EFFECTIVE ORGANIZATION OF ADOLESCENT HEALTH SERVICES

描述：此应用程序建议进行两个调查，以更好地 了解如何组织和提供青少年健康服务 服务影响青少年获得保健服务的机会。归根结底 调查人员希望评估这一措施的重要性和有效性 组织青少年健康服务的各种战略。 调查人员使用的是环境-系统-服务-结果 基于斯塔菲尔德初级保健健康服务领域的评估模型 以及Aday和Andersen研究访问的框架。为回应这一事件 关于缩小研究项目范围的事先审查建议， 调查人员选择推迟收集与调查有关的数据 青少年，从而将其从这项研究中消除。因此，他们将不会 检查他们模型的青少年结果维度。对于提供商的 结果他们将衡量感知到的计划可访问性、质量、 满意度和报告的服务使用率。 这项研究建议检验两个假设：1)更大的可用性 全面的服务与更好的可及性相关， 所有可用服务之间的协调和更好的护理质量 地理区域内的提供商，以及2)提供服务的类型 组织(即校本诊所、医院等)是最多的 提供商的全面性、协调性和 质量，但这种关系被可变变量显著修改 组织因素(例如，计划的组织间关系)。

DESCRIPTION: This application proposes to conduct two surveys to better understand how the organization and availability of adolescent health services affects adolescents' access to health services. Ultimately the investigators would like to assess the importance and effectiveness of various strategies for organizing adolescent health services. The investigators are using an environment-systems-services-outcomes evaluation model, based on Starfield's primary care health services domains and Aday and Andersen's framework for studying access. In response to the prior review recommendation to reduce the scope of the research project, the investigators chose to postpone data collection related to surveys of adolescents thereby eliminating it from this study. Hence they will not be examining the adolescent outcomes dimension of their model. For providers' outcomes they will measure perceived program accessibility, quality, satisfaction, and rates of reported service use. The study proposes to test two hypotheses: 1) greater availability of comprehensive services is associated with better accessibility, coordination, and better quality of care among all available service providers in a geographic area, and 2) the type of service delivery organization (i.e., school-based clinic, hospital, etc.) is the most important predictor of the provider's comprehensiveness, coordination, and quality, but this relationship is significantly modified by mutable organizational factors, (e.g., programs' interorganizational relationships.)