Tham Rachel, Humphreys John, Kinsman Leigh, Buykx Penny, Asaid Adel, Tuohey Kathy, Riley Karen
Monash University School of Rural Health, Bendigo, Victoria, Australia.
Aust J Rural Health. 2010 Aug;18(4):166-72. doi: 10.1111/j.1440-1584.2010.01145.x.
To develop a conceptual framework for monitoring the relationship between health services and health outcomes in rural Australia.
Development of an evaluation framework for a rural comprehensive primary health service in Victoria.
Evidence regarding essential components for successful primary health care, and objective health service and health status measures were combined to develop a conceptual health service evaluation framework. Application of the framework is illustrated using a case study of a rural primary health service in Victoria.
Inadequate health services limit access to health care, delay use at times of need and result in poor health outcomes. Currently, there is a lack of evidence from rigorous health service evaluations to indicate which rural health services work well, where and why that could inform rural health policies and funding. Although the nature of health service models will vary across communities in order to meet their differing geographic circumstances, there is considerable scope for the translation and generalisation of evidence gained from health service models that are shown to be sustainable, responsive and able to deliver local quality health care. This framework can guide future health service evaluation research and thereby provide a better understanding of a health service's impact on the health of the community and its residents.
构建一个概念框架，以监测澳大利亚农村地区卫生服务与健康结果之间的关系。
为维多利亚州的农村综合初级卫生服务制定评估框架。
结合了有关成功的初级卫生保健的基本要素以及客观的卫生服务和健康状况衡量指标，以构建一个概念性的卫生服务评估框架。通过对维多利亚州一个农村初级卫生服务机构的案例研究来说明该框架的应用。
卫生服务不足会限制获得医疗保健的机会，在需要时延迟就医，并导致不良的健康结果。目前，缺乏来自严格卫生服务评估的证据来表明哪些农村卫生服务运作良好、在何处以及为何良好，而这些信息可为农村卫生政策和资金提供依据。尽管为满足不同社区的地理情况，卫生服务模式的性质会有所不同，但从那些被证明具有可持续性、响应性且能够提供当地优质医疗保健的卫生服务模式中获得的证据，仍有很大的转化和推广空间。该框架可指导未来的卫生服务评估研究，从而更好地理解卫生服务对社区及其居民健康的影响。
