Novaes H M
Educ Med Salud. 1982;16(2):192-210.
This article discusses some of the difficulties traditionally encountered in endeavors to reorganize health services and the various obstacles to be surmounted if the changes proposed by planners are to be brought about and their goals achieved. In view of the need for the countries of the Americas to find alternative ways to reorganize their health sectors so that all members of their populations can be properly served, the author considers the utility of the so-called "matrix" criterion, which has been used in economics and general administration for the past decade. It is admitted that problems can arise in efforts to apply this approach, but it is felt that, if the resources of the different units and sectors are used jointly under the responsibility of a coordinator of operations, it will be possible to work in an integrated way toward the established goals.
本文讨论了在重组卫生服务的努力中传统上遇到的一些困难，以及如果要实现规划者提出的变革并达成其目标需要克服的各种障碍。鉴于美洲各国需要找到重组其卫生部门的替代方法，以便其全体民众都能得到妥善服务，作者考虑了过去十年在经济学和一般行政管理中使用的所谓“矩阵”标准的效用。诚然，在应用这种方法的过程中可能会出现问题，但有人认为，如果在业务协调员的负责下联合使用不同单位和部门的资源，就有可能朝着既定目标以综合方式开展工作。
