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Progressive health education through community organization: a case study.

Successful health education programs should be based on well-integrated community systems and networks. A health educator encountering community disintegration assumes a responsibility for taking a community organization effort. A case study of such an effort, based on Rothman's locality development model, is described. Community diagnosis and program development stages are detailed. Community health projects were among the outcomes attributed to this project.

Community Health Services↗

[Considerations for community nursing care of the young advanced cancer patient].

In our unit and in general, nurses commonly take care of elderly patients. However, we herein describe the provision of community nursing care directed towards young advanced cancer patients. From our experience, the following issues should be considered by the medical care team for community nursing to be effective with these patients: Full explanation of treatment to enable the patient to make an informed decision. This can be achieved through provision of full details of the potential benefits and risks of community nursing. Next is the importance of a team based approach by the medical care team, with the support of various community and volunteer networks if necessary. Palliative care community nursing requires sincere and caring character profiles. In addition, we recognize that there are special considerations for home nursing care of the younger patient that are not present in our experience with the older patient group. One issue is that these patients have particular requirements which incur significant expenses for which there are few public support systems.

Adult↗

[Community services and quality of life: a study of the impact in a remote region].

This longitudinal study with a matched comparison group was conducted in Abitibi, an area in North-West Quebec. Its goal was to observe the impact of community support services on the quality of life of long term psychiatric patients living in a remote area. A cohort of 47 subjects, living in a small town with a comprehensive network of community support services, was compared with a similar group living in a neighbouring city with only outpatient services. The satisfaction with life domains scale developed by Andrews and Withey and adapted by Baker and Intagliata was used at four times during the study. According to the results, the subjective perception of the quality of life in the two groups is comparable, even though the objective conditions are less favorable for the group participating in the community support program. The highest ratings were given to the place of residence, the neighborhood and its commodities; the lowest ratings were given to their love life and financial situation. One can observe a stability of the measures of quality of life over time and for the two groups. The perceptions of the sample living in a remote area are much more favorable than the ones of a comparable group living in the Montreal area. These results are discussed in a double perspective: the role of community support services in the daily life of people who are having severe and persistent problems of mental health, and the interest of measures of quality of life.

Adult↗

The community epidemiology work group approach.

"Drug abuse" provides many unique challenges to the research community. Some of these involve fundamental epidemiologic issues, such as measuring the extent of the problem, identifying and assessing changes in patterns and trends, detecting emerging "drugs of abuse", characterizing vulnerable populations and determining health and social consequences. A number of research methods are employed to address these issues. This paper describes one of these--a model in which ongoing surveillance of "drug abuse" is maintained through a network of community-based researchers, local officials, academics, and other interested and qualified members of the community. Timely, accurate, and cost-effective data can be generated through systematic collection and analysis of indirect indicators of "drug abuse" that are often routinely produced by a variety of community sources. This information, in turn, can be used to make informed public health policy decisions. The community-based network model has been implemented at the city, state, national, regional, and international levels, and a case is made that this type of program could be useful, as well, in understanding the dynamics of "drug abuse" in rural areas of the country.

Community Networks↗

Examination of the relationship between community support and tobacco control activities as a part of youth empowerment programs.

Through the American Legacy Foundation's Statewide Youth Movement Against Tobacco Use (SYMATU), programs aimed at empowering youths to take action against tobacco use were funded. It is believed that the activities these groups undertake result in changes at the community level. This article examines the relationships between community support of tobacco control and the number and types of tobacco control-related activities these local youth groups conduct. Regression analyses examine the influence that different levels and sources of community support have on the quantity and focus of a group's activities. The influences of community support are briefly explored to understand if certain group characteristics have an impact on the quantity or sources of support for tobacco control. A deeper understanding of the importance and impact of community support will help groups understand the need for building community support networks and how these networks can assist them with implementation of program activities.

Adolescent↗

Social network mapping with transplant recipients.

Social support can have great influence on health, well-being, and general quality of life To promote awareness of the social network that surrounds each transplant recipient, transplant social workers are now using the Social Network Map as an intervention. Because perceptions of availability and accessibility of support are key elements in the use of social network resources, awakening an individual's awareness of available resources is a significant first step in enhancing social support and, ultimately, quality of life. The Social Network Map is used to establish dialogue regarding individuals' needs and sources of support, and then how the support system can meet those needs. Transplant social workers thus foster active use of those people in transplant recipients' networks who can meet the particular needs recipients identify.

