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PLANNING FOR A SINGLE SPECIALTY IN A HEALTH DISTRICT

JOURNAL OF THE OPERATIONAL RESEARCH SOCIETY 1982年第1期33卷 29-39页

作者： SMITH, P HAGARD, S CAMBRIDGESHIRE AREA HLTH AUTHOR PETERBOROUGHENGLAND

This paper discusses planning in the National Health Service. An outline of a general method for planning at the district level is illustrated with a case study in which a strategic plan was produced for the maternity services in Cambridge Health District. Some of the problems of ensuring implementation of proposals are then discussed.

关键词：大不列颠产妇卫生保健服务/组织和管理地区卫生计划/组织和管理公费医疗/组织和管理系统分析

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Maternal Care Coordination for Migrant Farmworker Women: Program Structure and Evaluation of Effects on Use of Prenatal Care and Birth Outcome: Rural Health Polocy

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The Journal of Rural Health 1992年第2期8卷 128-133页

作者： Larson, Kim McGuire, Joan Watkins, Elizabeth Mountain, Karen Tricounty Community Health Center Newton Grove North Carolina United States Texas United States

Nearly three fourths of the migrant farmworkers in the U.S. are Hispanic. Cultural and social barriers, along with constant travel, make coordination of care a significant concern for migrant health centers providing perinatal services to female farmworkers. As part of a demonstration project, a migrant‐specific maternal care coordination program was developed that used bilingual staff, outreach services, lay health advisers, and a multistate tracking system. Following the initiation of the project, first‐trimester entry into prenatal care and number of prenatal visits increased over a five‐year period among the target population. Successful tracking methods provided outcome data on more than 80 percent of participants during the project period. The results of this study suggest that migrant health centers should focus on employing public health‐oriented bilingual or bicultural health professionals and that an outreach strategy must be an integral part of a health care delivery system serving migrant farmworkers. Without these key ingredients, health care services will not be accessible or acceptable for this hard‐to‐reach population. Collaboration among the National Migrant Resource Program, the Migrant Clinicians Network, and the National Perinatal Association can facilitate development of a regionwide perinatal service system for female migrant farmworkers. Copyright © 1992, Wiley Blackwell. All rights reserved

关键词：信息交流障碍数据收集西班牙裔美国人/统计学和数值数据产妇卫生保健服务/组织和管理北卡罗来纳试点项目妊娠结局产前保健/标准产前保健/利用方案评价/方法方案评价/标准地区卫生计划/组织和管理暂居者和移居者/统计学和数值数据女(雌)性人类婴儿新生妊娠

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Information audit: whose line is it anyway?

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Health libraries review 1993年第4期10卷 224-232页

作者： Booth, A. Haines, M. King's Fund Centre London United Kingdom

With the current pace of organizational change within the NHS there is a growing need to examine how information is contributing to business objectives. A valuable tool in this information management review process is the 'information audit'. This paper describes an information audit conducted for a Regional Health Authority. The management and methodology of the project are presented in detail together with the implications for the subject organization and ensuing opportunities for health information professionals.

关键词：数据收集大不列颠卫生服务需求/组织和管理卫生服务研究信息服务/组织和管理管理审计/组织和管理组织目标地区卫生计划/组织和管理公费医疗/组织和管理

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State Health Policy and Rural Hospitals

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The Journal of Rural Health 1992年第3期8卷 205-211页

作者： Kovner, Anthony R. Kiel, Joan M. Runde, Denise M. Graduate School of Public Service New York University New York New York United States Center Corporation Pittsburgh Pennsylvania United States Runde Associates San Francisco California United States

Many rural hospitals are experiencing difficulties. This article explores the views of various government and hospital officials on state health policy for rural hospitals. The authors discuss how these officials define the rural hospital issues and suggest appropriate state interventions to assure hospital viability and local access to care. The authors recommend that states, hospitals, and communities decide through a formal process what level of health and medical care should be available in rural areas, and states assist in low‐cost ways those rural hospitals that are ready to change or that, with help, will be ready to make such operational changes as service reconfiguration, affiliations, and working agreements with other health care organizations to continue and improve local access to health care. Copyright © 1992, Wiley Blackwell. All rights reserved

关键词：健康态度卫生政策/立法和法学医院乡村/经济学医院乡村/组织和管理医院乡村/标准机构间关系医务人员医院/供应和分配地区卫生计划/组织和管理州卫生计划美国人类

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Use of readily available data for identifying local health care needs and resources

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Journal of Health and Social Policy 1993年第1期5卷 9-22页

作者： Roberts, F.B. Shima, S. Dockery, B. Hayes, M.H. Stevens, R. Planning Development and Education Tennessee Department of Health Nashville TN 37217 800 Ben Allen Road United States

No abstract available for this article.

