Community-Based Health Interventions in an Institutional Context

Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institution-standardization, formalization, and control-may be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility. The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community. This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.

Auteur
Steven L. Arxer is assistant professor of sociology at the University of North Texas at Dallas. He earned his doctoral degree from the University of Florida. He has published papers in the journals of Humanity & Society and Qualitative Sociology Review and has contributed to several edited volumes, including The Symbolization of Globalization, Development, and Aging (Springer, 2013). His research interests are globalization, NGOs, and gender mainstreaming.
John W. Murphy is professor of sociology at the University of Miami. He received his doctoral degree in 1981 from Ohio State University. His research interests are sociological theory, social philosophy, and globalization. He has published books related to the community mental health movement, the computerization of social service agencies, and contemporary social theory, including The Symbolization of Globalization, Development, and Aging (Springer, 2013).

Texte du rabat

Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institutionstandardization, formalization, and controlmay be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility.

The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community.

This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.

Contenu
Chapter One: What is a Community-based Organization? (John W. Murphy, University of Miami)

The focus of community-based work is local knowledge and community control of health projects. To deliver services in accordance with these principles, community-based organizations must be instituted. What these organizations require, separate from the past, are a different management style and unique division of labor. Most organizations that are employed to provide health services in a community-based manner, however, have a traditional structure, and thus have difficulty fulfilling their aims. A new organization must be created that is consistent with the philosophy that underpins community-based work. Such an organization, for example, would be less hierarchical and not focused on a specific division of labor as in the past.

Chapter Two: Establishing Community-based Partnerships (Karen A. Callaghan, Barry University)

Community-based health services are not provided by stand-alone organizations. Simply put, a network of providers must be available. Accordingly, a variety of organizations must enter into partnerships. This arrangement is not necessarily novel, but traditionally these associations have been fraught with conflicts and struggles for power, thus undermining their effectiveness. Community-based partnerships, on the other hand, must be predicated on dialogue and mutual respect. Instead of fighting for dominance in a community, these new organizations must be integrated around the plans established by communities. A new way of conceptualizing and carrying out this process must be established.

Chapter Three: Community-based Funding and Budgeting (Jung Min Choi, San Diego &...