Rohrer J E, Dominguez D G
University of Iowa, USA.
J Healthc Manag. 1998 Mar-Apr;43(2):155-66; discussion 166-8.
Needs assessment and other community health planning projects are being conducted in many parts of the country. Whether these projects are successful, in that they lead to implementation of recommendations, has not been systematically assessed. This study describes how local public health officials in Iowa view the planning projects that were conducted in their communities. Planning projects occurred in over half of the counties in the state. Most were led by local public health agencies. Hospitals were participants in three-fourths of the projects. Successful implementation was associated with the number of planning techniques used and the breadth of representation on the steering committee. The most common recommendations related to the expansion of prevention/promotion services and community health nursing. Public health nursing had been integrated with local hospitals in one-third of the counties, with no reductions in performance.
需求评估及其他社区卫生规划项目正在该国许多地区开展。这些项目是否成功，即是否能促使建议得到实施，尚未得到系统评估。本研究描述了爱荷华州的地方公共卫生官员如何看待在其社区开展的规划项目。规划项目在该州半数以上的县开展。大多数项目由地方公共卫生机构牵头。医院参与了四分之三的项目。成功实施与所采用的规划技术数量以及指导委员会的代表范围广度相关。最常见的建议涉及预防/促进服务和社区卫生护理的扩展。在三分之一的县，公共卫生护理已与当地医院整合，且绩效未出现下降。
