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Health and demographic information. Demography. The study of the size, structure, dispersement and development of human populations Used to establish reliable statistics on - birth and death rates - marriages and divorces - life expectancy - migration (Influences need/demand for services).
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Demography The study of the size, structure, dispersement and development of human populations Used to establish reliable statistics on- birth and death rates- marriages and divorces- life expectancy- migration (Influences need/demand for services)
Census The simultaneous recording of demographic data by the government at a particular time pertaining to all the persons who live in a particular territory - Low enumerated groups
Uses of the census • Projections and estimates of population size • Trends In population characteristics • Highlights regional differences • Provides data for planning services • Material deprivation (home ownership, car access, amenities) • Some health information
Value of census to health Knowledge of population size & structure are strong determinants for needs in healthcareBase population used to evaluate disease in a populationMeasures of material deprivation used to identify and target inequalities
Sources of morbidity data • Cancer register • Notifications of communicable disease • NHS activity data • Hospital episode statistics
Framework for assessing information C ARTA Census NCD QoF
Causes of a change in trend over time • Chance • Artefact (change in population size/structure, accuracy or completeness) • Real change (natural change in disease or medical care effects
Use of population pyramids • Age and sex are strong determinants for the need of health services. • Knowledge of the breakdown is essential to plan which services are needed. • Population pyramids also allow forecasting of future service needs.
Birth rates • Crude birth rate: live births/1000 population (includes men, infertile women) • General fertility rate: live births/1000 women aged 15-44 • Total fertility rate: average number of live children that a group of women would have if they experienced the age-specific fertility rates of the calendar year in question throughout their child-bearing lifespan.
Birth registration • Death registration • ONS • HES vs. QoF