Adult↗

Outreach, consolidation, and networking: Columbia's approach to successful integration of laboratory services in California.

At the forefront of integrated laboratory services, Columbia Bay Area Healthcare Network's Lab Link provides a unique approach to operating hospital-based laboratories in today's heavily penetrated managed-care environment. Columbia recognizes that a combined strategy of laboratory consolidation, outreach, and networking is essential to compete successfully with commercial reference laboratories for local and statewide contracts. Implementing this model enables hospital laboratories to produce high quality, cost-effective test results while increasing volume and reducing duplication. When hospital laboratories consolidate and network with local and regional laboratories, inpatient and outpatients information is cross-fertilized through a web of information systems. Patients information can then be accessed easily and monitored throughout the continuum of care. The goal of this article is to provide hospital laboratories with a streamlined approach to structuring and delivering services while maintaining a competitive edge in the tumultuous healthcare market. The future of laboratory services within the hospital setting lies in the aggressive use of three elements--consolidation, outreach, and networking--to ensure quality service as well as economic viability.

California↗

Success factors of risk based specialty networks.

Specialty physicians are feeling the heat from managed care because of shrinking reimbursement, selective paneling and clinical re-engineering. They have felt the need to leverage their influence by developing specialty groups and networks. While each network is unique in its external circumstances, there are several common elements to successful specialty networks, including having a clear network mission, obtaining adequate capitalization, obtaining equity, accepting only a manageable amount of risk, gaining member volume establishing and maintaining payer diversity, being high quality and efficient, developing and using information tools, supporting network efficiencies, allying with other physician organizations, exercising network panel selection and deselection, and empowering physicians with knowledge.

Ambulatory Care Information Systems↗

Networking pathology services: adjusting to managed care.

Health care reform is creating the need for pathologists to find new approaches to providing traditional pathology services in an increasingly competitive environment. This article reviews changes impacting pathology practices and describes a "messenger network" model as a solution for pathology practices desiring to retain and increase market share.

Community Networks↗

Organization of an organ donation network.

The National Organ Donation Network involves numerous organizations and institutions, with the organ procurement agencies playing a key role. Figure 2 depicts the complex structure of the procurement process. There is little consistency in structure among community procurement networks, but there is a strong unified approach to the national sharing of organs and tissues. More regionalization has led to better coordination of all procurement and educational efforts, and the role of the procurement coordinator has evolved into a new health profession.

Canada↗

Educating dental hygienists in Kansas.

Kansas has about two dentists for every hygienist. Most dental hygiene programs are situated in junior or community colleges. The trend is toward two-year programs. About 90 non-traditional programs are now in existence. The Alabama preceptorship program appears to be unique, but of all the states which have looked at it, Alabama still is the only state to have adopted the ADHP. Perhaps Kansas should consider establishing a non-traditional program that could be rotated among the state's network of community colleges with the support of the two existing dental hygiene programs through an existing telecommunications network connected to our two existing hygiene education programs.

Dental Hygienists↗

Physician service networks and the future for psychiatrists.

Physicians are responding to payers' demand for one-stop shopping and providers' desire for increased autonomy by creating physician service networks. These provider-owned and -operated delivery systems offer psychiatrists a model for creating their own behavioral health care organizations. The author describes features of these integrated delivery systems that can enable physicians to regain some of the control they have lost to managed care organizations. He encourages psychiatrists to view physician service networks as a valuable survival strategy in an era of change and uncertainty. Physicians who become involved in provider-owned networks must work to ensure that these organizations do not become indistinguishable from the managed care systems they replace.

Community Networks↗

Media, audience, and policy perspectives in health broadcasting.

Effective coordination between service delivery systems and communication networks is essential for the success of development programs. This becomes particularly crucial when the number of agencies involved is large and they are not working under 1 authority. Information needs of the community are another major concern. This article attempts to assess the extent of convergence between electronic media, government policy, and the targeted audience on the coverage of health topics. The Indian state of Andhra Pradesh was chosen as the field. The study adopts a mix of both quantitative and qualitative techniques. The findings reveal limited convergence, indicating the need for more effective reflection of the policy guidelines into media programs.

Community Networks↗