Community-based health interventions in an institutional context / Steven L. Arxer, John W. Murphy, editors.
Arxer, Steven L. (Steven Lawrence); Murphy, John W.
2019
RA427
Available Online

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Title Community-based health interventions in an institutional context / Steven L. Arxer, John W. Murphy, editors.
ISBN 9783030246549 (electronic book)
303024654X (electronic book)
DOI https://doi.org/10.1007/978-3-030-24
Imprint Cham : Springer, 2019.
Language English
Description 1 online resource (196 pages).
Other Standard Identifiers 10.1007/978-3-030-24
Call Number RA427
Dewey Decimal Classification 362.12
Summary 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.
Bibliography, etc. Note Includes bibliographical references and index.
Access Note Access limited to authorized users.
Source of Description Online resource; title from PDF title page (SpringerLink, viewed September 25, 2019).
Added Author Arxer, Steven L. (Steven Lawrence)
Murphy, John W.
Series International perspectives on social policy, administration, and practice.
Available in Other Form Community-Based Health Interventions in an Institutional Context
Linked Resources Online Access
Record Appears in Online Resources > Ebooks
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Intro; Contents; Contributors; Chapter 1: Introduction; What Is an Institution?; Institutionalization and Dualism; Institutions and Community-Based Work; Organization of Book; Conclusion; References; Chapter 2: A Community-Based Organization; Introduction; Realism Is Problematic; Realism Is Not Needed; A Few Practical Concerns; A Move Away from Philosophy; Conclusion; References; Chapter 3: Establishing Community-Based Primary Health Care; Introduction; Primary Health Care as Community-Focused Projects; Participation, Dialogue, and Local Knowledge; Community-Based Primary Health Care

ConclusionReferences; Chapter 4: Community-Based Funding and Budgeting: Participatory Budgeting as a Transformative Act; Why Community-Based Budgeting?; A Community-Based Philosophy; What Is a Community?; Participatory Budgeting (PB): Beyond Traditional Budgeting; Participatory Budgeting Must Do More than Simply Reform; Cultural Challenges of Participatory Budgeting; The Philosophical Thrust of Participatory Budgeting; Communal Budgetary Discourse: A New Moral Framework; Conclusion; References; Chapter 5: Aims of a Community-Based Research Program; Introduction

Against Positivism and Realism: Roots of Community-Based Participatory Research in HealthQualitative Approaches and the Rejection of Grand Designs; The New Language of Qualitative Research: Cultural Competence; Beyond Cultural Sensitivity and Toward Praxis; Conclusion; References; Chapter 6: Training Community-Based Health Workers; Introduction; Traditional Community-Based Pedagogy; The Need for Community-Based Philosophy; Engaging a Community; Conclusion; References; Chapter 7: Creating a Community Health Worker Training Program; CHW Importance in the Region; The Appalachian Region

Developing a New CurriculumThe Appalachian Region and Stakeholders; History of the Program; CHW Regional Training and Utilization; Stakeholder Needs; Diversity of Programs; Logistical Challenges; Scope of Work/Timeline; CHWs Addressing Health Disparities; Program Metrics; The Curriculum; Community-Based and Experiential Learning Curriculum; Identification of Students and Community Partners; Evaluation Plan; Proposed Partnerships; Placement Sites; Addressing Social Determinants of Health; Implementation Timeline; Future of the Training Program in Southeast Ohio; References

Chapter 8: Is the Affordable Care Act Encouraging Hospitals to Engage their Communities? Experiences from Appalachian OhioMethods; Overview of Study; Recruitment and Sampling; Data Collection and Analysis; Findings; Challenges; Low-Resource Communities; Rural Geography; Hospital Resources; Implementing Programs; Cautious Optimism About CHNA Process and Effects; Doubting that CHNA Process Will Positively Affect Communities; Describing Change as Slow in Community Health; Believing CHNAs will Improve Local Health Outcomes; Discussion; Conclusion; References; Chapter 9: Community-Based Political Interventions

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