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Dependency, skill mix and grade mix and their effects on health visiting practice
Author(s) -
GIBBINGS SALLY M.
Publication year - 1995
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/j.1365-2702.1995.tb00009.x
Subject(s) - skill mix , dependency (uml) , case mix index , psychology , health care , nursing , applied psychology , medical education , medicine , computer science , political science , software engineering , law
Summary• The use of dependency in assessing types of skill mix and of grade mix in health‐visiting practice is discussed. • With regard to the present system, where computer information systems may be used to give an indication of the skill mix required, the emphasis on efficiency rather than effectiveness is discussed. Note is made of the disproportionate emphasis of physical over psychological, social and emotional needs. • The implications of skill mix and grade mix in the community setting are discussed, with special reference to the advent of health‐care assistants, nursery nurses, and other non‐health‐visiting staff. • Finally, the inevitable influence of politics on health care, and its relationship to skill mix, grade mix and dependency is considered.