Планирование здравоохранения и организация медицинской помощи

06WECTBEHHOE 3LlPABOOXPAHEHHE B EBPOnE I BBPCJllltRCIICOE PEl!110HAJll,HOE 5IOPO Baa...-~ ~ . Kont11rare11 1972 No . l I1JIAHI1POBAHME 3..ZU,ABOOXPAHEIIIDI l1 OPfAHl13All,l1R ME,Ll;l1ILID{CKOH ITOMOlll,l1 lie ,ll;Jlfl npo.n;aJKH PacnpoCTpaHf!BTCH EBPOITEHCKMM PEfl10ll.A.7IbllbIM BIOPO BceMHpHoii opramrnaD;HH s.n;paBooxpa1-teumr KOTIEl!I'AfEJ-1 1972 IlpHMe'laHHe ,ll;aHmie 11 Bhl,Zl;epJKKH 11a "O6m;ecTBeHHoro a,zi;paBooxpaHeHHJI B EBpone" i,wry,r B0Cilp0H3B0,Zl;HTbCJI Ilplf yc�0BHH, 'IT0 B nepeneqaTaHH0M TeKCTe yKa3HBaeTCJI HCT0'IHHK, 3a no�yqeHHeM paapemeHHJI Ha Bocnpo11aBe,zi;eH11e H�H nepeBo,zi; cTaTett �e�HK0M c�e,zi;yeT o6pam;aTbCJI B EBponettCKOe perHoHa�bH0e 6Blp0 003. B10po np11BeTCTBY- eT TaKHe 06pam;eHHJ1, To�bKO aBT0pH JIB�JIIOTCJI 0TBeTCTBeHHbIMH aa Bar�.ff,.!l;l,I, BHpaJ1teH1We B Il0,Zl;IlH­ caHIWX HMH CTaTbJIX. ii ISBN 978 92 890 7332 5 (печатная версия) ISSN 0250-8672 (печатная версия) © Всемирная организация здравоохранения 1972 г. 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HMH npaKTHKH Hee npo4>ecCHOHaJlbHOH CTPYJCTYPe. 11Haqe roBopR , c~eCTByeT onacRoCTh Toro , qTo Balltllhle pemeRHR , Kaca11111,Hecn 6y,zr;ym,ero AaHHOH npo4>eccHH , 6y~ H3yqemr H npHRRThl 6ea HX aKTHBHoro yqaCTHR C BO3MOlfUlhlMH BpeAmIMH no- CJleACTBHRMH AJIR Ka)t(,ll;oro IlapRAY C TeM , qTo MeAffIIHRa AJIR HHAffBffAYYMa OCTaeTCR CTOJlb Jtte BaJttROH KaK H BcerAa ( He MOJtteT 6hITb OTPHWlHHR 3Raqe1-rnR HJIH n:eHHOCTH HH,.ZOfBHAYaJlbROH KORCYJlbTaIIHH , yBaJtteRHR HHAHBH,lJ;YYMa , MOpaJlbROro o6naaTeJlbCTBa no o6ecneqeHH10 MeAHIIHRCKOH IlOMOm;H H T.n. ), MhI OTHhIHe 6yAeM paccMaTpHBaTb pa3BHTHe ApyroH 4>opMhI MeAHIIHHhI , BanpaBJleRROH CKopee Ha pemeRHe npo6JleM o6~eCTBa. 3TO O3RaqaeT , qTo AOJUttmI noo~pRTbCR Jryqmee 3HaHHe COil;I,faJlbRO-3KOHOMJflleCKHX non- pOCOB H npoRBJIRTbCj{ 60J1bmaR CKJIOHROCTb K 6peraAHOJ1 pa6oTe. Ha PRAY C Tpa- AHIIHOHRhIMH 4>opMaMH MeAHIIHHCKOH IlOArOTOBKH. BpaqH AOJUttHhl yqacTBOBaTb B 3TOM Heea6eJttROM npon:ecce pa3BHTHR . C HX IlOMO~bm 3KOHOMHKa 3ApaBoo xpaHeRHR CMO- JtteT BReCTH 6oJlbfilOH BKJlaA B 34>4>eKTHBHYJO H parmo BaJlbHYJfl opraRH3ail;I,fm , KOTopaR IlOTpe6yeTCR AJIR MeAHD;HRCKHX CJXYltt6 aaaTpamRero AHR. 2( i 1. lf3BPAHHA.H JUITEPATYPA HCCAe~o a a HHR n o ~KOHOMHK e 3~paaooxpaHeID1R H coxma AbHOM Me,21,HmfHe, npOB0,21,HBIIIH e CR BO <l>pa HmfH 3a n ocAe~He r o~. fAaBHhl e HCCAe8 0 BaID1R , npoBeAeHHh!e ~eHTpOM HayqHMX HC CAe8oBaHHM H AOKY Me HTa D;HH no n oTpe6AeHIDfl (CREDOC), ByAnBa p Ae AR r a p, 45, n a pH~ (Xllle) 1. Magd e lain e , M., Re mpp , J. - M. & Rosch, G. (1962) Une e nqu~t e par son dage sur la consommation med ical e , Consommation, No . 1, p . 3 - 84 2 . Mi zrahi , A. and A. (1 965 ) Un mod e l e des depenses m6dical es ( Effets simultanes de deux ou plusieurs ca ra c t e res socio - economiques ), Consommation, No . 1 3 . Magd e lain e , hl . and c. , Porte s , J . - L, & Fraiman, L, (1964) La con sommation pharma ceutique d e s Fran,ais, Credo c (unµublished). Medical thes is, L. Fraiman, Pari s , 1965 4 . Sandi e r, S . (1 966 ) L'influence d es fa c tPurs economiques s ur l a consomm ation m6 di ca l e , Consommation, No . 2 5 . R~sch , G. (1 966 ) Que lques prohl e me s poses par l' a n a l yse de s couts et avantages des ac tion s sociales, Re port No. 7 from th e United Nations Research Institute for Socia l De ve l opme nt, fu1alvse des couts e t rende- men ts d e s proj ets sociaux, Ge n e va 6 . Magd e l a i.ne, ~I . and C. & Port es , J .-L . ( 19G6) La consommation ph armac£rntique d es Francais, Consommation, i\o . :i 7. R~s c h, G. (19 66 ) Les possibilit6 s de l a r ec he r c h e operationn e ll e dans l e domain e d( ' la sant e , Reche r c he (;'t Jn foo11ation e n Sant e publigue , Bu l l e tin d e l ' In s titut national de l a Sant0 et d e l a Kcc hc rchP medicale , No. 5, p . 815- 854 8 . R~s c h, G. (19 67) J\spects econ omiques d'un droit a l a Sante, Cahiers Lae nnec , 12 p, 9 . R~ sch, G. (1967) Le prohl e me economiqu(! d,, Ja di a l yse p61·iodiquc c hez l es insuffi sanls ren n11 x c hroni qucs , srcci.a l numh(, r Co ll oqucs dt> J' INSE!lM, No . 1, 14 p, 10 . Magd 0. lainc, ~1 . , Mi zrahi, A, and,\. & R~s c h, G. (1 967) Un indi ca - t e ur d e morbidit 6 appliqu6 a ux donn6e s d'un c c nquel e sur la consomm a- tion medicalc , Co n somm ation, No. 2 11. Sandie r, s. (1967) Le developpement de l a radiolog i e , exempl e de diffusion d'une t echnique e t d'une consommation, Consommation, No . 