Checkoway Citizens and Health Care

Participation and Planning for Social Change
1. Auflage 2013
ISBN: 978-1-4831-6249-2
Verlag: Elsevier Science & Techn.
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 330 Seiten, Web PDF

Citizens and Health Care: Participation and Planning for Social Change considers the citizen participation in health care planning. This book is organized into three parts encompassing 18 chapters that specifically discuss the leading policy problems, planning issues, and prospects for change of public health care. The first part deals first with the analysis of the imbalanced political arenas in which planning and participation operate. This part then explains the role of consumer participation on health planning boards in effective participation. This part also describes alternative health movements that have arisen in response to perceived social shortcomings. These movements, including holistic health care, self-care, and prevention, tend to oppose the disease orientation of scientific medicine, emphasize continuous care, make use of nonphysician practitioners, and have a serious commitment to changing life-styles. The second part describes health planning agencies that have employed innovative methods of citizen participation and the case of a health planning agency that uses community organization to ensure participation and build constituencies to overcome resistance and implement plans. This part also examines political strategies for health planning agencies. The third part introduces the so-called 'public health movement', which grows from recognition of the environmental, occupational, and social causes of illness. This part also looks into the expansion of vision of social change beyond existing health policy and planning, as well as the unrealistic expectations and irreconcilable alternatives between imperfections of the bureaucracy and imperfections of the marketplace. This book is of great value to health care workers and planners and the general public.

Autoren/Hrsg.

