Holzemer W L
WHO Collaborating Center, School of Nursing, University of California-San Francisco 94143-0604.
J Adv Nurs. 1994 Jul;20(1):5-12. doi: 10.1046/j.1365-2648.1994.20010005.x.
A systems model is presented that has the potential to expand understanding of the complex nature of health-related outcomes. The horizontal axis is a systems axis of context, process and outcome and the vertical axis consists of the client, provider and setting. Examples from outcome research in Latin America and the Caribbean are provided. Each section is explored from the perspective of primary health care research and some of the issues of design, measurement and analysis are raised. The systems model is offered as a framework for conceptualizing research on the impact of nursing care on client, provider and setting outcomes.
本文提出了一个系统模型，该模型有可能拓展对健康相关结果复杂本质的理解。横轴是情境、过程和结果的系统轴，纵轴由服务对象、提供者和环境组成。文中提供了拉丁美洲和加勒比地区结果研究的实例。从初级卫生保健研究的角度对每个部分进行了探讨，并提出了一些设计、测量和分析方面的问题。该系统模型作为一个框架，用于概念化护理对服务对象、提供者和环境结果影响的研究。