4 12. Sandier , s . (1967) La consommation d'an a lyses me dicales. Evolution et etude r egional e , Re vue de la Securite s ociale, No. 193 13. Ge orge, A. (1 968) Analyse econ om ique des condit ion s de fo n cti onn e - ment d'un hopital, l e centre me di co- chirugica l Foch d e Suresnes , mimeographed r eport (limit e d edition) CREDOC- GEEM 14. Sandi e r, S . (1 968) Stru c tures de l a consommation me di ca l e se lon l es differents types d' actes , mimeog r a phe d r e port (limite d e dition) CREDOC 15 . Sandi e r, s . (1 968 ) La consommation radiologiqu e , Re vue d e l a Securite s ociale, No . 196 16 . Guillot, c., Mi z rahi, A. and A, , R~ sc h, G, & Vill e n e uve , A. (March 19 68, December 1968 a nd January 1969) EnquQt e pilote , 1965-1 966 sur l es so ins me dicaux, 3 sec tions: 1. Re sultats me thodologiques ; 2 . Les fa c t e ur s conditionna nt l a consommation me di ca l e ; 3. La morhidite e t ses r e l at i o n s avec l e reco ur s a ux so in s . Mime ographe d r e ports (limite d e diti o n s ) 17 . Foulon, A. & Caillot, B. (1 970) Le s r ccc tt e s profess ionn e ll es e t l es r e venus des me dec ins llberaux d'apres 1 s sources fiscales e n 1962 . Evolution 1959-1 965 , mimeographe d r e port (limit e d edit ion) March 1968 and 2nd sec tion for the yea r 1966 - CREDOC 18 . Sandi e r, S . (1 969 ) Que lques donnees s ur la production et la con s ommation ct' ac.: t es me dicaux (S t ru c ture , chif.fre ct' af.fa ire s, e voltition e t prlx) . Mime ographed re port (limit e d e dition) CREDOC 19. R~ sch, G. (1 969 ) Les probl em,~s economiques poses par l e developpe - me nt de l a r eanimation card i a que , specia l numbe r Co llo gue de l' INSERM 20. Coud e r, l3. & H~ sch, G, (19 69 ) Si tua tion, evo lution c t pers pec tives d es effec tif s d o m6d cc in s r n Fr a nce, d a n s l es pays d' Europe e t a ux USA, Actes de l a socidt e de De mographi c me dicale, No . 2. Medec lne de l'llomme , No. 2 21. R~ sch, G. (l9G9) L' 6conomi e d es se rvi ces de soin s me di caux e n France , Con somm ation, No . 1 and 2 n. 22 . Foulon , A. (1 969) Les depens e s du secteu r d e s ante (1960-19 67), mimeogr a phed repo r t (limited ed ition) Commissariat genera l du Plan OCHOBHaff pa6oTa, BhlTI0JIHeHHaff qaCTHhlMH o6~eCTBaMH OT 11MeID1 Ml1Hl1CTe pcT- Ba o6~eCTBeHnoro a.n;paBooxpaneHHR 11 con;HaJibHoro 06ecneqeH11R a ) HccJie,n;oBamrn ' npoBe,n; e HHMe O6~eCTBOM npmCJ1a,1J;HOH 3K0H0MHKH 11 MaTe- MaTHKH (SEMA) . Reflexions sur les c rite res de choix en matiere de sante publique (19 61) HccJie,n;oBaHHe B03M0JKB0CTl1 np11MeHeHHff 3K0H0~eCKHX BhlqHCJieHHH B o6JiaCTH a.n;paBooxpa HeHHff . Fi nancement des i nvestissements hospita li e rs, 'tudes comp a ratives sur 9 p ay s (1 964) MoH orpacf)Hl1: BeJibrl1ff ' ,1l;aH11ff ' <!>Pr ' HTaJIHff ' Irn,n; epJia ll,n;J,I ' HopBerHR ' illBen;HR , Coe,n;11HeHH0e Ko poJieBCTBO , Cfil~. PeamMe. Consommation hos p ita l iere e n Fr a nce en 19 59 (1964) AHaJIH3 peayJibTa T0B 6oJib HJ1T.fH OH nepe n11c11 19~9 r o.n;a . Mac111Ta6hl 11 Il011CKl1 pa3'bffCIUU<'illJ1X cf>aKTOpOB. Beso i ns hospi taliers de la France e n 1975 ( L964) AHaJIH3 IlOTpe6JieH11ff 60JlbHJ1T.fH OH Il0M0IIOf Ha pa3JIJ1T.fHhlX reorpacf>H<{eC K11X ypoBHffX Ha6Jl.lf1,1l;eH11ff. Hayqe HH e r eo rpa cf>11q ec Koro pacnp e,n; eJie H11.fl rocn11TaJI118aD;11H B pai1one PoHa-AJibilhl . II.Hcf>poBa ff on;eH Ka 6oJib llJ1T.{H Or o npHeMa BO <l>pa HD;1111 B 1 97 5 ro.n;y. Coefficient s d ' occupation des hopit a ux (L9 G5) AHaJI113 B03,1J;eHCTBl1ff KOJle6aH11H D xapaKTCpc c npoca 11a rocITHTa.JlH0a- D;l1JO - Ha 6oJibIIHq Hoe 06ec n eqe r111 e . 3naqer-rn e pe K0Me11,n;oBaHHbIX ypo B11et1 KOcl cf>cf>11Dl1 e 11TOB 3aHRT0CTH ,ll;Jlff pe- me n11ff Bonpoca 06 0ilTHMaJibHhlX pa3Mepax 60.JIL HHLIRhlX CJiy)t(6 11 yqpc)t{- ,ll;CHl1H. 29 Perspectives des besoins 1975 par r egion de programme (1965) TiomrTKa COBAaHH.H MeTOAOJIOPHH AAH o~eHKH qHc./la KOeK. KOTOpoe c.11e- AYeT o6ecneqHTh AO 1975 roAa A.II.fl Ka.JK,ll;oro pattoHa , c yqeToM cym,ecT- B~ero IlOJIO~eHH.H. PerHoHa./lbHble IDl~POBhle o~eHKH . Disparites region a les de differents indices sanitaires (1966) TiomrTKa o6ocHOBaTb npHtllffiJ,l 6oJiblll11X reorpa~~eCKHX paBJI~HH B ypoBHe 60.llbH~Horo o6ecneqeHH.H BO ~paHID!H. 6) HccJieAoBaHH.H , npoBeAeHm.re rpynnott AUROC-CEGOS (06m;eCTBO pa3BHTH.H H HCilO.llbBOBaIDI.H rpa.JK,ll;aHCKHX HCCJieAOBaID!H onepamitt) . Les facteurs de dimensionnement des hopitaux et formation du coGt des soins hospitaliers (1964 et 1965) AHaJIHB Te~x paCXOAOB a o61ll,l1x H Me~IDIHCKHX c.11y~6ax B CBeTe HeKOTOpMX CTaTHCTHqeCKHX 3aKOHOB . E tude du fonctionnement des services a temps partiel et a temps _plein (1965) Organisation de s hopitaux (1965) illTaTHOe YKOMTI.lleKTOBaHHe 60.llbH~ICh!X OTAeJieHHH paaJI~Hl,JX THTIOB. Analyse regionale du cout des soins hospitaliers (1 968) TIOilhlTKa Bhlpa6oTaTb MeTOA , OCHOBafl!Ch!H ua perHoHaJibHOM CTaTHCTH'-le- CKOM aHaJIHBe CTOHMOCTH 60.llbHHqHott IlOMOlll,l1 . A.II.fl TOPO qT06hl naqaTb ocy - m;ecTBJieHHC KOHTpO.IIH aa ynpaBJieHHeM yqpe.JK,ll;eHH.HM11 (3 Kcn