Determining intensity of need of high-risk maternal and infant clients

Bevely J. Hays, Roberta A. Kroeger, Shirley A. Tachenko-Achord, Donna Ambler Peters

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Sound funding decisions by policymakers require data that relate health care services to both client need and client outcome. However, client need for care is not easy to express quantitatively, particularly in the realm of preventive and health promotion services. Application of the Community Health Intensity Rating Scale (CHIRS) with high-risk infants and prenatal clients revealed that differences in intensity of need, particularly in contextual and behavioral domains, helped to explain variation in amount of care received. The CHIRS holds promise of providing the language and measurement with which to articulate client need as the basis for cost-effective multidisciplinary care.

Original languageEnglish (US)
Pages (from-to)67-75
Number of pages9
JournalJournal of Nursing Care Quality
Issue number2
StatePublished - Jan 1995
Externally publishedYes


  • Community health nursing
  • Health services need and demand
  • High-risk infant
  • High-risk pregnancy
  • Multidisciplinary health team
  • Prenatal care
  • Retrospective studies

ASJC Scopus subject areas

  • General Nursing


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