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地方卫生服务组织:一项案例研究。

Organization of local health services: a case study.

作者信息

Palti H, Tulchinsky T, Tanne F

出版信息

Isr J Med Sci. 1981 Feb-Mar;17(2-3):112-8.

PMID:7228636
Abstract

Health services in Israel are provided by various organizations. In most areas, curative, preventive and welfare services are under the administration of separate agencies. Even in small towns, health and social services are provided by many agencies. EAch health care agency is responsible for its own service and there is a lack of joint functioning on the administrative and service levels. To illustrate this, a locality of 11,500 people is described in relation to the characteristics of the population, health care services and other agencies, manpower and use of services. A model is suggested for the organization of comprehensive primary health care at the local level, with integrated curative, preventive and social services. Development of neighborhood health centers with comprehensive services may provide more effective and efficient care for the individual and family and may serve as a suitable framework for the development of community health care programs. The importance of surveillance of the health status of the community and the need for a relevant record system is stressed.

摘要

以色列的医疗服务由各种组织提供。在大多数地区,治疗、预防和福利服务由不同的机构管理。即使在小镇,健康和社会服务也由许多机构提供。每个医疗保健机构负责自己的服务,在行政和服务层面缺乏联合运作。为说明这一点,描述了一个有11500人的地区的人口特征、医疗保健服务和其他机构、人力及服务利用情况。建议建立一个地方层面的综合初级医疗保健组织模式,将治疗、预防和社会服务整合起来。发展提供综合服务的社区健康中心可为个人和家庭提供更有效和高效的护理,并可作为社区医疗保健项目发展的合适框架。强调了监测社区健康状况的重要性以及建立相关记录系统的必要性。

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Eur J Epidemiol. 1989 Jun;5(2):244-50. doi: 10.1007/BF00156839.