Carlson A, Rosenqvist U
Stockholm County Council Teaching Center for Diabetes, Karolinska Hospital, Sweden.
Scand J Prim Health Care Suppl. 1988;1:105-12.
The Stockholm County Council adopted a diabetes control program in 1979. Eleven percent of the 94 PHC centers had fully implemented the program by 1983. In this study we have tried to analyse roadblocks to the implementation of the program. Twenty primary health care centers were studied through questionnaires to physicians and nurses in the centers. Ten of the centers had implemented the program and ten had not. The percentage of trained staff; work-load; and demografic factors were similar in the two groups. The two groups of centers differed significantly with regard to interaction among the staff and involvement in decision making. The results imply that the staff should be involved in the process of planning and organizing the routines needed, in order to facilitate the local implementation of a program in each unit.
斯德哥尔摩郡议会于1979年通过了一项糖尿病控制计划。到1983年，94个初级卫生保健中心中有11%已全面实施该计划。在本研究中，我们试图分析该计划实施过程中的障碍。通过对20个初级卫生保健中心的医生和护士进行问卷调查来开展研究。其中10个中心已实施该计划，另外10个则未实施。两组中心在工作人员培训比例、工作量和人口统计学因素方面相似。两组中心在工作人员之间的互动以及参与决策方面存在显著差异。结果表明，工作人员应参与规划和组织所需常规工作的过程，以便于在每个单位本地实施计划。
