Browne G, Roberts J, Byrne C, Underwood J, Jamieson E, Schuster M, Cornish D, Watt S, Gafni A
System-Linked Research Unit, McMaster University, Hamilton, Ontario.
Can J Public Health. 1995 May-Jun;86(3):155-61.
This study was designed to determine (1) the extent to which public health nursing visits and social services income programs serve the same population (shared clientele), (2) whether shared and unshared clientele differ in their characteristics, and (3) whether those who use both these services are high users of other health and social services. A computerized record linkage showed that 17% of individual public health nursing clients were shared with social services. Shared clientele had more social, perinatal, emotional and mental health problems. It is these characteristics, rather than the simultaneous use of both services, that were associated with more public health nursing visits, days in care, and use of all other health providers. The trend away from in-home nursing visits may create a situation of unmet need. While health and social resources are expended on persons with children with greater risk circumstances, the question remains about the efficacy and efficiency of this mix of service for parents and children receiving social assistance.
（1）公共卫生护理访视和社会服务收入项目服务相同人群（共享客户群）的程度；（2）共享客户群和非共享客户群在特征上是否存在差异；（3）同时使用这两种服务的人群是否大量使用其他健康和社会服务。计算机化的记录链接显示，17%的公共卫生护理个体客户与社会服务共享。共享客户群存在更多社会、围产期、情感和心理健康问题。正是这些特征，而非同时使用这两种服务，与更多的公共卫生护理访视、护理天数以及使用所有其他医疗服务提供者相关。家庭护理访视减少的趋势可能会造成需求未得到满足的情况。虽然健康和社会资源用于情况风险更高的有子女家庭，但对于接受社会援助的父母和子女而言，这种服务组合的效果和效率仍存疑问。
