摘要:In 1948, the Canadian Federal Government launched a programme of annual grants to the provinces to expand and improve their health services. However, if there was to be a sound basis for planning and expenditure, much more had to be known about the incidence and prevalence of illness and injury; about the amount of medical, nursing, and similar care needed; and about the volume of family expenditure on health. Accordingly, an agreement was reached in 1950 to conduct a nation-wide survey to determine these matters. The Dominion Bureau of Statistics and the federal Department of National Health would be responsible for planning the survey, designing and setting up the sample, co-ordinating provincial activities, and analysing and publishing the results. The provinces would select, train, and pay enumerators; collect the data; verify diagnoses; and edit completed returns. The survey was conducted over a period of 14 months, each household in the random sample being visited monthly. The size of the sample (sampling error: 20%) was calculated to ensure that results would be within the margin of error 95 times out of 100. While certain areas of Canada had to be excluded from the survey for various reasons, 98% of the 1941 population was covered by the sample, which was composed of a random selection of households in the metropolitan areas and of primary sampling units of 2,000 people elsewhere. When the results were in, the Detailed List of the International Statistical Classification of Diseases, Injuries, and Causes of Death was tabulated for analysis, and it was found that only 19 categories occurred with the minimum frequency needed for a valid estimate. Of the family expenditure on health, 24% was for prepayment plans, 54% for direct services, and 22% for drugs, appliances, etc. The estimated total cost of the survey amounts to Can. $600,000. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (2.2M), or click on a page image below to browse page by page. 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50