Myrtle R C, Wilber K H, De Jong F J
University of Southern California, USA.
J Health Hum Serv Adm. 1997 Fall;20(2):197-216.
This article examines the views of service providers toward different public policy efforts to improve service delivery to elders requiring multiple services from an array of organizations. The authors examine the relationship between provider assessments of the adequacy of their community-based systems of care and community resource levels, coordination strategies, and client characteristics. Findings, based on responses from managers of programs serving older adults (n = 250) to a mailed survey, were that two-thirds (69.4%) evaluated their service delivery systems as adequate or better. A regression model used to explain system adequacy indicated that 22% of the variance was accounted for by community resource level, information and service availability, attention to specific need clients, and percentage of minority clients served by the respondents' programs. Findings suggest that community resource level appears to be an important factor in respondents' evaluation of system adequacy. While respondents indicated that improved coordination could enhance their efforts to deliver services, this strategy was not one they favored in improving their community-based system of care. Instead, they preferred strategies which expanded or improved the services that were available.
本文探讨了服务提供者对不同公共政策举措的看法，这些举措旨在改善向需要从一系列组织获得多种服务的老年人提供服务的情况。作者研究了服务提供者对其基于社区的护理系统充足性的评估与社区资源水平、协调策略和客户特征之间的关系。基于为老年人提供服务的项目管理人员（n = 250）对邮寄调查的回复得出的结果是，三分之二（69.4%）的人将其服务提供系统评估为充足或更好。一个用于解释系统充足性的回归模型表明，22%的差异可由社区资源水平、信息和服务可用性、对特定需求客户的关注以及受访者项目所服务的少数族裔客户百分比来解释。研究结果表明，社区资源水平似乎是受访者评估系统充足性的一个重要因素。虽然受访者表示改善协调可以增强他们提供服务的努力，但这并不是他们在改善基于社区的护理系统时所青睐的策略。相反，他们更喜欢那些扩大或改善现有服务的策略。
