Echeverri O, de Salazar L M
Educ Med Salud. 1980;14(1):23-40.
The first part of this article reviews the interesting experience of the Center for Multidisciplinary Research in Rural Development (CIMDER) of Cali, Colombia, in the application of a model for the integrated development of health services. The strategies used in the model were: services available to all individuals and families in the community, use of accessible technology, community participation, and cooperation between the health sector and other development sectors. The second part briefly reviews the role of the nurse in health and development and takes issue with the traditional narrow view of the sphere of action of nursing as a profession. It is asserted that, in order to bring about the extension of health services and community development, it is necessary that the nurse serve in a position of leadership on a multidisciplinary team as either coordinator of services, supervisor of personnel, or education, and as liaison for the formal health care system with the community to enlist its active participation.
本文第一部分回顾了哥伦比亚卡利农村发展多学科研究中心（CIMDER）在应用卫生服务综合发展模式方面的有趣经历。该模式采用的策略包括：为社区内所有个人和家庭提供服务、使用可及技术、社区参与以及卫生部门与其他发展部门之间的合作。第二部分简要回顾了护士在卫生与发展中的作用，并对将护理职业的行动范围传统上狭隘看待的观点提出质疑。有人断言，为了实现卫生服务的扩展和社区发展，护士有必要在多学科团队中担任领导职务，担任服务协调员、人员监督员或教育工作者，并作为正规卫生保健系统与社区的联络人，争取社区的积极参与。