epHMeHT, npoae- AeHHJ,IH B BpeTaHH ) . B) HccJICAOBaHH.H . npoBCACHfChle CEP!ll-:MAP ( lle11TpoM nepcneKTHBI-Ch!X Hcc.11e- AOBaHHH no 3KOHOMJ.11[CCKOH MaTCMaTHKe B npH.IIO~e1-0m K n.11aHHpOBanmo) . Etude economique de l a er~ vention et du de pistage pr~coce du cance r du col uterin (1 968) :)KcnepHMeHT no npHMeHeHJ,DO 3KOHo=ecKHX Bh[qJiC./leHHH K pemeHmo npo6.11eM B 06.11acT11 8ApaBooxpa11er111.H. 30 III. HayqeHHe Bonpoca 06 3~~eKTHBHOCTH H HeOTAOJltHOC TH npoBeAeHH.fl no~H- THKH CHCTeMaTHtieCKoro Bhl.f!BAeHH.fl 6oAbHhlX paKOM meHKH MaTKH no cpaB- HeHHJO C AOTTOAHHTeAbHhlMH paCXOAaMH, Bhl3hlBaeMLIMH TaKOH TTOAHTHKOH , H C ee OJIUf,Zl;aeMLIMH npeH~eCTBaMH. Implicat ions fin a nci e res de l a mise en o euvre d 'une p o l i tique de d e pistage precoce du cancer du co l ute r in ( 1969 ) OCHOBhlBa.f!Cb Ha rHTTOTe3e , qTo paHHee CHCT e MaTHtieCKOe Bhl.f!BAeHHe cAyqaea npeACnLBA.fl€TC.fl BhlrOAHhlM , ocymecTBA.fl€TC.fl H3y<I€HH e pe3yAbTaTOB TaKOH TTOAHTHKH AA.fl ~HHaHCOBOH CTa6HAbHOCTH KaJK,ll;o ro 3 KOHO~ec Koro yq- peJK,ll;eHH.fl , KOTOpoe , aepO.f!THO , npHMeT yqacTHe B AaHHO H o nepan;HH. r) HccAeAOBaHH e , npoBeAeHnoe A11E PA ( Acco II;Ha [l;H.fl qHCTl>IX H npHKAaAHhlX Hayqm,rx l1CCA€AOBaHHH ) . Cotta , Prof. , E tude p o rt a n t sur l e coG t de l a ma l a die, r ea l i s ee par une e quipe d ' e tudi a nts de Sciences econom i ques d e l a Faculte de Caen 1. CTOHMOCTb AeqeH11.fl B 6oAbllHD;C h'.a3H , AeKa6pb 1967 roAa ; 2. AHaAH3 CT011MOCT11 AeqeH11JI 3a6o AeBa l!HJI B o6~eXHpypr~e CKOM OTAeAeHHl1 6oAbHHI(bl h'.a3H B 19f,7 ro.n;y. Pa 6oTa ' npoBeAeHHBJI MmrncTepCTBOM o6~eCTD CIIH Oro 3ApaaooxpaHeHH.fl 11 COD;HaAbHOro o6ecneqeHHJI 11 llaD;HOHaAbHhlM HHCTH'Y,YTOM 3ApaaooxpaHCHHJI H Me,1s;HII;HHC KHX HCCA€AOBBHHl1 ( l SE IB 1) 1. Re flexi o ns sur l' a venir du syst e me d e sa nte ( contr i bution a l ' el a bor a tion d'une p o l"it i que san i taire). llep o rt o f th e Working Group o n ll ea lth Pr o spect s, dr a wn up b y Dr P . rlona mour. Pr ofesso r G. Broun a nd R . Da r tigues (1 969) Do cumentation f r a nca i se , Paris, 104 p. (29-31, qu a i Vo lt a ir e , P a r is 7e ) 2. Ba li er, r.., rlour ge ron, .J .-P . , flour ge r o n, A . & Ferr y , M . ( 196 8) Enquete su r les besoi n s me dic a ux e t sociaux d e s pe r s onn e s age es d u l :le a rro nd i sse men t ct e Pa r i s. l!eche r c h e et I nforma tion e n San t e publi que (T NSEHM) , No . 2, p . 4 39 - 5 20 3. Bro yelle , Dr .J . (196 /l ) Enqu e te s ur l es besoon s d e san te cl ' un e popul a ti o n, llec h e r c he e t Tn io rmation e n Sa n te pu bli qu e ( lNSE HM), No. 3 , p. 6 1 3 - 7 3 1 4 . Pe qui g n o t , Pr o f. II . (1 969 ) Enqu e t es p i lotcs hospit a li c r es soc io- me dic a l e s sur le d evenir ct es ma l a d es hosp il a li sees . et me dec ine sociale , t. XV II , pp. 7 - 18 31 lle vue d 'h yg i e n e 5. Ministry of Pub li c Health and Social Security (Department for Studie s and Forecasts), Groupe RCO (1969) Mal adies mentales, Note de presentation de l'etude de rationalisa tion des choix budgetaires concernant les maladies mentales (provisional document) 6. Bonamour , Dr P. & Dartigues, R. (19GB) La Demographie m6dicale, Etudes et Previsions (~inistry of Soc ial Affa irs), No . 1, 10 pp. , tables, maps 7. Bonamour, Dr P. & Pfalzgraf , J. (lUGU) Effcctifs pr6visibles e t besoins en medecins pour l'avenir, Cahiers de Sociologie et de Demographie medicales, No . 4 (37, rue de Rellefond, Paris 6e) 8. Rapport s ur l' Organisa tion des Etuctes m6dicales. Travaux du groupe de travail sur les etudes medical es const itu6 aupr ~s du Ministre de la Sant e publique et de la Securit6 sociale (1970) Do c umentation fran9ais e , 125 pp., Paris lY. Pa6oTa 2 npoBe,n;eHHaJl MHHHCTepCTBOM cfJ11HaHCOB 11 ;'IK0H0hfillleCKHX ,n;eJI ( OTAeJioM nporHo311poBaHHR ) 1. 3ahteTKa O MeTo,n;e on;eHKH ;} KOHo=ecKOH Dhlro,n;HOCTH KarrnTaJIOBJIOJt(e- HHH. 2. ITpHMeHeHHe HCtJHCJi e HHH COOTHOmeHHH 3aTpaT 11 Bhlro,n; K 60.JibHHtJHhl.M C.7IYJK6aM Recherche visant a accroitre la connai ssance d e l a r6alil6 6cono- mique hospitali b re pour t e nter d'am6li orer la geslion des 6quipe- me nts ex istant s el pour degager des cl6me nts de c h o ix plus ration- nels pour J es inv stissements nouv ea ux; Tentative m6th odologique illustr6e µar l a comparais o n de deux techniques d e soi ns appli c ables i 11ne m~me ma l a di e (traitement des fra c tures courantes), mimeogra ph ed report 1967 3. Etucte 6donomiquP. d e la rentabilit 6 ct e la vaccination fl('(;, mimeo- graphed do c umen L J ~Hi\l 4. La rationalisation des c hoix budg6taires (pr6sentation d e ses ol>.ieclifs et de ses moyens), mimeog r·aph ed r epo r· t for a course . 