Community characteristics and implementation factors associated with effective systems of care.
Community characteristics and implementation factors associated with effective systems of care.
复制标题
与有效护理系统相关的社区特征和实施因素。
DOI：
10.1007/s11414-011-9244-0
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Friedman,RobertM
中科院分区：
文献类型：
--
作者：
Lunn,LaurelM;Heflinger,CraigAnne;Wang,Wei;Greenbaum,PaulE;Kutash,Krista;Boothroyd,RogerA;Friedman,RobertM
社区的特点与护理系统（SOC）原则的实施有何关联？本研究采用分层随机抽样（N= 225）的美国各县的多层次模型，探讨社区层面对护理系统实施调查实施因素的预测因素。由社区一级社会指标组成的模型与确定的与有效社会责任有关的14个因素中的5个非常吻合。正如假设的那样，社区劣势与SOC原则的实施负相关，而居住稳定性与SOC原则的实施正相关。被指定为精神卫生专业人员短缺地区与某些实施得分呈正相关，少数民族居民的百分比也是如此，而乡村性与任何因素都没有显著相关。鉴于该研究的局限性，结果应谨慎解释，但建议值得进一步研究以澄清这些关系，从而为促进soc的努力提供信息。
How are characteristics of communities associated with the implementation of the principles of systems of care (SOC)? This study uses multilevel modeling with a stratified random sample (N= 225) of US counties to explore community-level predictors of the implementation factors of the System of Care Implementation Survey. A model composed of community-level social indicators fits well with 5 of 14 factors identified as relevant for effective SOCs. As hypothesized, community disadvantage was negatively and residential stability positively associated with the implementation of SOC principles. Designation as a mental health professional shortage area was positively related to some implementation scores, as was the percentage of minority residents, while rurality was not significantly associated with any of the factors. Given the limitations of the study, the results should be interpreted with caution, but suggest that further research is merited to clarify these relationships that could inform efforts directed at promoting SOCs.