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At least 199 records · Page 11Linked to original sources
PubMed1989

Assessing key stakeholders: who matters to hospitals and why?

A key stakeholder perspective, informed by illustrative quantitative and qualitative data, is developed for hospital administrators. These data provide answers to the questions, Who matters to hospitals? and Why do they matter? A tool kit for assessing stakeholders also is presented to help hospital executives identify their institutions' key stakeholders, determine the power of these stakeholders and their core values, and define who within their institutions should be responsible for the routine management of different stakeholders. These tools facilitate the management of each key stakeholder, ensuring that each strategic decision is examined in terms of the likely reaction of key stakeholders and is supplemented with plans for gaining stakeholder acceptance. Managers should recognize that the answers to Who matters? and Why? will vary by type of hospital and by the specific issue being addressed.

Community-Institutional Relations↗
PubMed2001

Challenges of the Blackwood Basin, Western Australia.

Growing concern about the declining state of the catchment and river led to the formation of the Blackwood Basin Group in 1992. Funded primarily by the Natural Heritage Trust and using the river as the focus, the group aims to provide leadership and support to achieve sustainable management of natural resources in the catchment. Through an Integrated Catchment Management approach, the Blackwood Basin Group has managed a range of projects to improve the community's understanding and management of the Blackwood River and its catchment. A number of research, education, demonstration and on-ground action activities relating to river management have been undertaken in partnership with community and local, state and federal government organisations. Activities include demonstrations and evaluations of riparian restoration, funding riparian restoration activities, protection of high conservation value remnant vegetation, a flood risk study, zone action planning and monitoring the condition of the river and its tributaries.

Community-Institutional Relations↗
PubMedDate not supplied

[Relationship between the university and the National Health Services: the experience in northern Italy].

The paper summarises the results of the experiences presented at the "Meeting on Public Health in Northern Regions" held in Milan. Despite the differences seen at local level the importance of interaction between "academic" expertise and field attachment is seen as crucial. Actual legislation pushes toward considering the academic role as a result of the development of teaching, research, health care skills. The paper consider that also a public health doctor in practising should see his role as the result of a mix of "health care, research and teaching" abilities so that a harmonisation looks possible in so far as they know each other and work for the same objectives although in a different context. On the other hand, the University should perceive itself as service given to a community. So, in conclusion, if politics means the common interest in the public affairs this fourth dimension should join the three considered above in general terms and particularly in the field of Public Health Medicine.

Community-Institutional Relations↗
PubMed2003

Community-based river management in Southeast Sulawesi, Indonesia: a case study of the Bau-Bau River.

In this paper we explain the current condition of the Bau-Bau River, examine community participation for management of the river system, and consider options for improving the institutional capacity for a community-based approach. This assessment is based on a research project with the following objectives: (1) analyse the biophysical and socio-economic condition of the river as a basis for future planning; (2) identify current activities which contribute waste or pollution to the river; (3) assess the status and level of pollution in the river; (4) analyse community participation related to all stages of river management; and (5) identify future river management needs and opportunities. Due to the increasing population in Bau-Bau city, considerable new land is required for housing, roads, agriculture, social facilities, etc. Development in the city and elsewhere has increased run-off and erosion, as well as sedimentation in the river. In addition, household activities are generating more solid and domestic waste that causes organic pollution in the river. The research results show that the water quality in the upper river system is still good, whilst the quality of water in the vicinity of Bau-Bau city, from the mid-point of the watershed to the estuary, is not good, being contaminated with heavy metals (Cd and Pb) and organic pollutants. However, the levels of those pollutants are still below regulatory standards. The main reasons for pollution in the river are mainly lack of management for both liquid and solid wastes, as well as lack of community participation in river management. The government of Bau-Bau city and the community are developing a participatory approach for planning to restore and conserve the Bau-Bau River as well as the entire catchment. The activities of this project are: (1) forming institutional arrangements to support river conservation; (2) implementing extension initiatives to empower the community; (3) identifying a specific location to establish an urban forest; (4) implementing demonstration projects for liquid system management; (5) promoting coordination amongst the different organisations and agencies in the catchment; (6) improving domestic waste transportation; and (7) recycling waste to create compost material to become an income source for the community.

