells TN3 0XT aut McEwen James Department of Public Health Medicine, University of Glasgow Glasgow G12 8QQ aut Prescott Keith Lambeth, Southwark and Lewisham Health Commission London SE1 7NT aut Journal of Public Health Oxford University Press 18/3(1996-09), 313-320 1741-3842 18:3<313 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024512 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024512 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Plant Paul South East Institute of Public Health Broomhill House, David Salomon's Estate, Broomhill Road, Tunbridge Wells TN3 0XT aut NATIONALLICENCE 700 1- McEwen James Department of Public Health Medicine, University of Glasgow Glasgow G12 8QQ aut NATIONALLICENCE 700 1- Prescott Keith Lambeth, Southwark and Lewisham Health Commission London SE1 7NT aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/3(1996-09), 313-320 1741-3842 18:3<313 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford