van der Pol M, Varwijk W
Health Economics Research Unit, University of Aberdeen, Foresterhill, Scotland.
Int J Health Plann Manage. 1998 Jul-Sep;13(3):244-54. doi: 10.1002/(SICI)1099-1751(1998070)13:3<244::AID-HPM516>3.0.CO;2-O.
In the Netherlands children up to the age of 4 years are regularly monitored. Several demographic and economic developments have led to the idea of using mobile child monitoring centres. Mobile units are expected to be flexible, effective and efficient but little information is available about the implications for the organization, the clients and other third parties involved. This paper outlines an approach for assessing the feasibility of mobile child monitoring centres. The focus is on the area Midden-Gelderland in the Netherlands and the implications of alternative options are compared on the basis of feasibility criteria or performance measures. The implementation of mobile units for child monitoring appears to be feasible with respect to most performance measures but there are also disadvantages. The approach taken proved to be a valuable exercise since it provided detailed information on all implications. It was decided that the mobile units would not be purchased but that some child monitoring centres could be closed without replacing them.
在荷兰，4岁以下儿童会接受定期监测。一些人口和经济发展情况催生了使用移动儿童监测中心的想法。移动监测单位预计具备灵活性、有效性和高效性，但关于其对相关组织、客户及其他第三方的影响，可用信息甚少。本文概述了一种评估移动儿童监测中心可行性的方法。重点关注荷兰的海尔德兰中部地区，并根据可行性标准或绩效指标比较了不同备选方案的影响。就大多数绩效指标而言，采用移动监测单位进行儿童监测似乎是可行的，但也存在一些弊端。事实证明，所采用的方法是一次有价值的实践，因为它提供了关于所有影响的详细信息。最终决定不购买移动监测单位，而是关闭一些儿童监测中心且不进行替换。
