Strike Carol J, Challacombe Laurel, Myers Ted, Millson Margaret
Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1.
Can J Public Health. 2002 Sep-Oct;93(5):339-43. doi: 10.1007/BF03404565.
Examine the challenges of four service delivery models (i.e., fixed, mobile, satellite and home visits) and how service delivery may impact on NEP HIV prevention efforts.
Using a modified ethnographic approach, semi-structured interviews concerning policies and procedures were conducted with staff (n = 59) of NEPs (n = 15) in Ontario. An iterative, inductive analytic process was used.
According to workers and managers, effectiveness of NEP prevention efforts depend on client development and retention and service design. Fixed and satellite sites, home visits and mobile services provide varied levels of temporal and spatial accessibility. Combining modes of delivery can offset the disadvantages of individual modes.
NEP evaluations that do not consider service and resource factors run the risk of concluding that NEPs are ineffective when it may be that the program works for a small proportion of IDUs whom the NEP has the resources to serve.
研究四种服务提供模式（即固定模式、流动模式、卫星模式和家访模式）所面临的挑战，以及服务提供如何影响新进入者（NEP）的艾滋病毒预防工作。
采用改良的人种志方法，对安大略省15个新进入者项目点的59名工作人员进行了关于政策和程序的半结构化访谈。采用了迭代式归纳分析过程。
据工作人员和管理人员称，新进入者预防工作的有效性取决于客户的发展、留存以及服务设计。固定站点和卫星站点、家访和流动服务提供了不同程度的时间和空间可达性。结合多种服务提供模式可以抵消个别模式的缺点。
如果新进入者项目评估不考虑服务和资源因素，就有可能得出新进入者项目无效的结论，而实际情况可能是该项目对一小部分新进入者有资源服务的注射吸毒者有效。
