Milio N
School of Nursing, University of North Carolina, Chapel Hill.
J Nurs Adm. 1992 Feb;22(2):24-9.
The increasing interest in a national health program will lead to major changes in healthcare. The coming changes will be larger perhaps than those of the past decade and almost certainly will be outward--outside large institutions, into communities. Community relations will become increasingly important and therefore should become a part of studies to guide administrative decisions regarding program development. Administrators and their research collaborators should be aware of the unintended "side effects" of such community-oriented research. These effects have organizational and research implications that decision makers may choose to use to build community-organization alliances and promote public education to create supportive and informed consumers and a responsive healthcare system.
对国家卫生项目日益增长的兴趣将导致医疗保健领域的重大变革。即将到来的变革可能比过去十年的变革更大，而且几乎可以肯定的是，变革将向外扩展——从大型机构延伸到社区。社区关系将变得越来越重要，因此应该成为研究的一部分，以指导有关项目开发的行政决策。管理人员及其研究合作者应该意识到这种以社区为导向的研究产生的意想不到的“副作用”。这些影响具有组织和研究方面的意义，决策者可以选择利用这些意义来建立社区组织联盟，并促进公众教育，以培养支持性的、了解情况的消费者和一个响应迅速的医疗保健系统。
