ArticleJournal of epidemiology and community health2003
Care Need Index, a useful tool for the distribution of primary health care resources.
Article in Journal of epidemiology and community health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06471452 (To Live Better After Breast Cancer Treatment - a Randomized Pilot Trial of a Supportive and Person-centered Care Intervention in Primary Healthcare), which is not on this map. Cited by 76 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
To Live Better After Breast Cancer Treatment - a Randomized Pilot Trial of a Supportive and Person-centered Care Intervention in Primary Healthcare
Who cites it
76 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of reimbursement systems on equity in access and quality of primary care: A systematic literature review.BMC health services research · 2016Pooled it
- Is a Problem-Solving Intervention with Workplace Involvement for Employees on Sickness Absence Due to Common Mental Disorders More Effective, than Care as Usual, in Reducing Sickness Absence Days? Results of a Cluster-Randomised Controlled Trial in Primary Health Care.Journal of occupational rehabilitation · 2025Trial
- Changes in perceived parental self-efficacy after a Child-Centred Health Dialogue about preventing obesity.Acta paediatrica (Oslo, Norway : 1992) · 2022Trial
- Can a workplace dialogue impact the perceived influence of neck and/or backpain on everyday activities and performance at work? A secondary analysis from the randomized controlled trial WorkUp.BMC musculoskeletal disorders · 2022Trial
- Trial
- Trial
- Continuity in a fragmented healthcare system: - organizational and individual determinants.Scandinavian journal of primary health care · 2026Article
- Continuity of care in the context of a primary health care reform: a follow-up after the SwedishScandinavian journal of primary health care · 2026Article
- Here it is everything at once: a qualitative study of district nurses' experiences caring for older individuals with multiple chronic health problems in primary care.BMC primary care · 2026Article
- Qualitative study to explore which components of home-based primary care may reduce emergency department visits among older adults.BMJ open · 2026Article
- [Needs-based equity: an international comparison].Innere Medizin (Heidelberg, Germany) · 2026Review
- Improving Primary Healthcare: Applying Grapevine (Healthcare (Basel, Switzerland) · 2026Article
- Response to family violence in child health services (FRIDa): study protocol of a mixed-method study in the Stockholm region, Sweden.BMJ open · 2026Observational
- Identifying risk individuals for heart failure diagnosis within two years in the adult population in southern Sweden using gender, age, multimorbidity level, and socioeconomic status.BMC cardiovascular disorders · 2026Article
- Article
- Targeting equity in early childhood: resource allocation in Sweden's Extended Home Visiting Program.International journal for equity in health · 2026Article
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- Identifying children at risk in Swedish Child Health Services.Scandinavian journal of public health · 2025Article
- Observational
16 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
STUDY
objectiveTo demonstrate how Care Need Index (CNI), a social deprivation index, may be used to allocate total primary health care resources.
designCross sectional survey and register data. The CNI was based on sociodemographic factors: elderly persons living alone, children under age 5, unemployed people, people with low educational status, single parents, high mobility, and foreign born people. The CNI weights were calculated from the ratings of Swedish GPs of the impact of these factors on their workload. The CNI scale was transformed into a positive scale to avoid negative values. CNI weights were calculated for each decile of the study population. The risk of poor self reported health in the CNI deciles was estimated by means of a hierarchical logistic regression in the age range 25-74 (n=27 346). The MigMed database comprising all people living in Sweden was used to calculate the CNI for Stockholm.
participantsThe Swedish population and the population in Stockholm County. MAIN
resultsThe means of the CNI for deciles ranged from 61 (most affluent neighbourhoods) to 140 (most deprived) in Stockholm County. The ratio between the tenth and the first decile was 1.66. There was an approximately 150% increased risk of poor self reported health for people living in the most disadvantaged neighbourhoods (OR=2.50) compared with those living in the most affluent ones (OR=1). CNI ratios for the deciles corresponded approximately to the odds ratios of poor self reported health status.
conclusionsThe CNI can be used to allocate total primary health care resources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.