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EFFECTIVE ORGANIZATION OF ADOLESCENT HEALTH SERVICES

有效组织青少年保健服务

基本信息

批准号：
2546223
负责人：
JONATHAN D KLEIN
金额：
$ 15.54万
依托单位：
UNIVERSITY OF ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
1996
资助国家：
美国
起止时间：
1996-09-30 至 1999-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2546223
关键词：
adolescence (12-20) child health care personnel health care service evaluation health surveys human subject pediatrics

项目摘要

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.)

描述：此应用程序建议进行两次调查，以更好地了解青少年健康的组织和可用性卫生服务影响到青少年获得卫生服务的机会。最终研究人员希望评估以下方面的重要性和有效性：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-结果评估模型，基于Starfield的初级保健卫生服务领域以及Aday和Andersen研究访问的框架。响应于事先审查建议，以减少研究项目的范围，调查人员选择推迟与调查有关的数据收集，青少年，从而将其从本研究中排除。因此，他们不会研究他们模型中的青少年结果维度。对于供应商的结果，他们将衡量感知程序的可访问性，质量，满意度和报告的服务使用率。该研究提出了两个假设：1）更大的可用性全面的服务与更好的可达性有关，协调和提高所有现有服务的护理质量提供商在一个地理区域，以及2）服务交付的类型组织（即，学校诊所、医院等）最提供者的全面性，协调性和质量，但是这种关系被可变的组织因素，（例如，（三）组织间的关系）。