Checkoway, Barry

Inhaltsverzeichnis

1;Front Cover;1
2;Citizens and Health Care: Participation and Planning for Social Change;4
3;Copyright Page;5
4;Table of Contents;6
5;Preface;10
6;Chapter 1.
Citizens and Health Care in Perspective: An Introduction;14
6.1;NOTES;25
6.2;REFERENCES;25
7;PART I: PROBLEMS AND ISSUES;32
7.1;Introduction to Part I;34
7.2;Chapter 2. Representing Consumer Interests: The Case of American Health Planning ;38
7.2.1;INTRODUCTION;38
7.2.2;CONCEPTUAL MUDDLES, CONSUMER REPRESENTATION, AND HSAS;41
7.2.3;REPRESENTATION'S CONCEPTUAL PUZZLES;42
7.2.4;IMBALA-NCED POLITICAL ARENAS;53
7.2.5;REPRESENTING CONSUMER INTERESTS: OVERCOMING THE POLITICAL OBSTACLES;56
7.2.6;HEALTH POLICY AND THE HSAS(18);58
7.2.7;NOTES;58
7.2.8;REFERENCES;60
7.3;Chapter 3.
Participation is not Enough;62
7.3.1;THE CONDITIONS OF PARTICIPATION;62
7.3.2;THE HEALTH PLANNING AGENDA;64
7.3.3;COUNTER OFFER;72
7.3.4;CONCLUSION;74
7.3.5;REFERENCES;74
7.4;Chapter 4.
Urban Hospital Closings: Solution or Signal?;76
7.4.1;A THEORY OF HOSPITAL CLOSINGS AND RELOCATIONS;78
7.4.2;FINDINGS TO DATE;83
7.4.3;PREDICTING CLOSURES AND RELOCATIONS;87
7.4.4;PUBLIC POLICY IMPLICATIONS;89
7.4.5;NOTES;93
7.4.6;REFERENCES;94
7.5;Chapter 5.
Alternative Health Movements: Challenges to Health Planning;97
7.5.1;TAKING RESPONSIBILITY FOR HEALTH;97
7.5.2;THE HOLISTIC HEALTH MOVEMENT;98
7.5.3;OTHER ALTERNATIVE MODES OF HEALTH CARE;100
7.5.4;RECENT HISTORY;100
7.5.5;POLICY ISSUES;101
7.5.6;THE ALTERNATIVE HEALTH MOVEMENTS AND HEALTH PLANNING;103
7.5.7;THE FUTURE OF THE ALTERNATIVE MOVEMENTS;106
7.5.8;REFERENCES;106
8;PART II: PLANNING FOR CHANGE;110
8.1;Introduction to Part II;112
8.2;Chapter 6.
Toward Democratic Health Planning: Political Power, Agenda-Setting, and Planning Practice;118
8.2.1;AGENDA-SETTING AND ITS NEGLECT: THE IRONY AND LIMITS OF LIBERAL POLITICAL THEORY;122
8.2.2;IMPROVING HEALTH PLANNING PRACTICE;124
8.2.3;IMPLICATIONS FOR PLANNING EDUCATION;126
8.2.4;TOWARD DEMOCRATIC HEALTH PLANNING: EDUCATIVE-ORGANIZING ROLES AND PRACTICAL QUESTIONS;127
8.2.5;REFERENCES;129
8.3;Chapter 7.
Innovative Citizen Participation in Health Planning Agencies;131
8.3.1;METHOD OF ANALYSIS;132
8.3.2;CASE STUDIES OF INNOVATIVE AGENCIES;135
8.3.3;METHODS OF PARTICIPATION;145
8.3.4;FACTORS INFLUENCING PARTICIPATION;146
8.3.5;CONCLUSION;148
8.3.6;NOTES;148
8.3.7;REFERENCES;149
8.4;Chapter 8. Community Organization Approach to Health Planning;152
8.4.1;COMMUNITY ORGANIZATION PRINCIPLES;153
8.4.2;CONCLUSION;163
8.4.3;NOTES;164
8.4.4;REFERENCES;164
8.5;Chapter 9.
Political Strategies for Health Planning Agencies;166
8.5.1;IMPLEMENTATION: A POLITICAL PERSPECTIVE;167
8.5.2;STRATEGY DEFINED;168
8.5.3;STRATEGY VERSUS TACTICS;169
8.5.4;ELEMENTS OF STRATEGY;171
8.5.5;STRATEGY AND ENVIRONMENT;171
8.5.6;THE POLITICAL CHOREOGRAPHY OF HEALTH PLANNING;172
8.5.7;GOALS AND OBJECTIVES;176
8.5.8;TECHNICAL ANALYSIS AND PLANNING;177
8.5.9;POLITICAL ANALYSIS AND PLANNING;178
8.5.10;CONCLUSION;181
8.5.11;REFERENCES;181
8.6;Chapter 10.
Technical Assistance and Consultation for Consumers;184
8.6.1;TECHNICAL ASSISTANCE;185
8.6.2;AGENCY RESPONSIBILITIES;186
8.6.3;PROBLEMS OF CONSUMER BOARD MEMBERS;188
8.6.4;EDUCATION AND TRAINING;189
8.6.5;ORIENTATION PROGRAMS;191
8.6.6;CONSULTATION;192
8.6.7;NOTES;194
8.6.8;REFERENCES;194
8.7;Chapter 11. An Educational Approach to Health Planning;195
8.7.1;TECHNOCRATIC VERSUS EDUCATIONAL APPROACH;196
8.7.2;CONSENSUS VERSUS CONFLICT IN PLANNING;198
8.7.3;APPROPRIATION VERSUS DEVELOPMENT OF LEADERSHIP;201
8.7.4;CONCLUSION;203
8.7.5;NOTES;204
8.7.6;REFERENCES;204
8.8;Chapter 12. The Consumer Health Advocacy Training Project;205
8.8.1;STEPS TOWARD INTERVENTION;206
8.8.2;COMMUNITY OUTREACH;207
8.8.3;THE TRAINING SESSIONS;209
8.8.4;PROJECT OUTCOMES;210
8.8.5;LESSONS LEARNED;215
8.8.6;CONCLUSION;216
8.8.7;NOTES;217
8.8.8;REFERENCES;217
8.9;Chapter 13.
Citizen Action in Health Planning;218
8.9.1;ISSUES OF CONSUMER GROUPS;219
8.9.2;FUNDING SUPPORT;227
8.9.3;STAFF DEVELOPMENT;228
8.9.4;SUPPORT NETWORKS;229
8.9.5;CITIZEN ACTION IN PERSPECTIVE;230
8.9.6;NOTES;231
8.9.7;REFERENCES;232
8.10;Chapter 14.
Health Costs, Consumer Constituencies, and Community Change;235
8.10.1;HEALTH COSTS: TOO TALL AN ORDER?;236
8.10.2;CONSUMER CONSTITUENCIES: WHAT WENT AMISS?;237
8.10.3;WITH SUCH FRIENDS, WHO NEEDS ENEMIES?;240
8.10.4;THOSE WHO UNMAKE BEDS MAY STILL HAVE TO LIE IN THEM;241
8.10.5;WHAT CONSUMERS GIVE, THEY CAN TAKE AWAY;243
8.10.6;CONSUMER HEALTH PLANNING BEYOND HSAS;244
8.10.7;NOTES;245
8.10.8;REFERENCES;247
9;PART III: FUTURE PROSPECTS;252
9.1;Introduction to Part III;254
9.2;Chapter 15.
Can Competition Serve Consumers?;256
9.2.1;DIRECT REGULATORY CONTROLS;257
9.2.2;THE PUBLIC USE OF MARKET INCENTIVES;261
9.2.3;EXPERIMENTATION;265
9.2.4;NOTES;266
9.2.5;REFERENCES;267
9.3;Chapter 16.
Planning and Organizing for a New Public Health Movement;268
9.3.1;NOTES;280
9.3.2;REFERENCES;281
9.4;Chapter 17.
Health Planning and Social Change: Critique and Alternatives;284
9.4.1;THE PERILS OF RELYING ON THE PRESENT: CURRENT HEALTH PLANNING;284
9.4.2;WHITHER PLANNING?;288
9.4.3;WHITHER HEALTH?: SOME PRESUPPOSITIONS;290
9.4.4;ALTERNATIVE WAYS OF SEEING, OF PLANNING, AND OF BEING HEALTHY;291
9.4.5;ARE WE THERE YET?;295
9.4.6;REFERENCES;296
9.5;Chapter 18.
Reflections on the American Health Care Condition;301
9.5.1;PROLOGUE: FEELING ILL ABOUT SPENDING MORE;301
9.5.2;PLANNING: PLACEBO OR PANACEA?;305
9.5.3;THE POLITICS OF RESOURCE ALLOCATION;313
9.5.4;EPILOGUE: SOME RECKLESS GENERALIZATIONS;315
9.5.5;NOTES;316
9.5.6;REFERENCES;316
10;Index;320
11;About the Contributors;327