Wilkin D
Soc Sci Med. 1987;24(10):867-73. doi: 10.1016/0277-9536(87)90188-2.
The problems presented by dependency groups have become a key issue for health care and social policy in all advanced countries. Providers and policy makers have looked to researchers to develop and apply measures of dependency which will provide a basis for rational planning and service provision. Attempts to define and classify dependency are notable by their absence from the empirical literature. This paper offers a general definition of dependency and develops a classification system based on needs for help and the sources of these needs. Existing measures tackle only a very limited range of problems within this matrix. Issues of reciprocity and dimensions of severity are dealt with separately before considering the implications of this discussion for future research.
依赖群体所带来的问题已成为所有发达国家医疗保健和社会政策的关键问题。服务提供者和政策制定者期望研究人员制定并应用依赖程度的衡量标准,以为合理规划和服务提供提供依据。然而,在实证文献中,对依赖进行定义和分类的尝试却明显缺失。本文给出了依赖的一般定义,并基于求助需求及其来源开发了一个分类系统。现有的衡量标准仅解决了该矩阵中非常有限的一系列问题。在考虑这一讨论对未来研究的影响之前,将分别探讨互惠问题和严重程度维度。