Uehara E S, Smukler M, Newman F L
School of Social Work, University of Washington, Seattle 98195.
J Consult Clin Psychol. 1994 Aug;62(4):695-709.
A team of service system planners in King County, Washington, field-tested the feasibility of the LONCA (level of need-care assessment) method as a strategy to match resources to consumer level of need. LONCA links resources to need by first measuring the incidence and intensity of consumer needs in specific functioning domains. It then preliminarily specifies the type and intensity of services required to minimally but appropriately address specific consumer needs, calculates service costs, and identifies clusters of consumers with similar need and cost profiles. The field test supported the feasibility of performing LONCA tasks. The resulting scheme for clustering consumers appeared to have face validity and was modestly associated with at least 3 independent indicators of resource need: program status, residential status, and hospitalizations. Despite its limitations, the article supports further development of LONCA for use as a resource allocation tool for local service systems.
华盛顿州金县的一个服务系统规划团队对LONCA（需求护理评估水平）方法作为一种使资源与消费者需求水平相匹配的策略的可行性进行了实地测试。LONCA通过首先测量特定功能领域中消费者需求的发生率和强度，将资源与需求联系起来。然后，它初步确定了以最低限度但适当满足特定消费者需求所需的服务类型和强度，计算了服务成本，并确定了具有相似需求和成本概况的消费者群体。实地测试支持了执行LONCA任务的可行性。由此产生的消费者聚类方案似乎具有表面效度，并且与至少3个独立的资源需求指标适度相关：项目状态、居住状态和住院情况。尽管存在局限性，但本文支持进一步开发LONCA，将其用作本地服务系统的资源分配工具。
