PubMed · 5195482
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A L Dimataga. Rural needs and problems.. https://pubmed.ncbi.nlm.nih.gov/5195482/
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An opinion article of health care programmes questioning the effects and benefits of their management. The AA, based on their experience in management/administration, present suggestions to identify, quantify and analyse a problem in health care. After characterising a health care problem, the AA point out the fundamental role of planning (in health care) and invited interdepartmental collaboration between the various levels of health care managers. The eventual mission of health care programmes is stressed, their structural conformity with the external environment (community) and internal environment (health care institutions), the resources affected, their process and the results to be achieved, as well as their co-ordination. The programme manager, with a specific profile and duties, is suggested as an important leadership factor. The conclusion advises health care strategists of the future importance of the programmes.
The attempt to assess the impact of medical sociology on health policy encounters operational difficulties regarding what should be counted. After reviewing these difficulties, we argue that there is potential interest among policymakers for sociological contributions to policy debates, but that policy impact has been limited by sociologists' ambivalence, academic career considerations, and by health research becoming a distinct field of research. Suggestions for increasing sociologists' policy impact include attending to policy relevance in both the design of studies and the dissemination of results and by sociologists' becoming more oriented to the field of health policy research.
Attempts at regional planning in the Outaouais have shown that it is difficult to open up mental health services for underprivileged clienteles that are more vulnerable. Nonetheless, services can be offered by developing partnerships between institutions and community groups, while ensuring that individual expertise and local differences are respected. However, the healthcare and social services network must learn how to build intersectorial mechanisms that can change the socio-economic conditions which explain the conditions of patients and their exclusion. With budget cuts in the background, the participation of citizens could make all the difference.