Kelsey A
J Nurs Manag. 1995 Jul;3(4):183-7. doi: 10.1111/j.1365-2834.1995.tb00074.x.
Increasingly, outcome measures are being used to evaluate the effectiveness of health care. There are particular difficulties in establishing outcome measures for public health nursing, especially those that would demonstrate health gain. These problems arise as a result of the role of public health nursing and the nature of outcome measures. Possible solutions are the use of caseload and community profiles or the aggregation of client-negotiated health objectives. These solutions would also provide small area health information and outcome measures which would be sensitive to health needs in local communities.
越来越多地，结果指标被用于评估医疗保健的有效性。在为公共卫生护理确立结果指标时存在特殊困难，尤其是那些能证明健康改善的指标。这些问题的出现是由于公共卫生护理的作用以及结果指标的性质。可能的解决办法是使用工作量和社区概况，或者汇总客户协商确定的健康目标。这些解决办法还将提供小区域健康信息和对当地社区健康需求敏感的结果指标。
