Document Detail

Patterns of disease among children: a simple and versatile measure of child health in communities.
MedLine Citation:
PMID:  8933399     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To derive an indicator of community child health that is simple, stable, cost-effective and suitable for small communities. METHODOLOGY: Discharge diagnoses of children have been tabulated for hospitals in Australia and other countries and from an Aboriginal community, for up to 40 years. The differences in ratios between main diagnostic groups relate to the child health status in the community. RESULTS: As we pass from 'developing' to 'developed' conditions, the proportion of different diagnoses changes with a relative decrease in gastroenteritis and a relative increase in respiratory and other diseases. These changes parallel changes in infant mortality rates and child growth that are independent indicators of community child health. CONCLUSIONS: The ratios of diagnoses of hospital discharges, the 'disease pyramid' is a reliable, valid and cost-effective way of measuring child health in a community while avoiding many of the uncertainties of conventional disease-specific and age-specific discharge rate statistics.
A E Dugdale
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  32     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-04-04     Completed Date:  1997-04-04     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  400-4     Citation Subset:  IM    
Department of Child Health, University of Queensland, St Lucia, Australia.
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MeSH Terms
Accidents / statistics & numerical data
Child, Preschool
Developed Countries / statistics & numerical data
Developing Countries / statistics & numerical data
Epidemiologic Methods
Gastroenteritis / epidemiology
Health Status Indicators*
Health Surveys*
Infant, Newborn
Medical Records / statistics & numerical data
Oceanic Ancestry Group / statistics & numerical data
Patient Discharge / statistics & numerical data
Poisoning / epidemiology
Queensland / epidemiology
Respiratory Tract Diseases / epidemiology
Zimbabwe / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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