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© 1975 Oxford University Press

research-article

An Epidemiological Model of the Natural History of a Disease Within a Multilevel Care System

JAMES G. ZIMMER1 and DENA PUSKIN2

1 2 Department of Preventive Medicine and Community Health, University of Rochester School of Medicine and Dentistry, and Genesee Valley Medical Foundation Rochester, New York

Reprint requests should be addressed to Dr. J. G. Zimmer

Detailed epidemiological data on the entire course and treatment of illness requiring a variety of forms of management and various levels of institutionalization are scarce, probably due to the difficulty of assembling such data from a multiplicity of sources, particularly within complex and fragmented health care delivery systems. This paper describes several analytic approaches to, and applicaions of such a body of date, taken from a retrospective cohort study of 552 fractured hip cases incident in on e year in an upstate New York county. Examples of six analytic application of the data are presented, and emphasis is placed on the potential for practical use of some of the results.

Received 21 January 1975


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