Lloyd P J
Aust Health Rev. 1988;11(3):165-81.
This paper examines the value of developing a "systems" perspective of organisational/suborganisational characteristics as an aid to evaluating the effectiveness of programs within the health services context. An example of applying the theory to a specific health service program is given. The commonly used approach to evaluation--the goal attainment model--is examined in detail. It is contrasted with other approaches including systems theory. The conclusion is reached that the systems approach is more suitable as a means of structuring evaluation within the health care field.
本文探讨了从“系统”角度看待组织/子组织特征对于评估卫生服务领域项目有效性的价值。文中给出了将该理论应用于特定卫生服务项目的一个示例。详细审视了常用的评估方法——目标达成模型,并将其与包括系统理论在内的其他方法进行了对比。得出的结论是,系统方法更适合作为构建卫生保健领域评估的一种手段。