5. Elude co11 t-avantages d e deux o rgani sation s de so.i ns pour les malades mentaux e nfants (l!lG!I) rirovis i ona l do c ument (in co llalJo r·ation with the ,\linistr y of Pul>l i c l! ea lth and Socia l Securit y) 3'.! Y. Pa6oTa o6~ero xapaKTepa no 3KOHOMHKe 3ApaBooxpaaeID1R 1. Gr and jeat , P. (1965) La sante gratuite, e d ition du Seuil , Pa ris, l vol. , 128 pp., tables , graphs, maps. (Collection Socie te ). This work b rings within the ra n ge of the general publi c the fundamental concept s underl y ing health economi cs. 2. Brunet - Jai l ly, J . (1967) Essai sur l'economie gen erale d e la sant e , Economi c sciences thesis , Fa culty of Law , Pa r is , mimeographed doc um e nt, 968 pp. Yl. ~yrHe pa60Tl>l H pa3JIH'UWe CTaTbH 1. Federation nationale d es orga nismes de Securite sociale (FNOSS) . Notes and docu me nt s , No . 1 (1960) Problemes d' econom i e mcdicale. Note s and documents , No . 14 (1964) !' Evolution du coGt des ~oi ns. 2. Ab raham, c. & The d ie , J. (1960) Le Prix d'une vi e humaine dans les d ecisions economiques, Revue fra ngaise de Recherche o perationnell e , No. 1 6 , pp . 15 7-1 6 7 3 . Morlat, P rof. G ., Rapports sur des recherches sur l es coGts de protec t ion de la vie humaine (unpublished) Jn stitut statistique de l' Univ e r sitc d e Paris , 9, q uai Sai nt-Uer nard, Paris 5e 4. Broun, Prof. G. (1969) Le finance me nt des coGts d e la maladie : essai d'an a l yse cconomique, l!evue fra ngaise u e>s ,\ffai r· es sociales, No . 1 , pp . 3 - 1 8 5 . Bourdin, J. (1969) Con tribution cconomique o u secteur de l a sante methodes d ' cva lu ation , 85 pp., duplicat e d, bi!Jli og rapl1~· 6 . ~lichel , C. (19G~l) La consommation mcdicale des 1-"ranc;ais, Notes et Eludes docu mentaire s , 1 vol. , 55 pr. 7. Michel , c. (l!JG~l) La l!cvo lu .t ion mcdi co-socia l e , Analyse el prevision (SE DETS) , No. 25 , pp. 657 - GGI 8 . Fagna n i , F. (l.!>G8) Introdu ction ~1 l a recilerc he o pcr·ati on nel l e en s antc pullliqu e , llecherche et In formatio n e n Santc pul> J ique (13ull et.i 11 de 1' I NSEl(M) ' No . 3 ' pp. 8 :l 1i- 85(i \1. Fruit , P1·of . (l~HiG) Fconomie et mccle c ine. Sy ndi ca t national des mcdecins omniprati cien s , fr a ngais, No . 12 IJis , pp. 8G!l-888 33 XIe con~r es du l 'Om n ipraticien 10 . Gosse t, J .-R. (1965) Planification dans le domaine de l a sant e , Concours medical, No . 23, p . 3895-3899 11 . Jacquard , A. (1966) La san te e st - e ll e un "bien"? me dical, No . 53, p . 8275- 8278 Concours 12 . Bui - Dang- Ha - Doan, ,f , (1965) Medecin e , Economi e, Soc iologie, Concours medical, No. 1, p. 83 - 89 1 3 . Bui - Dang-H a - Doan, J . (1970) Le mal thusiani sme "scient i fiq ue ", Concours me di cal , No . 19, p. 4387 - 4393 14 . Bui - Dang- Ha - Doan, J . (1966) Prolegomenes pour une economic de la sante, Le Concours medical, p. 3448- 3357 15 , Jagu, Dr & Jacqueli n, P. (1 967) Qui doit - on l aisser mouri r•? Direc tions No. 142 16 . Lodeon, M.-Ch , (1969) La prospect ive et l'hopital . Economi c Sciences, Paris Thesis, 17 . Lodeon, M,-Ch . (1 970) La ration alisation des choix budg6 taircs dans l e secteur sanitaire, Analyse e t Prev ision, (SEDETS), No . 2, p . 89 -1 00 18, IXe congres me di co-social protestant (1 969 ) La sant6 , i que l prix? Grenob l e , Concours medical, No. 41, p . 8017 - 802 1 19 . Fede ration hospitali e r e d France (a) Livre blanc de l'hospitalisation publique e n Fran ce (19G5) Revu e hospitali e 1·e de Fran ce (b) L'hopital dans la n a tion (Ill e Assises nat ion a l cs de !'hospitalisation publique) (19 69) Revue hospitaliere de France, spec ial numbe r. See in parti cul ar· the article by Dunand, .J . -P . & Brune t - Jailly, l' hopi Lal dans l ' ,' space 6conomi.qu e , p . 1335-1 430 20 . Costargcnt, G. (1969) Le coOt du s e rvice public e n mili e u hospitali n r, Revu e hospitali e r e de France, No . 226, p. 1663- 1692 a nd (1970) No . 227, p. 1 19-136 21 . Ro c haix , M. (1959) Essai sur 1' 6vo Jution d es ques tions hospit a li ~res , d e la fin d e l'anc i c n regime i nos jours. Pre face by Dr Aujal e u . Par is, Federation hospit a li ~r e de Fra n ce , 356 pp . 3 l 22 , Abe l - Smith. B, (1968) Les aspect s 6conomique s d e s ~e r v i ce s d e Sante, Cahi e rs d e sociologie e t de demogra phi e med i ca l e s, No , 3 , p . 