Haggard M P, Armstrong-Bednall G
Br J Audiol. 1984 Nov;18(4):183-94. doi: 10.3109/03005368409078947.
Planning the development of services in audiology has been hampered by lack of an explicit set of recommendations concerning the range of services to be offered and their detailed procedural content. We provide this and bracket each service component with its resource requirements, indicating roughly what it should cost to introduce or appropriately deliver each component. We provide such a list, distinguishing between routine services requiring to be organised at health district level and those more specialised (low-patient-volume) services that are more appropriately centralised. This framework encourages explicit decisions as to what services are made available at each site, in the light of economic and other factors, and allows of contracting between districts to meet the needs of the population, rather than assuming a fixed model for a district service.
听力服务发展规划一直受到阻碍,因为缺乏一套明确的关于所提供服务范围及其详细程序内容的建议。我们提供了这方面的内容,并为每个服务组件列出了资源需求,大致表明引入或适当提供每个组件的成本。我们提供了这样一份清单,区分了需要在健康区层面组织的常规服务和更适合集中提供的那些更专业(患者量少)的服务。这个框架鼓励根据经济和其他因素,就是否在每个地点提供哪些服务做出明确决策,并允许各区之间签订合同以满足民众需求,而不是假定地区服务有一个固定模式。