Agriculture↗
PubMedDate not supplied

Investigations into the indoor environment and respiratory health in Boston public housing.

The self-reported prevalence of asthma in the United States increased by 75% from 1980 to 1994, a trend found to be significant and evident in every region of the country. The increase was most marked in children from birth to 14 years of age; and growing evidence indicates that, as with lead poisoning, inner-city and urban populations are most at risk. Attention has turned to the role of indoor environmental risk factors, especially in homes and schools. Such factors include moisture and mold growth, pest infestation, dust mites, the building envelope, heating systems, inadequate ventilation, nitrogen dioxide, and environmental tobacco smoke. The Healthy Public Housing Initiative (HPHI) is a Boston-based community-centered research and intervention project designed to engage Boston Housing Authority residents in a collaborative process to improve respiratory health, quality of life, building conditions, and building maintenance in public housing. This article summarizes the significant research findings from four pilot studies in housing developments that laid the foundation for the larger HPHI asthma-related environmental intervention study. The research design for the pilot projects is informed by principles of community-collaborative research. The strengths of this model of research for our work are also discussed.

Air Pollution, Indoor↗
PubMed1986

Undesirable neighbors.

Explore the source record for details and available documents.

Community Mental Health Centers↗
PubMed1994

Primary and secondary care integration.

Integration of primary and secondary health care is a goal of the 1993 New Zealand health reforms. Focus groups were selected to raise options and stimulate improved integration between primary and secondary care in the Auckland metropolitan and rural areas. Cooperation, communication, coordination, were considered relevant. Several detailed recommendations were produced. They fell into six groups; (1) liaison committees or meetings, (2) communication, (3) referral admission discharge, (4) joint ventures, (5) horizontal integration and (6) general. A key recommendation was that regional health authorities should fund liaison committees or functions to promote inter provider integration. The findings of the focus groups are placed in context of the wider requirements for integration. These are integrated funding, integrated information systems, integrated purchasing and utilisation management.

Communication↗
PubMed1996

Minority Oral Health Research Center. Improving oral health and expanding opportunities.

To address the glaring problems of disparity in oral health and representation in the manpower pool of oral health researchers, the National Institute for Dental Research (NIDR) of the National Institutes of Health established Regional Research Centers for Minority Oral Health. The Minority Oral Health Research Center at New York University College of Dentistry, a collaboration between the college and the Fosyth Dental Center, is one of four centers established by the NIDR in the United States to improve oral health for all Americans and to enhance accessibility of research careers for minority individuals. This article describes the center's progress to date, expected outcomes and its call for partners to improve minority oral health.

Child↗
PubMed1998

Prevention and control of hypertension and diabetes in an underserved population through community outreach and disease management: a plan of action.

Hypertension and diabetes are overrepresented in the African-American population and can be particularly devastating in this population. These diseases share genetic predisposition, medical risk factors, and environmental influences as etiologic factors, and they may be interrelated, at least in part, by obesity and accompanying hyperinsulinemia. Noncompliance with treatment plans is a significant barrier to health improvement in both diseases, but increased attention to patient involvement in care is a potential solution to this long-standing problem. The Baltimore Alliance for the Prevention and Control of Hypertension and Diabetes was established in January 1998 to promote care to the underserved community of West Baltimore, Maryland, and to improve outcomes of hypertension and diabetes. Based at the University of Maryland School of Medicine, the Baltimore Alliance comprises a community health worker program, a church-based education and screening effort, managed care and pharmaceutical company (Hoechst Marion Roussel) partners, a health policy and services research group, and inpatient/outpatient clinical care sites in the health system. Mobilization, cultural relevance, and partnership are employed to ensure that the Alliance's goals of increased patient enrollment and retention in treatment programs will be achieved. Thereby, improved outcomes--clinical, humanistic, and economic--will result. Novel as well as classic approaches to patient education, compliance, and goal achievement are being pursued. Complete expert systems for hypertension and diabetes disease management are being created and will be implemented in the near future. Baseline practices and current outcomes are being identified to act as historical controls. The organization and administration of the Alliance will serve as a prototype that others may follow.

Academic Medical Centers↗