As fiscal pressures mount, health-planning and decision-making at smaller geographics scales must be more effective. Involving local constituents in needs assessments, it is believed, would lead to better identification and serving of regional demands and needs for health services. This article examines needs assessment as a tool to determine a community's service needs and establish priorities for the creation of programs. Various approaches used in needs assessments are described, including survey methods, structured groups and geographic information systems.
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References
1.
SpasoffRGilkerD, and DunkleyG. Health Data for Public Health. A Manual for Public Health Planners and Researchers. Community Health Research Unit, University of Ottawa, 1993, CHRU Publication No M93–3.
2.
WindsorRABaranowskiTClarkN, and CutterG. Evaluation of Health Promotion and Education Programs. Palo Alto, Calif, Mayfield, 1984.
3.
SiegelLMAttkissonCC, and CarsonLG. Needs identification and program planning in the community context. In AttkissonCCHargreavesWAHorowitzMJ, and SorensonJE (eds), Evaluation of Human Services Programs. New York, Academic Press, 1978.
4.
GubaEG and LincolnYS. The place of values in needs assessment. Educational Evaluation and Policy Analysis1982; 4(3): 311–320.
5.
McKillipJ. Need Analysis: Tools for the Human Services and Education. Newbury Park, Calif, Sage, 1987.
6.
ReinkeWA. Health Planning for Effective Management. Oxford, Oxford University Press, 1988.
7.
BannerDKDoctorsS, and GordonA. The Politics of Local Program Evaluation. Cambridge, Mass., Ballinger Publishing, 1975.
8.
VeneyJE and KaluznyAD. Evaluation and Decision Making for Health Services. Ann Arbor, Mich, Health Administration Press, 1991.
9.
TugwellPBennettKFeenyDGuyattG, and HaynesB. A framework for the evaluation of technology: The technology assessment iterative loop. In FeenyDGuyattG, and TugwellP (eds), Health Care Technology: Effectiveness, Efficiency, and Public Policy. Toronto, Canadian Medical Association and Institute for Research on Public Policy, 1989.
10.
Needs-Based Planning Work Group.Needs/Impact-Based Planning Model. Metropolitan Toronto District Health Council, 1994.
11.
RossiP and FreemanH. Evaluation: A Systematic Approach (4th ed). Newbury Park, Calif, Sage, 1989.
12.
WeissC. Where politics and evaluation research meet. In PalumboD (ed), Politics of Program Evaluation. Newbury Park, Calif, Sage, 1987.
13.
RidgewayP and CarlingPJ. A User's Guide to Needs Assessment in Community Residential Rehabilitation. Boston, Resource Information Service, Center for Psychiatric Rehabilitation, 1987.
14.
WitkinBR. Assessing Needs in Educational and Social Programs. San Francisco, Jossey-Bass, 1984.
15.
ChambersLWoodwardC, and DokC. Guide to Health Needs Assessment: A Critique of Available Sources of Health and Health Care Information. Ottawa, Canadian Public Health Association, 1983.
16.
ShadishW. Critical multiplism: A research strategy and its attendant tactics. In SechestL (ed), Program Evaluation: A Pluralistic Enterprise. San Francisco, Jossey-Bass, 1993.
17.
BrewerJ and HunterA. Multimethod Research: A Synthesis of Styles. Newbury Park, Calif, Sage, 1989.
18.
KimmelW. Needs Assessment: A Critical Perspective. Department of Health, Education and Welfare, United States, 1977.
19.
WitkinB. Needs assessment since 1981: The state of the practise. Evaluation Practice1994; 15(1): 17–27.
20.
LomasJ. Introduction. Proceeding of the Conference, Reviewing Utilization: The Methods and Promise of Utilization Analysis for the Canadian Health Care System. Hamilton, Centre for Health Economics and Policy Analysis, 1988.
21.
Canadian Council on Health Facilities Accreditation.Utilization Management. Ottawa, 1992.
22.
HilyerC. Who does what? Roles, tools and databases. Proceedings of the National Congress on Utilization Management.Edmonton, Canadian Medical Association, 1990.
23.
KellyR. The politics of meaning and policy inquiry. In PalumboD (ed), Politics of Program Evaluation. Newbury Park, Calif, Sage, 1987.
24.
ArnoffS. Geographic Information Systems: A Managed Perspective. Ottawa, WDL Publications, 1989.
25.
BrownL and BarnettJR. Geographical Methodologies for Measuring Access to Personal Frontline Health Care Providers. A. Rural Areas. Report prepared for the New Zealand Ministry of Health, 1994.
26.
BrownPHirschfieldAMarsdenJRaoLTsoukalasG, and BundredP. A GIS-Linked Database for Analyzing the Deployment of Community-based Health Services on the Wirral. Working Paper 30, University of Liverpool, Urban Research and Policy Evaluation Regional Research Laboratory, 1992.
27.
HirschfieldABrownPMarsdenJ, and BundredP. A GIS-Linked Database for Analyzing the Deployment of and the Demand for Community-based Health Services in the Wirral. University of Liverpool, Urban Research and Policy Evaluation Regional Research Laboratory, 1992a.
28.
BrownPHirschfieldA, and BateyP. Applications of geodemographic methods in the analysis of health condition incidence data. Papers in Regional Science1991; 70(3): 329–344.
29.
HirschfieldABrownP, and BateyP. Data assembly, information systems and policy relevant research. Mapping Awareness and GIS in Europe1992; 6(1): 46–50.
