The research partnership: testing collegiality and preserving the relationship.
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Health Initiatives for Youth (HIFY) in San Francisco, California, is an innovative organization providing health-related services for and by young people funded in part by the Special Projects of National Significance (SPNS) Program. The HIFY Youth Health Initiative (YHI) is composed of eight youth staff and aims to bring about individual and systemic change, enhance the quality of life for human immunodeficiency virus (HIV)-positive and at-risk young people, and increase the responsiveness and youth sensitivity of organizational and community systems. Comprehensive services have been delivered to 136 young men under 25 years, 33.1% of whom are HIV positive, and 164 young women, of whom 12.2% are HIV positive. In addition, thousands of youth and young adults have received lower-intensity services through dozens of educational workshops and presentations. YHI services are implemented through a comprehensive collection of education, training, and support activities that benefit the youth staff who produce them, along with the participants who benefit from the services provided. These activities include a speaker's bureau, health and advocacy trainings, internships, return-to-work and life skills training, publications, and conferences. Regional and national findings suggest that many youth do not yet comprehend their risk for HIV infection or understand the impact of HIV on their community. In direct response to these needs, HIFY programs inform and encourage access to counseling and testing, and provide meaningful access to adolescent care, treatment, and services.
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In the UK public service organisations are increasingly working together in new partnerships, networks and alliances, largely stimulated by government legislation, which aims to encourage 'joined-up' policy-making. This is particularly prevalent in health-care where local government, health authorities and trusts, voluntary and community groups are extending existing, and developing new, forms of partnership, particularly around Health Improvement Programmes and new primary care organisations. This paper explores two main aspects of how these new interorganizational relationships are being developed and managed and is based on research conducted in one case study locality. First, the new structures of partnership in primary care are mapped out, together with discussion on why these particular patterns of relationship between statutory and voluntary sector organisations have emerged, exploring both centrally and locally determined influences. Secondly, the paper explores the tensions associated with working within new policy-making and management structures, and how the additional demands of audit, performance measurement and the sheer pace of change, pose a potential threat to the partnership process.
Marketing can no longer be considered vulgar commercialism. Ethically applied, marketing is in fact one of the necessary building stones and development tools for the future development of nursing. In the new competitive environment being created in health sectors to improve efficiency and cost-effectiveness, the nursing profession must learn to use marketing techniques to survey the needs, identify gaps in services and develop products and services that will be relevant for today's empowered consumer.
This is one of an occasional series of articles about visitations to the offices of prominent dermatologic surgeons. There are a number of highly skilled and innovative members of our field from whom we can all learn. Unfortunately, it is impossible for everyone to visit their facilities and observe their work first hand. The purpose of this series is to provide a behind-the-scenes look at the day-to-day workings of the offices of prominent dermatologic surgeons.
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The central theme of the National Drug Strategy is "building partnerships". In the education and training arena, intersectoral partnerships are important to increase the skill and knowledge base of generic professionals. However, partnerships are neither simple nor straightforward endeavours. While this paper argues that they are imperative, they can be time-consuming and problematic. Discussion of the stages of change and how this model applies to partnerships and elements of successful partnerships form the basis of the paper.
OBJECTIVES: We wished to determine general practitioners' (GPs') views regarding the need for a stress support service. METHOD: A postal questionnaire survey of GPs' views (n = 274) about the need for a stress support service, and what form such a service might take, was undertaken on Tyneside. RESULTS: A response rate of 79.5% was achieved with one reminder. A majority (78.8%) were in favour of a stress support service for GPs, the most popular options for the service being independently accessed counsellors and stress management groups. Over 90% of respondents thought that support should be available to any doctor, and 65% that is should be available to all primary health care team members. The five most commonly mentioned causes of stress were: time and workload problems; on call; expectations and demands of patients; administration and paperwork; and complaints and fear of litigation. CONCLUSIONS: The survey demonstrated widespread concern amongst GPs on Tyneside about stress levels and considerable interest in the idea of stress support. However, a variety of approaches would be required to meet the range of perceived needs, and any such services should be made accessible to all practitioners regardless of whether they are actually suffering from stress, as well as to other members of the primary health care team.
Fresh challenges for occupational health in the new millennium include the European dimension and a series of frame shifts about what our specialty actually comprises. This paper encourages a proactive commitment to engaging with Europe and European law-making. A similar proactive approach involving professional, employer and workforce participation is urged for the development of occupational health. The need for prioritization and economic justification is required for underpinning this approach.