Marshall W. Kreuter, U.S. Health Education Director, praises Pittsburgh health education center as 'classic example of good community networking'.
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The communication of complex scientific and technical health risk information in a community context is little understood and seldom studied. The study reported here examines how information about an environmental health controversy is obtained, exchanged, and used within the community as decision makers and public health officials struggle to protect lake-source drinking water for a community of 55,000. Findings suggest that public health officials may need to broaden their communication strategies to reach less integrated groups with quality scientific and technical health risk information.
A modular structure, in which groups of tightly connected nodes could be resolved as separate entities, is a property that can be found in many complex networks. In this paper, we propose a algorithm for identifying communities in networks. It is based on a local measure, so-called loop coefficient that is a generalization of the clustering coefficient. Nodes with a large loop coefficient tend to be core inner community nodes, while other vertices are usually peripheral sites at the borders of communities. Our method gives satisfactory results for both artificial and real-world graphs, if they have a relatively pronounced modular structure. This type of algorithm could open a way of interpreting the role of nodes in communities in terms of the local loop coefficient, and could be used as a complement to other methods.
People in rural areas often lack the financial resources, workforce, and professional network needed to sustain a diabetes education pro gram in their own community. HealthInsight, a nonprofit organization that works to improve the quality of health care in its community, developed a 2-day seminar in an effort to facilitate the networking of rural health professionals who educate patients with diabetes and to help those educators better learn how to use existing resources. Participants included nurses, dietitians, diabetes educators, quality managers, and education directors from hospitals and home health agencies in both rural and metropolitan areas. Speakers presented information on a variety of topics related to program development, and a resource manual containing numerous materials was given to each participant. At the end of the seminar, the group turned in goals for their own programs. Too often, providers of health care compete rather than collaborate with one another. There is a great need for such networking opportunities among health care professionals working on common goals--especially in rural areas.
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Computer networks serve as convenient, efficient, and enduring vehicles for delivering nursing services to patients at home. The ComputerLink, a nurse-supervised computer network, provides information, decision support, and communication services to caregivers of people with Alzheimer's Disease [1]. The data obtained in the original experiment included daily logs of each caregiver's use of ComputerLink (n=606 days), records of each caregiver's ComputerLink access behavior (47 subjects; 3875 accesses), and transcripts of the public communications (n=749) posted on the ComputerLink's open electronic bulletin board. In this paper, we present a case study of an early user's pattern of connections to ComputerLink as an atypical example of how elders make use of computer networks.
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To explore the determinants of support provision in the natural disaster context, we followed House (1981) and developed a model that specifies how characteristics of the providers, their personal networks, and the community contexts in which they live facilitate or impede their ability to provide support. All three sets of factors affected support provision during Hurricane Andrew, but the pattern of effects differs for the preparation and short-term recovery phases of the hurricane. Age, income, network density, and local economic conditions had significant effects on support provision in the preparation phase. Income did not have a significant effect on short-term recovery support, but religion, house damage, the size and diversity dimensions of network structure, and the local bonds and sentiments dimensions of community attachment did. After comparing the explanatory power of our model in the two phases, we conclude by investigating the implications of this test for understanding the determinants of support provision more generally.
This paper reviews the history of St. Anthony's Hospice and Life Enrichment Program. St. Anthony's provides bereavement counseling and death education to the community using a networking approach involving the educational, religious, social, and mental health organizations in the area. At present, this model features a church satellite program, grief recovery and anticipatory grief seminars, on-going bereavement support and social support groups, volunteer speakers' bureau, a volunteer staffed bereavement team, and training of psychology, nursing, and medical students.
Community acquired pneumonia (CAP) is a disease with high morbidity and mortality in Germany. However, no reliable data are available about spectrum and resistance of pathogens, course of the disease, evidence based guidelines for treatment, and pathogen-host interactions. The German Ministry of Education and Research recognized these deficits and therefore decided to fund CAPNETZ, a network of competence for community acquired pneumonia. CAPNETZ integrates components of health research as well as clinical and basic research (horizontal network) on one hand and supports cooperation among general practitioners, community hospitals and universities (vertical network). Since October 2002, 1547 patients with CAP have been recruited within the network. First results indicate, that new observations made in terms of symptoms, spectrum of pathogens involved, and treatment modalities will impact on the formulation of new guidelines for the management of community acquired pneumonia.
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This paper describes a program, the Work Readiness Seminar, designed in collaboration with a community organization, the Altrusa Club, to respond to needs of chronic psychiatric female patients. The five sessions of the program provide the women with information about everyday survival skills and an opportunity to practice these skills. The excellent role models provided by the Altrusa Club members and the programming of life skills "in vivo" are the strengths of the program. This paper also briefly describes three additional programs that evolved from the Work Readiness Seminar. All four programs use community groups as a resource for teaching life skills to chronic psychiatric patients.