1 32-1 38 23, World ll ~alth Organization, Re gional Office for Europe (10G 9 ) Health ~--:r,1wmics, Heport on a Seminar, ~loscow, 25 June - 5 J uly 19G~, Copenhage n, Gl pp, 24. J\11 .ial e u, Prof. E , (1967) Re duction du c out d e s soins me dic a ux, Conse i l Li e l ' Europ,,· , Cerni t e e uropeen d P sant e publique , S tras llo u1 ·;;, CRSP (67) J9 , 25 pp , 25 , J ean, P,-G , (19 66 ) Rapport preliminaire s ur l e c out d e s s e rvi ces de sante e n France (within the framework of a n inquiry initi a t e d by WIIO), He nnes , Eco l e national e d e la San t e publique , 7 2 pp ,, dupli cateLI 26, Mini s t e r e d e l a Sant e publique e t Lie l a ScSc uri t0 socla l e (1 970) F.tud e d P preparat ion d e s dec i s ion s mini s t er i e .ll c's sur· ~olitiquc pre c t p6 rina t a l e , JO sec tions, dupli ca t e d 27, .J ac qu a rd, ,\ , (l9G4) Les as pec t s cSc011 omiqur' s c·t financi e r s d(' l .i pl Rnifi ca ti o n c t de l a con s tru c tion hospita li b i e . hospitalic~ri ' s, No, 22.l, p, 94 - 96 28 , Bui -D a ng-Il a-Doa n, J . (19 65 ) Les lleso ins e n m0ckc- in s pour 19 7 0 , 1975 e t 1980, Cahi e rs d e sociologi e e t d e d e mographie m6dica l cs , No , I, p . 5-1 :i 29. Jl p b, ,~,ro l, ,J . ( 1970) De la r e l a t ivi t 6 Liu cout d u ,-;(,rv i ce pulil i ,. hospitali e r, Hv~_,::__l:i._~spitali en:: d e Frnnce, No. ~:12, p . 11 -17 -J l GG :Jo , Lu cout et c l'hospitalisation . Se minai 1·c o l'gan is6 p a t· l ' Eco l () n ationa l c d o la Sant e publique, He nn es (1 970 ) , Tlw Sem inar do c um e nts will be publishe d l a t e r in the Bull e tin t1·im c stri e l d e l'Fco l e n a ti onu l (• d e la Sant~!_!_L~~. He nne s 3hDJ-IOMl1KA 3,lI;PAllOOXPAHEIOOl 11 Al!.AJII13 3ATPAT 11 BblfO,.ll; ,1.l;lK . THJ1HHr-CM11T ,.ll;HpeKTOp Biopo 3K0H0MHKH 3,n;paBooxpaHeHHR, J!Oll,.ll;OR OCHOBHOH npo6JieMOH B 3K0fI0MHKe 3,n;paBooxpanem,rn RBJ!ReTCJI o npe,n;e.11er-rn e cooTBeTCTBYJ<lillero "npo,n;yKTa". HaMepe1rne p acxo,n;o B. 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(1968) Medical significance of laboratory results, Amer. J. clin. Path., 50 , 671 Bridgman, R.F. (1963 ) L'h5pital et la cite, Paris, Editions du Cosmos Gu igan, J . ( 1967) L' ordinateur au laboratoire d ' analyses medicales, Concours med . , 89, 6 1 Hobson, W. (1969) The theory and practice of public health, 3rd ed., London, Oxford University Press Johnson, A, P. (1969) Organization and ma nagement of hospita l l aboratories , London, Butterworths Martinek et a l . (1968) Comparison of methods for conducting l aboratory proficiency surveys, Hlth Lab. Sci . , ~ ' 2 39 Thiele, H. - J., Hoffmann, H. & Friedemann, H. (1971) Da tenUbermittlung durch Fern5chreiber im Bereich der klinischen Chemie und Laboratoriumsdiagnostik , Dtsch . Gesund h . -Wes . , 26, 6 11 Youden , W. J . 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(1969) General requirements for a medical information system, Computer s in Biomed. Res ., 1 , 393 2. Flagle, C.D. (1966) On the requirements for information systems in 3. hospitals. In: Proceedings in ADP in hospitals, Elsinore, Denmark Galbraith, J.K . (1967) The imperat ives of technology. industrial state, Boston , Houghton Miff lin In: The new 4. Greenes, R.A., Pappalardo, A.N., Marble, C.W . & Barnett, G.O. (1968) Design and implementation of a clinical data management system, Computers in Biomed . Res.,~. 469 5. Davis, L.S. (1969) Prototype for future computer medical records, Computers in Biomed. Res., 1 , 539 6. Van Brunt, E.E., Dav is, L., Terdiman, J., Singer, S,, Besag, E. & Collen, M. (1970) Current status of a medical i nformation system, Method. Inform. Med.,~. 149 101 IIEPCIIEh.'THBA IIPI1MEHEHIDI MATEMATW!ECKHX METO,m:)B H BI,NHCJIHTEJlbHOO TEXHMKH .lillli YIIPABJIEHIDI CJIYJICOOH roCIIHTAJIH3AII,IDf BOJihf-Il,[X B YCJIOBHHX 00.JibIIIliX rOP0).1:0B B. 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Ta6JIH~a 1 ( c rpacjiHKOM 1 ) DOKa3hlBaeT n o Ka.Jll,.1l;OH CTpaHe CJie.n;yrom;He reorpa - cjiHlJ.eC.KHe H .n;eMorpacjiHlJ.eCKH e xapaKTepHCTHKH: TIJIOfilaJJ;b s KM2 , HaceJieHHe (B Thl- CJllJ.ax), TIJIOTHO CTb HaceJieHHJI, ro.n;osoi:i KoacjicjiHD;I•feHT yaeJIHtJ.eHHJI u aceJieUHJI , Koa<f)- cjiHn;HellT pO)l(,1l;aeMOCTH, K03cjicjiHI:I;I-i:eHT CMepTHOCTH, K03cjicjiHn;HeHT ecT eC TB ellHOro DpH- pocTa uaceJieHHJI H DpO)l;OJIJKHTeJibllO CTb npe)l;CTOJim,el1 )l(H3 l-lH IIpH po)l(,1l;eHHH. Bee 1 ( V 3TH n;HcjipLI ,ll;aIOTCJI 3 a 1970 ro.n; ro.n;0Ro11 Koacjicjim::1;11eHT yaeJIHlJ.eIIHJI u aceJieHHJI 3 a 1963- 1970 rr . ( ~' ), DpO)l;OJl)l(HT eJibHOCTb n pe,ZJ;CTOJIDl,el1 )l(H3HH DpH pO)l(,1l;eH11H H a 1969 r. 1 ) . Ta6JIHD;a 2 (c rpacjiHKOM 2) DOKa3hlBaeT DO Ka)K,ll;OH CTpaue B03pacTH011 CO - CTaB uaceJieHHJI (B npo~euTax) 3 a 1 969 ro.n; 1 . Ta6JIH~a 3 (c rp~cjiHKOM 3) DO.Ka3LIBaeT DO Ka.Jll,.1l;OH CTpaHe .K03cjicjiHn;HeHT pO)l(- .n;aeMOCTH (1970 r . 1 ) H HeKOTOphle Ta.KHe xapa.KTepHCTHKI1 CMepTHOCTH .n;e Tel1 .n;o 5 -✓.leTHero B03pacTa, .Ka.K: OTHOmeHHe lJ.HCJi a CJIYlJ.aeB no3)1;Hel1 BHYTPHYTp06H011 CMepTHOCTH .K 'IHCJIY JKHBO p O)K,ll;eHHH (1969 r. 1 ); .n;eTC.KaJI CMepTHOCTb (1970 r . 1 ); p aHJIJI .n;eT CKaJI CMepTHOCTb (1969 r. 1 ) H .n;e TcKa JI CMepTUOCTb Ha DepBOM ro.n;y JKH3HH B B03pacTe CTapme l Mec~a (1 969 r. 1 ) , a T a .K)l(e CMepTHOCTb .n;eTel1 B . 