PMID: 15216970Jun 26, 2004Paper

Health care resources and mortality as assessed by the "empirical Bayes estimate of standardized mortality ratio": results for Fukuoka Prefecture

[Nihon kōshū eisei zasshi] Japanese journal of public health
Koichi OtsuboToshiro Tango

Abstract

The standardized mortality ratio (SMR) is frequently used to compare health status among different populations. However, it may be biased when based upon communities with small population sizes such as towns, cities, and wards. Thus, comparison of SMRs among such small communities is not appropriate. But the "empirical Bayes estimate of standardized mortality ratio" (EBSMR) is, in contrast, a useful index. The objective of the present study was to use the EBSMR to clarify the relationships between health care resources and mortalities in 109 communities in Fukuoka Prefecture. Data for health care resources (number of physicians, number of general clinics, number of general sickbeds in hospitals, number of emergency hospitals, and proportion of elderly outpatients within their resident' community) and socioeconomic factors (birth rate, inflow or outflow population, aged households, marital status, taxable income per individual under taxes duty, unemployment, primary, secondary, tertiary industrial employment and criminal offense records) were obtained from officially published reports. EBSMRs for all causes, cerebrovascular disease, heart disease, malignant neoplasms, and acute myocardial infarction were calculated from the 1993...Continue Reading

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