Knowelden J
Med Care. 1976 May;14(5 Suppl):78-84. doi: 10.1097/00005650-197605001-00013.
Information indicating the number of persons requiring care and the nature of their problems is fundamental to the planning, coordination, and provision of long-term care services for a community or defined population. Need for care must be defined not only in diagnostic terms, but also in terms of the patient's disabilities and the type of service required to deal with them. The data must show how patient needs alter throughout life, and how they may be modified by social and environmental influences; for this purpose, the data system must be capable of linking information from several sources and from the same source on different occasions. The information should also make it possible to predict the demand for services in response to changes in the frequency of conditions needing long-term care and to advances in medicine. The data set for patients should include the following information: identification; description of clinical illness and disabilities; major caring agencies, transfers, and use of other services; family background; [corrected] environmental situtation, particularly housing; and financial resources.
表明需要护理的人数及其问题性质的信息，对于为社区或特定人群规划、协调和提供长期护理服务至关重要。护理需求不仅必须从诊断角度来界定，还必须依据患者的残疾情况以及应对这些残疾所需的服务类型来界定。数据必须显示患者需求在一生中如何变化，以及它们如何可能受到社会和环境影响的改变；为此，数据系统必须能够将来自多个来源以及同一来源在不同时间的信息联系起来。这些信息还应能够预测因需要长期护理的病症发生频率变化以及医学进步而产生的服务需求。患者数据集应包括以下信息：身份识别；临床疾病和残疾描述；主要护理机构、转诊情况以及其他服务的使用；家庭背景；[已修正]环境状况，尤其是住房情况；以及财务资源。
