Pampalon R, Saucier A, Berthiaume N, Ferland P, Couture R, Caris P, Fortin L, Lacroix D, Kirouac R
Department of Health and Social Services, Québec, Canada.
Soc Sci Med. 1996 Mar;42(6):909-22. doi: 10.1016/0277-9536(95)00189-1.
In Québec, recent political statements have strengthened the necessity to allocate resources according to regional population needs. A regional-provincial working group was set up to propose needs indicators in 8 different fields-or client-oriented programs-which subdivide the entire spectrum of health and social services in Québec. These programs include physical health, mental health, public health, functionally impaired elderly people, physical deficiency, intellectual deficiency, alcoholism and drug abuse and problems (abuse, neglect, delinquency) among young people and their families. The following paper summarizes the main proposals of the working group. Some comments are made on the definition of client-oriented programs, basic concepts, research questions and methodological approaches. Concrete examples are given in order to illustrate the type of data and methods used. Furthermore, the indicators selected for resource allocation (in each of the 8 client-oriented programs) are presented on a regional basis (n = 18) and introduced in a principal component analysis. Their variations are discussed and recommendations to facilitate their use and promote their development are made. Finally, the actual utilization of these indicators is reported.
在魁北克，近期的政治声明强化了根据地区人口需求分配资源的必要性。为此设立了一个地区-省级工作组，以提出8个不同领域或面向客户项目的需求指标，这些领域或项目细分了魁北克的整个健康和社会服务范围。这些项目包括身体健康、心理健康、公共卫生、功能受损的老年人、身体缺陷、智力缺陷、酗酒和药物滥用以及青少年及其家庭中的问题（虐待、忽视、犯罪）。以下论文总结了该工作组的主要提议。对面向客户项目的定义、基本概念、研究问题和方法进行了一些评论。给出了具体示例以说明所使用的数据类型和方法。此外，按地区（n = 18）列出了为资源分配所选的指标（在8个面向客户的项目中的每一个），并引入主成分分析。讨论了它们的变化，并提出了便于使用和促进其发展的建议。最后，报告了这些指标的实际使用情况。
