Underwood E J, Woodcox V, Van Berkel C, Black M, Ploeg J
Regional Municipality of Hamilton-Wentworth, Department of Public Health Services, Ontario.
Can J Public Health. 1991 Jul-Aug;82(4):245-8.
Since the 1930s, Public Health Nurses (PHNs) have been deployed in most health units in Canada to provide community-based care for all people living in defined geographical areas. PHNs have provided nursing services for all ages and stages for a variety of health and illness states. A literature review and a systematic analysis of the internal and external factors affecting Public Health Nursing practice in this community led to a recommendation to assign nurses to specific target populations (e.g. parent-child, school, adolescent, adult, seniors) instead of assigning responsibility for all health problems in a geographic location. We describe the processes of assessment, analysis, planning and implementation of the change from geographic assignment to target population assignment for Public Health Nurses.
自20世纪30年代以来，加拿大的大多数卫生单位都配备了公共卫生护士（PHN），以便为居住在特定地理区域的所有人提供社区护理服务。公共卫生护士为处于各种健康和疾病状态的所有年龄段和阶段的人群提供护理服务。通过对影响该社区公共卫生护理实践的内部和外部因素进行文献综述和系统分析，得出一项建议，即应为护士分配特定的目标人群（例如亲子、学校、青少年、成年人、老年人），而不是让其负责某个地理位置内的所有健康问题。我们描述了公共卫生护士从按地理位置分配转变为按目标人群分配的评估、分析、规划和实施过程。
