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Comparison of Surveillance Data on Metropolitan and Rural Health

Diabetes in Southern Australia as an Example

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Global Behavioral Risk Factor Surveillance

Abstract

Increasingly attention is being paid to evidence-based health policy in health services (Ham et al., 1995; Smith, 1995). Yet the evidence base for making many policy decisions is deficient, and better information systems are needed to inform the process (Tollman and Zwi, 2000). With the possible exception of the United States, national health authorities have not completely accepted the value of population-based surveillance systems that would better inform their decision making and allow them to monitor health outcomes and related cost benefit. In this chapter, I argue that traditional sources of data, provided largely from cross-sectional studies or from morbidity and mortality collections, are not in themselves adequate for planning. To effectively address health problems, a sustained source of data is necessary for health authorities to (1) identify key health problem areas that require attention, (2) analyse the underlying reasons for continuation of the problems, (3) assess the circumstances in which investment can be most effective, and (4) monitor the impact of solutions.

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References

  • Australian Bureau of Statistics, 1990, Australian Standard Classification of Occupations, First Edition, the Bureau, Canberra (Catalogue No. 1222.0).

    Google Scholar 

  • Australian Bureau of Statistics, 1993–1998, Causes of Death, the Bureau, Canberra (Catalogue No. 3303.0).

    Google Scholar 

  • Australian Bureau of Statistics, 1996, Population by Age and Sex: South Australia, the Bureau, Canberra (Catalogue No. 3235.4).

    Google Scholar 

  • Australian Health Ministers’ Conference, 1994, National Rural Health Strategy, Commonwealth of Australia, Canberra.

    Google Scholar 

  • Australian Health Ministers’ Conference, 1996, National Rural Health Strategy Update, Commonwealth of Australia, Canberra.

    Google Scholar 

  • Australian Health Ministers’ Conference, 1999, National Rural Health Strategy Update, Commonwealth of Australia, Canberra.

    Google Scholar 

  • Australian Institute of Health and Welfare, 1994, Australia’s Health 1994: The Fourth Biennial Report of the Australian Institute of Health and Welfare, the Institute, Canberra.

    Google Scholar 

  • Australian Institute of Health and Welfare, 1996, Australia’s Health 1996: The Fifth Biennial Report of the Australian Institute of Health and Welfare, the Institute, Canberra.

    Google Scholar 

  • Australian Institute of Health and Welfare, 1998, Australia’s Health 1998: The Sixth Biennial Report of the Australian Institute of Health and Welfare, the Institute, Canberra.

    Google Scholar 

  • Berkman, L. F., and Kawachi, I., 2000, A historical framework for social epidemiology, in:Social Epidemiology, L. F. Berkman and I. Kawachi, eds., Oxford University Press, Oxford, UK, pp. 3–12.

    Google Scholar 

  • Blane, C., Davey Smith, G., and Bartley, M., 1993, Social selection: What does it contribute to social class differences in health?Sociol Health Illness.15:1–15.

    Article  Google Scholar 

  • Catchpole, M. A., 1996, The role of epidemiology and surveillance systems in the control of sexually transmitted diseases, Genitourin Med.72:321–329.

    PubMed  CAS  Google Scholar 

  • Culyer, A. J., and Wagstaff, A., 1993, Equity and equality in health and health care, J Health Econ.12:431–457.

    Article  PubMed  CAS  Google Scholar 

  • Dean, A. G., Dean, J. A., Coulombier, D., et al., 1994, Epi Info Version 6: A Word Processing, Database, and Statistics Program for Epidemiology on Microcomputers, Centers for Disease Control and Prevention, Atlanta.

    Google Scholar 

  • Department of Primary Industries and Energy and the Department of Human Services and Health, 1994, Rural, Remote, and Metropolitan Areas Classification, 1991 Census Edition, Australian Government Publishing Service, Canberra.

    Google Scholar 

  • dos Santos Silva, I., 1999, Cancer Epidemiology: Principles and Methods, International Agency for Research on Cancer, Lyon, France.

    Google Scholar 

  • Garratt, A. M., Ruta, D. A., Abdalla, M. I., et al., 1993, The SF-36 health survey questionnaire: An outcome measure suitable for routine use within the NHS?Br Med J.306:1440–1444.

    Article  CAS  Google Scholar 

  • Ham, C, Hunter, D. J., and Robinson, R., 1995, Evidence based policymaking, Br Med J.310:71–72.

    Article  CAS  Google Scholar 

  • Hosmer, D. W., and Lemeshow, S., 1989, Applied Logistic Regression, John Wiley, New York.

    Google Scholar 

  • Kazis, L. E., Anderson, J. J., and Meenan, R. F., 1989, Effect sizes for interpreting changes in health status, Med Care. 27(3 Suppl):S178–S189.