1 . B03pacTe 1 -4 Ji e T (1969 r. ) . T a6JIHD;a 4 (c rpacjiHKaMH 4 H 5) no Ka3LIBaeT no Ka)K,11;011 CTpaue HaceJieHHe H .KOJIHlJ.eCTBO (a6cOJllOTHOe Hua 100 000 HaceJieUHJI) Bpaqe11, 3y6HLIX BpaqeJ;i , cjiap- Ma~eBTOB H Me)l;Hn;HHC.KH X cecTep 3a 1969 ro,n; 1 . Ta6JIHD;a 5 (c rpacjiH.KOM 6) DoKa3hlBaeT DO .Ka)K,ll;oi:i cTpaHe pacDpe.n;eJieHHe (npo~eHTHoe) Bpaqe11 DO n oJiy B 1968 ro.n;y1 . 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I I . 7 Vi ,H l •l . 1 lt i . 7 13 , fl 13 , 2 1 -1 . 7 20 ,c , 3 O 1, ; , 3 t,.7 17 . l'I 2 1 I l !l . 7 13 . 7 ◊THO■CKN~ MC M.Q' tflr.AoM C AY-.ll C B n o :'IAHOA 1111y-rp11- )'Tl>06110 R C MOPTN II 'f»cJIOM •:_mo- poM,l;e HH " 100!) r. 13 , 3 K , ti e , Ii I I . 3 It II 0 10 . 7 11 ' II ,, 1 1, . 3 II II I II I ~ 0 !• . I )lo'N:icaa C MC Jl T ~ llOCTh 1970 r, 2 5 'l 20 ,5 1 ,1 . 1'1 l:? ."i 11'1 , 1 l ! l , 2 :.! I \I 12 l'I I 3 , 7 rn 1 :?0 . 7 13 , 1 15. 1 C w upTII OC Tb ll fl " Of'O ..... IJIIHWX' I !Hi9 r, 1 1 . x 17, U 27 , 3 I I 3 12.0 10 0 10 . "i :.?0 . 1'1 10 . .,u Ae'l"C K& II c wopT- C wepTttoC1'1> H OCTb H.& 11 01)- 8 11 o e11ac1'e • o M r o.-,v •HOHM 1--1 .IUT (c '!"ap■ o o .. 11 o r o 11a 1000 •1cA. MeCH ltA ) ' H &<: C JI C llltM 196!) r. 1969 r . ., ' 7 ] ti . 7 7 . 0 3 , I " .o 7 , 1 t, 5 , S h , 3 3 ' 3 ,, l '\ . 1> 30 I 31 . I 1 . 0 0 , 9 b ' . 3 I ,0 l> 0 M b 0 , K Li O . x b 0 . 1'1 h I) l'4 b o .• 1 , 0 0 , 7 0.!1 0 , 7 0 , fl 0 9b 3 , I 2 , 7 I Oa. Coo,11.1mo 1111 ou h'.op O AOUPTIIO Attr.111 11 11 y -,.u,r. l li , O 13 , 3 l "i.~ II 1:?,0 li.O CCHOp u aff itpJl&i lJl.11.1'1 IJOT.lln lt,llll ff (:(T P IOrOCAl\ f\1111 :! I . I 1 , ,, OJ, 17.5 17 t, Ha ]()(X) lU1 8QpuJ1.ACU ll il n peA !UIIHI T 0.11, IIJol C llf)K 6..t K ll. e 11uw1 : 11., 11 O DtHI OllHUO .4A HllMC .. , AatlHUO fl T C)'TCTfl:-,'...,,,. 1967 b 1!)68 Ur. •r<)•utllKII \~Qr l cl lle,, l tlo ( l l' )~illl!,' it!I O I, (l fl 70 ) ~J_c!_!~a~!i :; 1,11_1_.st} _ E.S l{_epo! _~. ~ . l.! Worl<t llf"n l tll () r ~,l lll ✓ , l t!Oll (IH7l) Wo rld lle a lt h St3 ll 5tl(' 5 n~port, 2 4 , ft&. t 2 Wo rl d lh'.'.'.'.llth Ori.-:C1r117111 1011 ( 197 1) Worl d llt-a ltli :..t:-t tUllCS Annual ) \)Iii'!, J I 111 I !"d ".1. 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Hp.rau.a;H11 Ma.JibTa <!>Pf 6e.urH11 lfeXOCJ[OBaKH11 moTJiaHAHJl Hcna1m11 Hp.U,U:HJI f.10' Mouuco AHrAHJI H Y3AbC Jl:r>Kcew6ypr lll!ell~t.PH• ,llaHHJI ¢)HJLIUlHJl;HJl HopserHJI HH.ll;ep.aau.a;w mseIUIJI Hc.aau,.n;HJI ID KOTOPOMY HMEIOTCH MHHblE h'.oa<f><f>Ha:HellT o,_---,10c---_ 2 .... o__ J"To __ 4-r0 __ s_o __ oo,--_ 7 10_ 1111111 111111111111111 I I WW0&~#& 111 11 11111111111111111000"#"#~& 111 II 111111111111 w /4' .1" # ,,WW@# & /41 111111 llllllllllllllllllfW//41 111111 IIIIIIIIIIIIIW/41/14 111 1111111111111~/41 11111 1 IIIIIIIIIFZW'& 11111 l1£0W&P"& 11111 111111111111111 11111 111111w& 11111 1111½1/& 11111111 1111w,/,?,l 11111111 IIIIWA 1111111111 IIW/41 1111 1111111111W'A 111111111111W& )11111111111111111111 11111111111111w& 1111111111111W,/,?,l 1111111111111w14 II II 1111111111111 Ii 11111111111W/41 11111111111w/4 1111111111111m 1111111111112J 11111111111@ 1111111111M 1111 1111 llf½I 1111111111e3 IIIIIIIIIIVA 0 10 20 30 40 50 h'.o3<f><f>Ha:HeHT - ,l{eT cK a .11 c :w:eJ)THOCTb ---, 11 I 11111111111111111111 IW///////ff/l/4W//4 Hosopo>1AeHHJ,1X Ha nepeow ro~y l!(lf3HH (cTapme 1 wecJ!Da) 127 60 70 HAO:Jlt:mn.: H IJJ,.lUilO:c-rwo ISPAl.fE'l . 3Yt:IIIX HPAlft:A . ♦APMAHtRTOB H Wt:;ofll.H] fC,0.[X c~c-n:r (A.6CQ.lllft'I IJE If IL\ 100 000 !fi:JIOBl-: K llAC&JI EIUUI ) is t:uPOm:nrtJJM vr.r1«>1n: u 1or.o C'QltY KUI :Mo 1nc.1a:.4rni1 rQJt . no KOTOflCNY ~ tmcJ1: .M.111M: C'Tpan a AAISAHiUI A..tlllMP ABCTpM .11 1,o ..crapH>I 'l"XOC..tOB&KU.11 )l.aH M.K 4'111t.JI.Kll,1Jt a (' cpwauHM J')lP II r n .. 100 7 196 1'\ l9'i9 19fi H 19ti!'l l !lliO ,~.~ 1flt)! 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KupoAe!'JCT!'JO A urJutll H Y~..thC I OTAaHAKII C'CrP l !lt.fl 19h !l \96rl l!ll,<l 1969 1969 l !lf\7 1%0 l flt,K Har.e..tcUHe . 1000 I 96~ 12 ~ -13 7 373 " tll!l " -13 1l 11 ·120 I H70 ,I 703 so 320 17 OHi 60 K42 'i:J 170 337 1 'i n,o 6 230 34 373 1 '1 13 Up&"IM li<'oro II• 100 000 I 157 '" I ti13 12 tJ 796 IK7 II !1 22 '" 15 40ti 1"3 20 H-12 207 7 MO 11' 1 •IHti 9~ ,,, (,00 IJO 103 110 170 1!1 7 17 192 1 7!) 3-17 I t, 200 I 1-11 17 101 li ft 111 I .! \ 9 tl3 1 I SS 15 203 11 7 lJJ 53,t 3CX'J 3y!Snwc tlccru 111 lfl 'i I fl l :l I 702 J Ill ,, ,12:) :'\ :\(JO 2 'i !.'.! 20 000 2 JOO 110:') • 17 3 l!l I "JOO 2 l'i7 3 02'\ 12 '\00 • h 120 I Z l 'i epnttH tapwaQt:BTU II• ,mooo 2fl '" 37 3 1 "" " 10 II 2 1· 7,1 "' 10 '" ,o" Uru r·r, 22 1 6 ·100 1 u o d " I h"i'.! 1 01n 32 1 I 70i 2 720 54ti Z I 939 3"i 39 unod Ila 100 000 11 32 d 07 " " 12 d ,17 17 ,,o ,, IJ " IK 7 3 -l J I II MOACeCTJ}W Bcor'> J 60/I 14 I 17 9 KI O 2-1 17 ,1 72 f'W10 n mo ] h 7 ! !I ,:n 000 700 2,18a ,. I 4ri'i 17 (XX) 12 Ii 14 " 1i7 •1 3 ~07 :!fl -11 !) '" ,oo 27 440 1,1 090 13 71)2 117 JOO b I "" 20 533C fl -11 ,100 Ila 100 000 102 230 2 :l-1 : ..