Dreher M
Am J Public Health. 1984 Oct;74(10):1107-11. doi: 10.2105/ajph.74.10.1107.
This paper presents some serendipitous findings from an ethnohistorical study of public health nursing in rural New England. In the course of that study, a model of population-based nursing revealed itself that some would condemn as antiquated; it may, however, hold great possibilities for addressing the nation's current and future health problems, particularly health maintenance of the elderly and care of the chronically ill. In keeping with the criteria used to evaluate primary health care, the model is examined for the extent to which it is accessible, available, accountable, acceptable, comprehensive, coordinated, and cost-effective. The policy implications of this model for the organization and financing of community health care are explored.
本文介绍了对新英格兰农村地区公共卫生护理进行民族历史研究时的一些意外发现。在该研究过程中，一种基于人群的护理模式显现出来，有些人可能会将其斥为过时；然而，它可能为解决该国当前和未来的健康问题，特别是老年人的健康维护和慢性病护理，带来巨大可能性。根据用于评估初级卫生保健的标准，对该模式在可及性、可得性、问责性、可接受性、全面性、协调性和成本效益等方面进行了审视。探讨了该模式对社区卫生保健组织和筹资的政策影响。
