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本文引用的文献

1
Rural areas and personal health services: current strategies.农村地区与个人卫生服务:当前策略
Am J Public Health. 1981 Jan;71(1 Suppl):71-82. doi: 10.2105/ajph.71.1_suppl.71.
2
An evaluation of subsidized rural primary care programs: I. A typology of practice organizations.农村初级保健补贴项目评估:I. 实践组织类型学
Am J Public Health. 1983 Jan;73(1):38-49. doi: 10.2105/ajph.73.1.38.
3
An evaluation of subsidized rural primary care programs: II. The environmental contexts.对农村初级保健补贴项目的评估:II. 环境背景
Am J Public Health. 1983 Apr;73(4):406-13. doi: 10.2105/ajph.73.4.406.

农村初级保健补贴项目评估:III. 压力与生存,1981 - 1982年

An evaluation of subsidized rural primary care programs: III. Stress and survival, 1981-82.

作者信息

Ricketts T C, Guild P A, Sheps C G, Wagner E H

出版信息

Am J Public Health. 1984 Aug;74(8):816-9. doi: 10.2105/ajph.74.8.816.

DOI:10.2105/ajph.74.8.816
PMID:6742273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1651962/
Abstract

Surveys of a national sample of 193 subsidized rural primary care programs were conducted in 1981 and 1982 to determine what adaptations the programs might anticipate making given a reduction in their subsidy and what actual changes they made after the implementation of new federal policies and in the face of severe economic recession. During the period between the two surveys, nine of the 193 programs closed. The remaining programs changed elements of their operation, finances, and staffing, but these changes do not, in all cases, appear to be a direct response to subsidy reductions or increases. The programs exhibited adaptiveness and strength in the face of a potentially hostile environment.

摘要

1981年和1982年对全国193个补贴农村初级保健项目的样本进行了调查,以确定这些项目在补贴减少的情况下可能预期做出哪些调整,以及在新联邦政策实施后和面对严重经济衰退时它们实际做出了哪些改变。在两次调查期间,193个项目中有9个关闭。其余项目改变了运营、财务和人员配置等方面,但这些改变在所有情况下似乎并非直接针对补贴的减少或增加。这些项目在潜在的不利环境中展现出了适应性和韧性。