Cocozza J J, Steadman H J, Dennis D L, Blasinsky M, Randolph F L, Johnsen M, Goldman H
Policy Research Associates, Inc., Delmar, NY 12054, USA.
Adm Policy Ment Health. 2000 Jul;27(6):395-407. doi: 10.1023/a:1021390225515.
In 1993, the Access to Community Care and Effective Services and Supports (ACCESS) federal demonstration program was initiated. Using a quasi-experimental design, the 5-year demonstration program sought to assess the impact of integrated systems of care on outcomes for homeless persons with mental illness. The authors report on which integration strategies were chosen and how their implementation is quantified. Data collected primarily through annual site visits revealed that only two strategies were used by all nine systems. The systems integration strategies employed remained relatively stable over the 5 years. Successful implementation appears to be related to the strategies selected.
1993年，联邦“获得社区护理及有效服务与支持”（ACCESS）示范项目启动。该为期5年的示范项目采用准实验设计，旨在评估综合护理系统对患有精神疾病的无家可归者的治疗效果的影响。作者报告了所选择的整合策略以及如何对其实施情况进行量化。主要通过年度实地考察收集的数据显示，所有9个系统仅采用了两种策略。在这5年中，所采用的系统整合策略相对稳定。成功的实施似乎与所选策略有关。