-a ~3 10 :\(,(I JJO 23 2 10 I 10 'i i 317 2Z •1 ,10 :\01 b JOI 3958 39ti I I 23 1123 117 I ior uc..c•_•_·_· ____ ___.__'"-"-"--1 __ ,,_, _3_,o_..L._,_"_J_,_1--1 __ "_'_..L._"_1_2_ .._ ___._ _ _ ,_J __ L._J_,_._ .. 1_ _,__" __ _,_ ___ _t_ _ _ _ ...., Al\flltWH <IT CYTCTllyYYl' 11peAlU!)HTC'..t>,1 •wo n p u 6 .111-1• 1110ll' IUII o a.c110•1HWC ,1.a HKWC 'l11c .1 u 3 a porucTpllp OB(lllUUX .,Hn. . lie B C C H3 H H X IIB.II IU"lTCJII IIIHT C,1MMII U pa6oTBW"IIIJU,UI 8 ,1.1\IHI O A C'. TpA.11 0 . 11 epc1H1 a.• 11a n1mHA.llhlH1ti <'.,y:a:1M n,1.pattoox ria11.-.111111 ToAblCO O D.ILTCl\,I X }IJ)Utu.lC 1'lt>7 !'o .1; 128 ll<'T o •1H111ot · 11.'or ld llcn l th Or~ani7,1tl l)n (1 970 ) \'0.r l_d__l ~'ll_!!\ ~.1:i_t_l !!,_lf'.:!_ ll.!:J?2.!:! , -~~. :i Worl d llea l th n r ~:int7ati on {1971) Wor l d llet1 lt t, ,.; 1a t1stl<-~ _Repor t, 24, Wor ld llen l th (l r ~Rll l ✓ /\ 1 lO ll (197 1 ) Wo rld l lcn l tll S tatl.stJC"i Annual n1,:•. 1 11 1tn1ted ~at1 """ 11rn1 ) !)~111£1!! .. ~1!!~ ,e.3_rhoo k._ J 11 1n, \f'v. \'o r~ rpa¢11 " -l CCC P 1l exocJIOBaKHll M O H R KO Be 11rp1u1 ABCTpHII Bo.n.rap11n M1•a.int11 ot>Pr De.11LrHJ1 r pe r:u111 maei1a;ap»11 r.l(P Ma.JlbTa fIOJlbtna .I1a m111 PyMLllIHJI Hopaer»11 H cJla H.,ll;HJI filOTJlal:f.lCH1l Ceo. 11p.UHAMJI .PpaHD;1111 l1 cn a1rn11 ffiBer:ou1 Hlt.ZJ; ep..11a 1fAJiI Al-lrJl lUI H Y 3 JlbC Mp.11 a 11;J;11JI ./IJ/lKCeM6yPr cf> JHUUt.J-Ul;IU[ K)rocJ1aBH JI Tiop-ryraJtHR A.nlSa,0111 TypU1111 A.nl<HP hDJ!11'1ErTOO BPA'll·: 11 !IA !()() ()()() ' IE.JIO IH:IC IIACf:llf: IMH !! EBPO m :tlcKOM PErMOIIE [l I %9 ffi.llY JUDI 3~ llOCJIE.10111H m.11. fJO IJJTOl'OMY HMf:IOTC'Jl .IIAIOILIE ~~~~~~~~~ ~~~~~~~~~ ~~~ ~~~~~~~~~~~ • ~~~\.~~ ~~~ ~~~~~~~~~ ~~~~~~~ ~~~~~~ ~~~~~~~~~ ~~~~~~~ ~~~~~~~~ ~~~~ ~~~~~~ ~~~~~~ ~~~~~ ~~ ~~ ~~ ~ ~ ~ ~ ~ 0 50 100 150 BpaqcH 11a 100 COO '-IC.JI . 11 ace.n:elnu1 10 ()()() 1()()() 1500 l000 800 (iOO 1f arr.11e 1me , n pnxo.21KIU.PPr Jt 11a epaqa 129 200 I\OJII.P.1 . 11 :l 100 ()(J() •11 •.n . 11 acc.11c1 m11 ~ ~1 20 7 ~00 I H~ I I<! 1><:J 17 ft 1 7() l.'i'i 1 .'i 'i 155 I :>:! 1-1 7 1-l i> 1 l 'i 1-1 1 131> 13'i 133 1:31 130 130 12 I 119 1 17 10,1 10:1 9 5 !Vi ~-I 59 ·1-1 12 R hDJll·l'I ECTBO JYDIO,I X LWA'IEH ILA IO0 000 '11:JIOB F.K ILACE.111:: i[J,Uf IJ r:t!POITl::HCl{T)M i't:rl!0 IL E II I 9(;!) r o)l;Y 11./IH :111 IJOC.11 E)(Hl1H ml( . [I() hT>TO P0MY IIMJ::llfrCJl l(A IIHLI E l lopuer-11 11 lllH<'fU1ff ,..T{ ;\ }11111 •l> 111 Ul.ffl{AlUI f' pC' llH.fl lf c.11a 11.1.1:11 n 1'1(1' ¢p a 11.n;»11 0U.Jlb11Ja fil1:4eHnap tt 11 ft oJ1ra p11.R CCC P JIJ<lKC:C'M6ypr 'I PXO<:J[OOa KHJI \e n . l1pJ1 a1-r,n;1111 .1 JJ C' 'T'p ll.A' .-\1H' J1n11 u Y a .11bc lflUl,CpJl a lt.n;bI Ulo·rJ1a H~HJ1 B e tll ' PHfl ll p .JJ J. IIJl;Hff Ll t>.o,run 11)'".MLI.HH.fl M a AbT:'l :oro c ..1.aen.R ll c na m-ur Typ r0111. ,\..,16:'I Hl t Jl flv P 'l' )'T'H-1UUI ·\JUKHp MapOK'Jco () 10 ~() 30 ,10 aO i;Q 70 RO ~~~ ~~~~~~~~ ~~~~~~~ ~~~~~~~ ~~~~~7§\'i ~~~~~ ~~ ~~~ ~~~~~~ ~~~~"1 ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~~ ~~ ~~ ~ ~ &SSS\Wl ~ ~ ~ ~ ~ ~ Q 0 10 20 30 50 60 70 RO 3y61{blx aµaqeJ1 n a 100 000 q e.l( . 1-1a c eJ1e 1m11 I O ()()() :\()()() l S(X) 1250 H.:tce.11e1ute, n pu ~:o.llmn ePCli u a 3y6Horo epa qa 130 f<'OJl lP.1 . II;'\ 100 ()()() ll('.11 . 11 ace.11<' 1m11 R I RO 7 1 f)k :\1 ~ll .\ :\ 4 :1 11 .10 .10 :rn :), 35 32 :ll 2R 20 ~ fi 25 2 1 ~2 2 1 1 ~ I t) 1:1 13 10 9 7 7 2 Ta6.,rno;a a nron.i-:11T11m: PACnPE.ll):JIEHl1E llPA1n :fi n o nQJIY ll ~: IJPOfffHCIOJM PEfl10HE ll 1 !Hill ro.w K/111 3A nOCJIE,ll,ltHA ro.n: . no KOTOPOMY 111,n:mcn .n;AIIID,IE U1la 1,H CTpat1a r o.a; m ,., MyJK•lKII )l(c1111urn A.116a1111n 1967 75 , 5 24 , 5 ADCTPIIJI 1967 KO ,•l 19 . Ii Be.llbX'HJI 1966 92 , 2 7,8 4.eXOCJlOBa Kl1.Jl 1968 62, 1 37 , 9 ------- ..ll:aHHJI 19liu 83, 7 16 . 3 cl>HH.tJIH.a;HJI 1968 7 5 , 0 25 .0 cl>paRitHJI 1967 8u , 5 13 , 5 4>1'1' H 3ana,11;m.1H BepJlHR 1968 80 , 8 19, 2 fpeitHll 1961 88 , 8 11 . 2 Benrp11,i 1968 71 , 3 28 . 7 -- i1CJ18.R,ll;l1J1 1968 93·. 7 6 . 3 Hp.11aH.11;11J1 1966 82 , 7 17 , 3 HTaJUlll a 19li6 93,3 li , 7 J!JnKcew!Sypr a 1960 91,6 8 , 4 MoRaKo 19li8 95 , 7 4, 3 a DKJU"l<laJI ay6Rblx epaq ei! b 11cKJUl'laJ1 npa11wreAbCTDen=ll nepc oRa.11 CTpaua ro.a; 7', MYJK'l>lll MapoKKo b 19fi 5 !l3 , 3 ll11.11;ep.na 11,21;b1 1967 t\5. 7 1lopecr1111 1.%0 ISO . 7 n o.nbma 1968 53 ,4 - n o pTyra.n11n 1960 li!l . 2 -- Py,,w1111J1 196 8 63,6 l1c na11HH l !HH! 96 , 5 ffiD Cll;J,IJI 196 5 82,5 1Ueciloap1111 19t:i7 87 , ll Typmrn 196 5 llli , (j Coe,zi;,h:opo.neecTn o A Hr.llH H 11 Y:>AbC 1967 1'!3 , 7 Ccn. Hp.na1ui;1111 1967 83 .. , lllOTA8.ll,ll;11JI 19li7 t\ -1 . 3 CCC Pa 1968 2 7 ,5 - - !Oroc.na e11n 1967 68 ,8 IJpa•rn " )l(e1no.1111 ,; ' 7 1,1. 3 10 , 3 ,lfi ' I i 10 , ll 3u ,•l 3 . 