In Southern Israel, rapid development and industrialization have generated strains affecting both the population (ca. 0.5 million immigrants and ca. 50,000 Bedouin) and the medical care agencies (of the General Labour...
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In Southern Israel, rapid development and industrialization have generated strains affecting both the population (ca. 0.5 million immigrants and ca. 50,000 Bedouin) and the medical care agencies (of the General Labour Federation and other Sick funds, the Health and other Ministries, etc.). In Beer-Sheva, the Center of Health Sciences (CHS) of the Ben-Gurion University of the Negev (BGUN) is the scene of a concerted effort to change the orientation of health care. The direction of change is away from the impersonal (the hospital and the disease) and towards that demanded by the public (the community and the person). It is being accomplished by fundamentally changing the education of health personnel. Change is being implemented and mediated by a coordinating consortium of in-region and BGUN care and/or welfare agencies, that plans and evaluates the process and progress of change for which each agency is responsible. Infrastructural innovation, somewhat hampered by the inertias of tradition, consists of making the university hospital effectively serve the regional network of hospital-affiliated, community-oriented primary care clinics. Curricular innovation, enthusiastically accepted and flourishing, uses the concept of "the natural history of disease" in basic-science and clinical teaching. Teaching takes place not only in the wards, but also in outpatient and primary care clinics, and in the facilities for occupational health, rehabilitation and public health.
作者：
Amundson, Bruce A.Rosenblatt, Roger A.BRUCE A. AMUNDSON
M.D. is Acting Assistant Professor of F d y Medicine at the University of Washington School of Medicine. He is also Associate Director of the WAMI Office of Rural Health. He has had extensive experience in rural health including practice teaching and community health systems development. Hi research interests include rural health systems team development and rural hospitals.
Rural hospitals are confronting continuing and increasing threats to their inability. A demonstration project for the Washington‐Alaska‐Montana‐Idaho region to address the problems of the rural hospital and health ...
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The Mississippi State Department of Health has developed an empirically-proven two stage methodology of evaluation appropriate for agencies serving individuals that are poor and/or uninsured that utilizes qualitative ...
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Occupational therapists who wish to see services expand in community settings must be prepared to take an active role in program development. The article examines 12 program development strategies which are illustrate...
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People with AIDS are homeless for a variety of reasons, including financial devastation, rejection based on fear of contagion or fear of the dying process, and homeless-ness prior to a diagnosis of AIDS. The author de...
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People with AIDS are homeless for a variety of reasons, including financial devastation, rejection based on fear of contagion or fear of the dying process, and homeless-ness prior to a diagnosis of AIDS. The author developed and directed the Shanti AIDS Residence Program in San Francisco, the first program to provide housing for people with AIDS. This model is appropriate for single, independent people able to live cooperatively with others. It provides shared living situations for three to six people per apartment, and office staff physically maintain the houses and assure that the needs for community-based home care and other services are met. Other models are proposed for people who are physically or cognitively dependent (and require physical care or supervision in addition to housing), who are socially unable to live cooperatively with others in an unstrucured living environment (e.g., active substance users or the emotionally disturbed), or who have families (e.g., mothers with dependent children or gay men who live with their lovers).
Recent political changes in Nicaragua provide the context in which to analyze the relationship between politics and health (Bossert 1982; Halperin and Garfield 1982). The specific focus of this paper will be on the or...
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Recent political changes in Nicaragua provide the context in which to analyze the relationship between politics and health (Bossert 1982; Halperin and Garfield 1982). The specific focus of this paper will be on the organization and function of community participation in health delivery before and after the Revolution of July 19, 1979.
Health education has traditionally been concerned mainly with health issues seen from a personal perspective-brushing our teeth, smoking, and choosing and eating our foods. Involvement in community action can bring re...
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