    Article  PubMed  CAS  Google Scholar 

  • Kelley, J. L., and Evans, M. D. R., 1988, Using ASCO for Socio-Economic Analysis: Assessment and Conversion into Status and Prestige Indices, Research School of Social Sciences, Australian National University,Canberra.

    Google Scholar 

  • King, H., Aubert, R. E., and Herman, W. H., 1998, Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections, Diabetes Care.21:1414–1431.

    Article  PubMed  CAS  Google Scholar 

  • Lockwood, M., 1988, Quality of life and resource allocation, in:Philosophy and Medical Welfare, M. Bell and S. Mendus, eds., Cambridge University Press, Cambridge, UK, pp. 33–55.

    Google Scholar 

  • Marmot, M. G., Smith, G. D., Stansfeld, S., et al., 1991, Health inequalities among British civil servants: the Whitehall study, Lancet.337:1387–1393.

    Article  PubMed  CAS  Google Scholar 

  • McCallum, J., 1994, The New SF-36 Health Status Measure: Australian Validity Tests, National Centre for Epidemiology and Population Health, Australian National University, Canberra.

    Google Scholar 

  • McSweeny, A. J., Grant, I., Heaton, R. K., et al., 1982, Life quality of patients with chronic obstructive pulmonary disease, Arch Intern Med.142:473–478.

    Article  PubMed  CAS  Google Scholar 

  • Muir-Gray, J., 1997, Evidence-Based Health Care: How to Make Health Policy and Management Decisions,Churchill Livingstone, New York.

    Google Scholar 

  • National Rural Health Policy Forum, 1999, Healthy Horizons: A Framework for Improving the Health of Rural,Regional and Remote Australians, National Rural Health Policy Forum and National Rural Health Alliance for the Australian Health Ministers’ Conference, Canberra.

    Google Scholar 

  • National Rural Public Health Forum, 1998, Rural public health in Australia 1997, in:Proceedings of the National Rural Public Health Forum, Adelaide, 12–15 October 1997, D. J. Murray and G. N. F. Gregory,eds., National Rural Health Alliance, Deakin West ACT, pp. 4–10.

    Google Scholar 

  • Nguyen, A., McCaul, K., Carman, J., et al., 1996, South Australia Regional Health Statistics Chart Book 1996,Epidemiology Branch, South Australian Health Commission, Adelaide.

    Google Scholar 

  • Peckham, M., and Smith, R., 1996, Scientific Basis of Health Services, British Medical Journal Publishing Group, London.

    Google Scholar 

  • Rosenberg, H. M., 1999, Cause of death as a contemporary problem, J Hist Med Allied Sci.54:133–153.

    Article  PubMed  CAS  Google Scholar 

  • Smith, R., 1995, The scientific basis of health services, Br Med J.311:961–962.

    Article  CAS  Google Scholar 

  • SPSS Inc., 1999, SPSS Advanced Statistics 10.0, SPSS Inc., Chicago.

    Google Scholar 

  • Strong, K., Trickett, P., Titulaer, I., et al., 1998, Health in Rural and Remote Australia: The First Report of the Australian Institute of Health and Welfare on Rural Health, Australian Institute of Health and Welfare,Canberra (Catalogue No. PHE 6).

    Google Scholar 

  • Susser, M., and Susser, E., 1996, Choosing a future for epidemiology: II. From black box to Chinese boxes and eco-epidemiology, Am J Public Health.86:674–677.

    Article  PubMed  CAS  Google Scholar 

  • Taylor, C. E., 1992, Surveillance for equity in primary health care: policy implications from international experience, Int J Epidemiol.21:1043–1049.

    Article  PubMed  CAS  Google Scholar 

  • Tollman, S. M., and Zwi, A. B., 2000, Health system reform and the role of field sites based upon demographic and health surveillance, Bull World Health Organ.78:125–134.

    PubMed  CAS  Google Scholar 

  • Wakefield, M., and Wilson, D. H., 1996, SF-36 Profiles for Regions of South Australia, Behavioural Epidemiology Unit, South Australian Health Commission, Adelaide.

    Google Scholar 

  • Wilson, D., Wakefield, M., and Taylor, A., 1992, The South Australian Health Omnibus Survey, Health Promot J Aust.2:47–49.

    Google Scholar 

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Wilson, D.H. (2003). Comparison of Surveillance Data on Metropolitan and Rural Health. In: McQueen, D.V., Puska, P. (eds) Global Behavioral Risk Factor Surveillance. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0071-1_9

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  • DOI: https://doi.org/10.1007/978-1-4615-0071-1_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-4910-5

  • Online ISBN: 978-1-4615-0071-1

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