5 17 , :, 1 ~ , 2 13 , ,I lu . 3 16 , li 15 , 7 72 , 5 31 , ~ HcToqmfKll : World Hea l th Organization ( 1970) World Health Statistics Annual 1966, I I I World Health Organi zation (1970) Wor ld Health Statistics Annual 1967, III Worl d Hea lth Organi zation (1971) World He alth Statistics Annual 1968, III 131 11c n;imtJJ Mo 11 aK:o ll C.lli\11,}1.ltJJ ltTa.Jl ltR M apOK:KO E e.11br1111 JlJOKCeM6ypr HopRer1111 Oop T yr:urn11 illBeH~apnll Typrorn 4>pam:urn. lf1t.ll.ep.11a1i.n;1J lllOTJial-1.11.11.fl ,11,a !U'IJI A u rJI H.11 n Y:lJibC CPu. l1pJ1 a 1i,n;11:J1 l1 p.rr a 1U1;1111 mner.m.R AucTpn.fl 'l> lt1WIJ111.ll;11JI B P 11 rp11J1 l0roc.11amu1 Py,,o.unrn lfP X OCJIOHaKJI.H TT 0 ~1J,llla C(TP PA('ffi'f;l(f~1Elll!E IIPA'lt:H no nOJIY ( IJ ffiC\J l(f: 11 f,\X) II f:IJP<)nf:fH :IITTM Pf:n10 11r: IJ I i11;1< rO}\Y II.Ill! :1,\ nor.u:ma!ti ro}\, m h11 TOl'OMY 11MHlTCfl )I.AIIIO,IE 0 10 40 Opo 1~PIIT ,o no 70 RO !JO ~~~~~~~~~~ ~~~~~~~~ ~~~-;sss~~ ~~ • ~~~~ 100 ...,~._,:-...:...,s...,s...,s...,S:...,S:_,._S_,._S.,_S.,_S.,_S:,._S:.._S"'-'s:....,s:....,s:...,~...,:-...:....,:-...:...,:-...:...,s...,s...,s...,s:_,_S_,._S.,_S:.,_S:.,_S,._S,._S.._S"'-'S....,S..,...,:-...:...,:-...:....,:-...:...,:-...:...,s...,s...,s...,s...,s_,_S:_,_S:_,_S_,_S~~~-~1 ••• ~~~~~~ ~ ~ ~ 0 lO ~ My,,<q 1111hl 30 40 132. 50 flpOt(CIIT (iO 70 80 :>h.:eHJ.D,IJllhI i 90 · 100 1111('.110 llO.llbllli'lllb!X JJ)t;h'. Ii i\ 1000 '11::/lOOEK IIACf;J!E lll111 ll rnPOmJktroM i' ErHOIIE ll l %fl rn,n,Y M.IIll :iA TIOC.IH:.ZUIH11 rn;l . TIO hf>TOPOMY 11MEKYl'CJI ,!l,AIIIIl,I E KoJUf lI. 11 a msea:11J1 4' l1tUl.R.IUl;l1.R. l1pJ1al1,.!,;HJI Mo ua Ko mo TJi a ll,.l(lf.R Jlli11,cew6 ypr Cea. l1 p.u11,,,;11J1 mneHu;apHJl At lCTpHJI CCCP Ma..n:bT a lf e x OCJlOBaKUff 11TaJIHJI ~p a U:[OIJI A HrJU1.fl H YaJtbc llopser11J1 Py>a,11111J1 EeJlLf'HR Be u:rpHJI Eo..llrapHJl IlOJibWa rpell,11JI AA 6amu1 TiopTyraJIHJI 1Qroc .11 as11J1 Hca a1m.fl A.U<Hp T Yl>UIIJI Ma pOKKO O l O 15 Il a 1000 4eA. ~~~~~~~ ~~~~~~~ ~~~ ~~~ ~~~~~~ ~~~~ ~~~~~~~~ ~~~~ ~~~~~ ~~~~~~ ~~~~ ~~~~ ~~~~~~ ~~~ ~~ ~~~ ~~ ~ ~ ~ ~ ~ 0 K.oeK 11 a t (X)() ,1e..11. Hace.11:e m1J1 IOOO -100 cOO 100 P,() H;icc.11t•H J.1 P . np11 xo.11.mu.eec 11 11a o.11;1-1y KOHKy 133 15 11 ac e.11: e 10111 14 , Ii 13 , 9 13,3 12,H I 2, 2 1:?, 2 11 , f\ 11 , 7 11 .fi 11 , 3 10, 6 10, 5 10,4 10, 3 10, 1 10 , 0 9 , 4 9 , 0 R,O 7, 9 7.6 7,6 r;, 1 5. I' 5.8 5,5 5,4 4,6 2 ,R 2 ,0 1 ,5 T31.01tL'l. ,, 1 111c.110 fUlhlfifil. II UO.'lhlnfll llhlX }J)Fh: 00 T lmY r.n1bl!Hrl II FI\FOnt:finJ)M NrllOIIF U l !'lh~ ro.JtY l l ~lf 3,\ noc1t:.runn:1 J'(U,. no hl)TO FOMY l~ FKn'CH Jl,\IUn.l E 1htC'A<> i'SOAhlUln II Kl.JC)(' /10 T IIIIY tSoAJ, 11110:W f' OA 11;:c~:~I.J~ f---0-6~""'-n __ -+-c-n_e_m_,a_A_•,•O_u_r,_o»_a_,_'--+-_C_c_•A_h_CrKl-lil--+--M_o_.4_. _nrc_»_T_P-t------,r-----r•------~ lr.n.11 1,1111n li•).llbAitU Koete f.OA l , lltlll KOCI\' l)0.<1 hllllQ I\OCIC Kou..- 11 11 l<Y)() •1e.~. 11 11c . AJ16a 1111H 1 !)fil'I 020 I OM 1 not 3 h2 'i 2 114, II 72fJ , :13 3 4 0 11 , M 1969 i 373 li t. ,o 'Hl2 15K 27 h 11'\ JOI 7M 2 IO JO . ti IN.11,r1u1 II 137 11!) 17J 71, 771 X () 191i!l Ii 131 II 702 II I I ", 3hl 3 2til ., O 1:l 3 -;2.1 f, I O7t, 7 ,. 1 ~t•'( uc., u 11:t10111 l!lh9 t I l'.!0 I II KJI 3h Qi", 4 11 11 7 "°'' 10 3 ,lln llllM I !lti7 I 1'120 ~H 12 I 11 170 13 2fi ,1 t 703 77 I 0 t,02 fl, l,33 770 G."i 5,1,1 312 IOH 177 1'11'17 II OS() ,o, "" 10 0 r,ll,P 11 1.! oc-roq111t.1f1 Gcp.1.1111 l !lt\1'\ 1 1> OOti '.i-l fl l 'iO ~1 II 7 ii"i7 /CM !HO -iirr 11 :1llllflAllhli1 l icp.rnu 1 !)Iii'\ "ii'\ ti"i :1 I 1'\ !)3 -103 :l'\0 I 72."i 262 1 !lti J fi l l'\ 1\U"i "i h l 1 1 . :l 87 1 SJ 7 33 f,, I Uc111 ·p 11 tt H 1 I lfJ llc-. .rn H.AUH 196~ 20 1 1 -117 15 I 117 11 '.'it•I ll1ua 1t;111H 79 :? 07fi 13 . 3 llr,1.HIJI 1 'lbH 53 7!11'1 102 l lil'I 171'1 11 l I "l 1:? 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Ii I 7 riS I 1\ J l 2fi :? 11 4 2 9 2 ,urn 700 ------------➔--+------+-----t----~------1-----+-----l--- f----f---+---~------ IOf'Uf'A 3 UH.II 1 f) (i 9 20 350 l :.rn " n pC'All a µ UT C.llbHLle A t\ llltUe <fl p o lfU)r.) C ICO l 'O MIIIOI CT C p CTllt\ :J,J.p f\l:tO O X!).l ll C tll1J'( II CO W! ;L,tb1toro 06 t•cnr11 t:' ltl1 .II 11 1.:.UO'l ,\R II OKOT0 11w e c n e u;H U 11 3 11 p0H l\ 111Wr- 6 0JIJ,IUHJJJ T OAb li'O u6ut l"C 'T' 9C lllll,IC )'tJlCJIUl, C lnUt umf'l p w: :,a 1 00 9 ro,.11, 7 1 fl55 I 12 3 1 lifll !!_c·1~~!_l!.~'1'!!. : Wo r· ld Hea l th 0 r~an lza t ion (l97 l ) \fo r ld Hea lth S t a t islics Annua l 19(-i ~, IIr Wo r l d Hea l t h 0 r p;an\zatlon ( 197 1 ) ~\·o rl d Hea l th Statut i cs 11~po r t, ~. 3 Worl d llea l t h 0 rganlzauon (1969) Wo r ld He a l t h S t a t ut i cs H!Po r t, ~. I I ll n ited NR l1 o n s (1 971) Oe~r a~ i c Yoa r hoo k 19 70 , '.'>la w Yo r k 135 11 I !Hl :J 11 'i; 9 ,,l 11 , 7 10 , 5