关键词：数据收集/方法卫生工作重点卫生服务需求/统计学和数值数据规划技术规划制订/方法公共卫生管理/经济学公共卫生管理/发展趋势地区卫生计划/组织和管理农村卫生田纳西

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ENVIRONMENTAL SCANNING FOR SOCIAL-SERVICES

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LONG RANGE PLANNING 1992年第5期25卷 106-113页

作者： RUSSELL, S PRINCE, MJ UNIV VICTORIA SOCIAL POLICYVICTORIA V8W 2Y2BCCANADA

This article describes the development of a process of systematic regional environmental scanning as part of strategic planning in the Ministry of Social Services (MSS) in British Columbia, over the 1987-1990 period. Social Services, a large regionalized social service organization, adopted a formal strategic planning process in early 1988. Ministry services are delivered in ten regions with widely varying characteristics. To ensure that this diversity is reflected in the planning process, it is essential that regional environmental information receive consideration. A simple format was developed and regional directors asked to consult with their staff and to scan their regions for issues that may impact the ministry over the medium term. The information obtained was presented by regional directors at a Senior Management Committee meeting and included in the ministry's annual Business Plan, a document which informs staff contractors, stakeholders, and the community at large of the ministry's values, objectives, and operational goals. The inclusion of regional analyses adds useful information to the Plan. A second output of the planning process is the ministry budget. The systematic regional scans were found to be extremely useful to regional staff, other directors, and to the ministry executives while setting priorities.

关键词：英属哥伦比亚数据收集政府机构/组织和管理组织目标规划技术地区卫生计划/组织和管理社会条件社会工作/组织和管理

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From evolution to revolution: Restructuring the New Zealand health system

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Health Care Analysis 1993年第1期1卷 57-62页

作者： Ashton, Toni Department of Community Health School of Medicine University of Auckland Private Bag 92019 New Zealand

After a number of years of evolutionary changes to the New Zealand health system, the government announced a radical restructuring of all publicly funded health services in July 1991, to be implemented on 1 July 1993. The primary features of these changes are a splitting of the purchaser and provider roles, and a restructuring of health services along more business-like lines. The proposals have been highly contentious and have attracted little support from within the health sector. This paper outlines the reasons for and nature of the reforms and explores some of the issues behind the changes. These include problems of pricing services for purchasing purposes, the potential conflict between financial and social objectives, and questions of accountability of purchasers and providers. Considerable uncertainty surrounding these and other issues means that any potential efficiency gains cannot be guaranteed. The costs of the reform process have, however, already been high, both in financial terms and in terms of their impact on the morale of health workers. © 1993 John Wiley & Sons, Ltd.

关键词：竞争性医疗计划/组织和管理合同业务/经济学合同业务/组织和管理管理委员会卫生保健改革/组织和管理医院公立/经济学医院公立/发展趋势管理医疗规划/组织和管理国家卫生规划/组织和管理新西兰私有化/发展趋势地区卫生计划/组织和管理地区卫生计划/发展趋势

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Rural Health Networks in Florida

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The Journal of Rural Health 1995年第1期11卷 40-52页

作者： Duncan, R. Paul Krumerman, Caren J. Kuhn, Sandra L. Health Services Administration University of Florida Gainesville Florida 32610‐0177 P.O. Box 100177 United States

Abstract: This article describes the development of rural health networks in Florida, which has adopted formal policies to support these networks. First, the history and content of the relevant legislation are described. The current networks are identified and their development to date summarized. Finally, a detailed case study is employed to outline the steps taken to establish one network. Copyright © 1995, Wiley Blackwell. All rights reserved

关键词：佛罗里达医院乡村/立法和法学医院乡村/组织和管理模型组织管理规划技术地区卫生计划/组织和管理农村卫生州卫生计划系统综合美国

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HEALTH-CARE FACILITY PLANNING - SOME DEVELOPMENTAL CONSIDERATIONS

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SOCIO-ECONOMIC PLANNING SCIENCES 1980年第3期14卷 121-127页

作者： PARR, JB Department of Social and Economic Research University of Glasgow Glasgow Scotland

A model of the provision of health care facilities is outlined. This model is based on a framework developed in central place theory and is concerned with the scale, frequency and service area structure of health care facilities. Certain modifications to the model are proposed and this provides a framework for dealing with the problem of adjustment in systems of service provision. Three types of adjustment, all involving different degrees of centralization, are considered. Each type of adjustment results in a particular modification to the spatial structure of the hierarchical system. Consideration is then briefly given to a number of ways in which this general approach may be made more realistic, in order to deal with actual systems of service provision.

关键词：卫生服务范围卫生设施计划模型理论运筹学地区卫生计划/组织和管理

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Rural health care issues in the Lower Mississippi Delta: an agenda for the year 2000

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Journal of Health & Social Policy 1990年第1期2卷 79-94页

作者： Hawkins, W.F. Hyland, S.E. LowerMississippiDeltaDevelopmentCommission MemphisTN38119.

The 214 counties bordering both sides of the Lower Mississippi Delta from Cape Girardeau, Missouri, to New Orleans, Louisiana, currently represent one of the four major poverty regions in the US. Despite the location of five major medical centers, the Lower Mississippi Delta continues to lag behind the rest of the country in important health indices. This paper presents comparative data on infant mortality rates and health care availability between the Lower Mississippi Delta and the rest of the nation. It also contains comparative data on the rural Lower Mississippi Delta and the rest of the rural US. Further comparisons of European and African-American infant mortality rates reveal necessary directions and important realities for future health efforts. Commission research, gathered in public hearings from the Delta, reveals a pattern of interrelated development factors that also seriously affect health care in rural Delta counties. -Authors

关键词：非洲裔美国人/统计学和数值数据欧洲大陆世系人群/统计学和数值数据婴儿死亡率/发展趋势路易斯安那缺医地区美国中西部密西西比医师/供应和分配贫困区地区卫生计划/组织和管理农村卫生/统计学和数值数据美国人类婴儿婴儿新生

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