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Community Characteristics and Implementation Factors Associated with Effective Systems of Care

机译:与有效护理系统相关的社区特征和实施因素

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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.
机译:社区的特征如何与照护系统(SOC)原则的实施相关联?本研究使用美国各县的分层随机样本(N = 225)进行多级建模,以探索社区水平的系统实施实施调查实施因素的预测指标。由社区级社会指标组成的模型非常适合与有效SOC相关的14个因素中的5个。如假设的那样,社区劣势与SOC原则的实施负相关,而住宅稳定性与SOC原则的实施正相关。指定为精神卫生专业人员短缺地区与少数族裔居民的百分比与某些实施评分呈正相关,而农村人口与任何因素均没有显着相关。考虑到研究的局限性,应谨慎解释结果,但建议进一步研究以阐明这些关系,可以为促进SOC做出努力提供依据。

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